Stepdown RN
Saint Louis, Missouri
Barnes-Jewish Hospital

RN/PCU Step Down (Registered Nurse)

Location: Saint Louis, Missouri Contract Length: 26 weeks Shift: Day, 4x12-hour shifts (7:00 to 19:30), 48 hours per week; can also sign for 36 hours per week Ratios: 1:2-3 for all shifts

Experience and Clinical Requirements

• Valid RN license in Missouri
• Associate of Science in Nursing / Associate Degree in Nursing
• At least 1 year of stepdown experience, with stepdown experience within the last year
• Telemetry experience
• Interpretation and management of dysrhythmias
• Experience with mechanical ventilation
• Long-term ventilator management experience
• Ventilator weaning experience
• Pulmonary rehabilitation experience
• Experience with tracheostomy care
• IV insertion skills
• ACLS (Advanced Cardiac Life Support) issued by the American Heart Association
• BLS issued by the American Heart Association

Float Scope: May float within the service line, including to MS units.

Competencies and Testing

• EKG exam (Basic Dysrhythmia) must be passed, with the first attempt within 1 week of assignment. Up to 3 attempts are allowed.
• Unit-specific competency exam, updated annually
• Medication/pharmacology competency exam (must meet the Angoff score, or 80% if no Angoff score is available)
• Unit-specific skills checklist within 1 year of start

Work Arrangement

• Weekend requirement: every other weekend
• On-call: not required
• Guaranteed hours: 3 shifts per 13 weeks
• Return-to-off-duty restrictions: no more than 7 days
• First-time travelers accepted
• Does not accept local candidates (home address must be at least 75 miles from the facility)
• Does not accommodate block scheduling
• Parking passes are available at additional cost

Facility Highlights

• Short-term acute care
• Teaching facility; trauma level as listed
• 1,266 staffed beds
• Scrub color: navy
• Charting system: Epic

Compliance and Documentation

• Criminal background check within 6 months of start, with a 7-year search and education verification
• EPLS/GSA/SAM and HHS/OIG searches, run quarterly
• Missouri EDL search, run for each assignment and renewed quarterly
• Missouri Highway Patrol check, renewed annually
• Drug test within 1 year of start, with panels that must not expire during the assignment
• Physical exam within 1 year of start
• TB: two negative PPDs (one within 1 year, one within 30 days of start), or a T-Spot or Q-Gold within 1 year
• Measles, mumps, rubella, and varicella immunity (titer, two vaccines, or MD statement)
• Tdap vaccine or declination
• Hepatitis B declination
• Flu vaccine or exemption during flu season (October 1 to March 31)
• N95 fit test (on-site option available)
• Government-issued photo ID and driver's license or state ID
• Photo for badge taken within 6 months of start
• Employment application
• Two professional references
• Facility orientation modules (approximately 16 hours), completed before start
• Required policies signed before start: HIPAA acknowledgement, confidentiality form, hand hygiene policy, fingernail policy, and dress code policy