Neuro Stepdown Registered Nurse
Seattle, Washington
Harborview Medical Center

Job Opportunity: Stepdown Neuro Registered Nurse (Travel/Contract)

Location

• Seattle, Washington

Contract Details

• Duration: 13 weeks
• Shift: Nights, 3 shifts per week, 12 hours each (7:00 PM – 7:30 AM)
• Patient Ratio: 1:5
• Weekend Requirement: Every other weekend, with flexible scheduling
• Guaranteed Hours: Facility may call off 1 shift every 2-week pay period
• On-call: Not required
• Floating: Travelers may float within scope to meet facility needs; travelers float first
• Local candidates accepted
• Return-to-Office Restrictions: No more than 6 days

Patient Population

• Neurosurgery, Neurology, and Epilepsy patients
• Conditions include traumatic brain injury, craniotomy, craniectomy, aneurysm clipping/coiling, spinal cord injury, strokes, seizures, epilepsy, changes in mental status, and telemetry monitoring

Facility Highlights

• Magnet-designated, Teaching hospital, Level 1 Trauma center
• Approximately 500 staffed beds
• Charting system: Epic (with hard stops)
• Scrub color: Blue
• Parking: Onsite parking available with fees; offsite parking with shuttle service on weekdays

Required Qualifications

Experience

• Minimum 2 years of Stepdown nursing experience, including experience within the last year

Licensure & Certifications

• Valid Registered Nurse license in Washington State
• NIH Stroke Scale (NIHSS) certification
• Basic Life Support (BLS) certification issued by the American Heart Association
• Associate of Science in Nursing (ASN) or Associate Degree in Nursing (ADN)
• Certification in IV start

Health & Immunization Requirements

• Physical exam within 1 year (not required by facility but required by agency)
• Mask fit test within 12 months (3M 1860R, 1860S, or 1870+ masks)
• Tdap vaccine within 10 years or signed declination
• Negative TB test (Qgold, Tspot, or 2-step PPD within 90 days) or chest X-ray if positive TB history
• Annual TB questionnaire (except Micro Lab)
• Measles (Rubeola), Mumps, Rubella: titer or 2 vaccines after 1968 and after 12 months of age; declination allowed with signed forms
• Hepatitis B: positive titer or completed vaccine series with boosters as needed; declination allowed with signed forms
• Varicella: titer or 2 vaccines; declination allowed with signed forms
• Seasonal flu vaccine or declination required during flu season (9/29 - 3/31)
• COVID vaccination or declination required for tracking purposes

Special Requirements

• Proficiency in telemetry interpretation and management of dysrhythmias (test required prior to start)
• Skills in IV starts, telemetry monitoring, and tracheostomy care mandatory
• Preferred experience in Level 1 trauma care

Additional Notes

• Orientation modules must be completed before start date (approx. 2-3 hours)
• Orientation testing is pass/fail; failure results in cancellation
• Candidates must complete required facility-specific documents and acknowledgments prior to start
• Candidates with multi-state licenses working in Washington must complete suicide prevention training and demographic attestations as applicable

This position offers an opportunity to work in a high-acuity neuro stepdown unit within a Level 1 trauma teaching hospital, providing care to complex neurological patients with a focus on telemetry and dysrhythmia management.