Step-Down RN
Auburn, New York
Auburn Community Hospital

Step-Down RN

Overview

• Travel/Contract role in Auburn, New York
• 13-week assignment
• Night shift: 3x12 hours, 19:00–7:30
• 36 hours guaranteed
• Every other weekend and every other holiday
• No blocked scheduling
• Local candidates accepted

Required Qualifications

• Valid RN license in New York
• Associate of Science in Nursing / Associate Degree in Nursing
• 2+ years of recent Step-Down experience
• Stepdown experience within the last year
• BLS issued by American Heart Association
• ACLS issued by American Heart Association
• NIHSS
• Unexpired government-issued photo ID
• Background check within 1 year of start covering all locations lived/worked/in school for the past 7 years, with annual updates
• EPLS/GSA/SAM clearance prior to facility start
• HHS/OIG clearance prior to facility start
• Orientation Safety Manual acknowledgement
• Annual stroke education: 8 hours
• Annual NIH Stroke Scale training: minimum 2 hours
• Annual telemetry pass/fail assessment with minimum score of 80%
• Annual physical exam completed within 12 months of start
• Fit test within 12 months of start, then annually
• Tdap within the last 10 years or declination
• TB screening within 1 year of start, or chest x-ray within 5 years if previously positive
• Measles and rubella immunity
• Hepatitis B series, titer, or signed declination
• Varicella vaccination, positive titer, or documented history of disease
• 9-panel drug screen within 30 days of start
• Flu vaccine or declination during flu season
• COVID vaccine records or declination
• 2 professional references within 3 years of hire
• Skills checklist
• NYS Nurse Aide Registry requirement
• NYS Medicaid Exclusion List requirement

Preferred

• None stated

Unit / Patient Population

• Step-Down unit
• Common diagnoses include CHF, post-heart-catheterization, post-vascular procedures, respiratory failure requiring BiPAP/CPAP/Vapotherm, and cardiac dysrhythmias

Procedures / Clinical Expectations

• Post-heart cath care
• TR band management
• Post-vascular procedure monitoring
• Frequent vital signs and neurovascular checks
• Pyxis medication system access

Required Skills

• Cardiac monitoring
• Dysrhythmia interpretation and management
• 12-lead EKG/ECG
• IV start and maintenance
• PICC line management
• Blood product administration
• Emergency medications
• Procedural sedation administration/monitoring
• Cardiac drip titration
• CVA / acute stroke management
• BiPAP / CPAP management
• Assist with chest tube insertion/removal
• Infection prevention
• Isolation precautions / PPE
• Phlebotomy