Stepdown (PCU/IMC) Telemetry RN
Springfield, Illinois
Memorial Health

Registered Nurse (Stepdown/PCU) - Travel/Contract

Location: Springfield, Illinois
Contract Length: 13 weeks

Job Details

• Shift: 3x12 hour nights (18:45 - 07:15), option to accommodate 4x12s if preferred
• Experience Required: Minimum 1 year in relevant specialty; first-timers not accepted
• Weekend Requirement: Work every other weekend
• Certifications Required:

  • BLS (Basic Life Support)
  • NIH certification
  • ACLS preferred (Advanced Cardiac Life Support)
• On-call: No
• Floating: Will float within scope as needed
• Local Candidates: Accepted, no radius restrictions
• License: Must have an active Illinois RN license (no pending licenses accepted)
• Return to Office Restrictions: Ideally no more than 5 days
• Guaranteed Hours: Client may call off up to 36 hours per 13-week assignment without pay

Required Clinical Experience & Skills

Work Setting Experience

• Telemetry
• Neuro Stepdown
• PCU/DOU/IMC/Stepdown units

Cardiac Monitoring & Emergency Response

• Interpretation and management of dysrhythmias
• Telemetry monitoring on unit
• Use of Rapid Response Teams

Cardiovascular Skills

• Post Cardiac Angiogram, MI, Cardiac Cath (pre/post), Cardiac Surgery (pre/post)
• Sheath removal, TR Band management

Gastrointestinal

• Feeding tube care and management

Genitourinary/Renal

• Pre/Post Hemodialysis management
• Renal failure care

IV Therapy / Phlebotomy

• Accessing ports
• Arterial line management
• Blood product administration
• Central line and PICC line care/management
• Phlebotomy
• Peripheral line care/management
• Starting IVs

Medication Management

• Heparin protocols
• Manage cardiac and vasoactive drips (no titration)
• PCA (Patient Controlled Analgesia)
• Procedural sedation administration
• Titration of cardiac and vasoactive drips

Neurological / Psychiatric

• Craniotomy care
• CVA (stroke)
• Pre/Post neurosurgery
• Spinal cord injury
• Traumatic brain injury

Orthopedics

• Ortho trauma
• Peripheral nerve block catheters
• Total joint replacements

Plastic Surgery

• Skin grafts
• Surgical drains

Respiratory

• Care of ventilated patients
• Chest tubes (Emerson/Pleur-evac)
• External CPAP/BIPAP
• High Flow Nasal Cannula (HFNC)
• Interpretation of ABGs
• Nasal cannula, oxygen face masks, portable oxygen tanks
• Non-invasive airway management
• Tracheostomy management

Professional Skills

• Isolation precautions
• Wound care / Wound VAC

Preferred Experience

• Cerner electronic health record system
• Teaching hospital experience
• Level I trauma center experience

Facility Type

• Acute Care Hospital
• Magnet designated hospital
• Level I trauma center
• Total staffed beds: 562

Dress Code & Charting

• Scrub color: Any solid color
• Charting system: Cerner

Orientation & Scheduling

• Open to discussing block schedules with manager

Required Documentation & Compliance

• Valid/current US Driver’s License or State ID
• Background checks covering all locations lived/worked in past 7 years
• EPLS/GSA/SAM, HHS/OIG checks within 30 days prior to start
• Education verification (degree or transcript)
• State-specific searches including Illinois Department of Corrections, Most Wanted, and others as required
• Primary source verification of certifications and licenses (BLS, ACLS, NURSYS, etc.)
• Competency exam required for clinical candidates
• Badge photo required before start
• Signed code of conduct and other facility-specific documents
• Physical exam within 1 year of start, including labs
• Fit mask test required (specific mask types accepted)
• Negative TB test or chest X-ray within 1 year
• Immunizations or documented immunity for Measles, Mumps, Rubella, Hepatitis B, Varicella
• 9-panel drug screen within 30 days of start
• Flu vaccination or approved medical/religious exemption required annually
• References: 2 professional references required for clinical candidates
• Skills checklist required for clinical candidates

This position is ideal for experienced Stepdown/PCU RNs with strong telemetry, cardiac, and critical care skills who are licensed in Illinois and comfortable working night shifts in a Level I trauma, Magnet-designated acute care hospital.