Stepdown RN
Morgantown, West Virginia
Ruby Memorial Hospital

Registered Nurse (Stepdown Unit) - Morgantown, West Virginia

Position Details

• Specialty: Stepdown (8 Southeast)
• Unit Beds: 32
• Shift: Nights
• Hours: 12-hour shifts, 36 hours per week
• Contract Length: 13 weeks
• Weekend Requirement: 3 weekend shifts in a 4-week schedule (Saturday, Sunday, Saturday)
• Holiday Requirement: Required to work holidays if needed
• Call/Standby: No call or standby required
• Floating: Very rare

Unit Environment

• Nurse-to-patient ratios:

  • Stepdown assignments: 1:3
  • Combo assignments (stepdown + floor patients): 1:4 (e.g., 2 stepdown & 2 floor patients or 3 stepdown & 1 floor)
• Charge Nurse and House Supervisors present (1 Charge Nurse, 3 House Supervisors per shift)
• CNA support: 3-4 CNAs per shift
• Respiratory equipment: No ventilators; BiPAP and tracheostomies present
• Telemetry:

  • RNs interpret and chart patient rhythms every 4 hours or more frequently during medication titration
  • Centralized monitors at nurse stations and in patient rooms
  • Centralized telemetry team interprets and files EKG strips

Patient Population

• Post-surgical thoracic and medical patients

Required Skills and Experience

• Strong MedSurg Stepdown experience
• Ability to titrate drips and read cardiac strips
• Drips commonly titrated: Cardizem, Amiodarone, Dopamine, Nitro, Esmolol, Heparin, Lasix (no vasopressors)
• Titration orders placed by MD

Required Certifications and Licenses

• Registered Nurse (RN) license
• BLS (Basic Life Support) certification
• ACLS (Advanced Cardiovascular Life Support) certification
• NIHSS certification

Orientation and Dress Code

• Unit-specific orientation: 3 shifts (12-hour night shifts including weekends and holidays as scheduled)
• Dress code: Royal Blue scrubs

Additional Requirements and Notes

• COVID-19 vaccine required (2 doses Moderna or Pfizer, or 1 dose J&J) unless approved exemption for medical or religious reasons
• Driver’s license address must be outside a 50-mile radius from the facility
• Previous permanent candidates must have been gone for 2 years before reapplying
• Previous travelers must have been gone for 2 years after completing 1 full year on the unit
• Submission rules apply regarding candidate submissions and travel teams (not relevant for candidate consideration)