Stepdown Care Unit RN
Peoria, Illinois
OSF Saint Francis Medical Center

Registered Nurse (Stepdown Care Unit) - Peoria, Illinois

Job Details

• Specialty: Stepdown Care Unit (Intermediate Care)
• Contract Length: 13 weeks
• Shift: Days (12-hour shifts, 7am–7pm)
• Hours per Week: 36 hours
• Unit Size: 20 beds (8 private, remainder semi-private)
• Nurse-to-Patient Ratio: 3:1
• Weekend Requirement: Every other weekend (Fri/Sat night shift, Sat/Sun day shift)
• Holiday Requirement: Every other holiday rotation, including companion day on major holidays
• Call/Standby: None
• Floating: Travel RNs float first; may float to ICU (if experienced), Stepdown, or General Medicine units with adjusted patient loads (ICU 2 patients, Stepdown 3 patients, Gen Med 5-6 patients)
• Orientation: 3 days total (1 day EPIC, 1 day unit orientation with educator, 1 day floor orientation with RN)
• Dress Code: Any color scrubs

Patient Population & Care

• Care for patients with a wide range of medical conditions including:

  • COPD, CHF, Diabetes Mellitus, Sepsis, Renal issues, DKA, Alcohol withdrawal, Overdoses, Pneumonia, Respiratory conditions
  • Some neuro, surgical, and cardiac patients
• Common equipment and interventions:

  • BiPAP, CPAP, face mask ventilators
  • Tracheostomies and trached patients on ventilators
  • Chest tubes, G-tubes, NG tubes, PICC lines, central lines

Clinical Responsibilities

• Must titrate drips including Cardene, Cardizem, Amiodarone, Dobutamine, Heparin, and low-dose/infrequent vasopressors
• RNs confirm telemetry strips interpreted by Tele/Monitor Techs (Phillips monitors)
• Charge nurse present on each shift (usually free of patient assignment unless staffing is low)
• House supervisor available 24/7
• Two Patient Care Technicians (PCTs) per shift, each caring for up to 10 patients when unit is full

Required Qualifications

• Valid RN license in Illinois
• Stepdown (1 year of experience)
• Stepdown experience within the last year
• BLS issued by American Heart Association
• Associate of Science in Nursing / Associate Degree in Nursing
• Tracheostomy and ventilator experience
• Experience titrating drips (Cardene, Cardizem, Amio, Dobutamine, Heparin, and Vasopressors)
• ICU - Intensive Care Unit experience

Additional Notes

• Local placements accepted within a 50-mile radius of the facility
• Non-billable orientation hours: 12 hours (do not count toward guaranteed hours)
• Call-off policy allows up to 12 hours off every 13 weeks without penalty