Stepdown RN
St. Louis, Missouri
Christian Hospital

Registered Nurse - Step Down Unit Nights

Assignment Overview

• Employment type: Travel/Contract
• Location: Saint Louis, Missouri
• Contract length: 13 weeks
• Unit: Step Down Unit
• Facility: Acute care hospital with 233 staffed beds
• Nurse-to-patient ratio: 1:4
• Float: May float within scope to lower-acuity floors to meet facility needs
• Scrub color: Navy
• Charting system: EPIC
• Parking: No cost

Schedule

• Shift: Night, 3x12-hour shifts, 19:00-7:30
• Hours: 12 hours per day, 36 hours per week, guaranteed
• Weekends: 2 shifts every other weekend. Nights are either Friday/Saturday or Saturday/Sunday, depending on rotation.
• Block schedule: Not accepted
• On-call: Not required
• RTO restrictions: None

Required Qualifications

• Valid RN license in Missouri
• Stepdown experience: 2 years required
• Stepdown experience within the last year
• One completed travel assignment
• Associate of Science in Nursing (ASN) / Associate Degree in Nursing (ADN)
• ACLS (Advanced Cardiac Life Support) issued by American Heart Association
• BLS issued by American Heart Association
• NIH Stroke Certification (NIHSS), accepted through AHA, Apex, or NIHSS websites; must be updated annually unless the card lists a 2-year expiration
• Experience with titratable drips, including vasopressors, sedation medications, and insulin drips
• Experience with conscious or moderate sedation
• Experience with tracheostomy care and trach vents
• Experience with the care and management of invasive lines, including arterial lines
• Experience with external pacemakers
• Experience with chest tubes

Candidate Eligibility

• First-time travelers: Not accepted
• Local candidates: Not accepted (75-mile local radius rule)

Onboarding Requirements

• Background and screening:

  • Criminal background check within 6 months of start, with a 7-year search
  • Quarterly EPLS/GSA/SAM and HHS/OIG searches
  • Missouri EDL search for all Missouri placements
• Drug screen: Required within 1 year of start, must not expire during assignment, and must include the standard panel with oxycodone
• Physical exam: Required within 1 year of start
• TB: Two negative PPDs (first within 1 year, second within 30 days of start), or a T-Spot or Q-Gold within 1 year. A yearly TB questionnaire is also required.
• Immunizations:

  • Tdap vaccine or declination
  • Rubeola, mumps, rubella, and varicella titers or immunity documentation
  • Hepatitis B declination
  • Flu vaccine or exemption during flu season (10/01-03/31)
• Respirator fit test: Required, with N95 model 3M 1804 or 3M 1860
• Competencies: Medication/pharmacology competency exam and unit-specific competency exam, both updated annually
• Skills checklist: Unit-specific skills checklist required within 1 year of start
• Orientation: Regulatory compliance education (80% passing score) and approximately 16 hours of orientation modules, which are time-sensitive and must be completed before start
• References: Two professional references required
• Employment application: Required
• Facility forms and policies: HIPAA acknowledgement, latex allergy questionnaire, confidentiality form, hand hygiene policy, fingernail policy, and dress code policy, all signed or initialed before start
• Badge: Facility photo badge required (head and shoulders, white background, taken within 6 months of start)