Stepdown Registered Nurse
St. Louis, Missouri
Christian Hospital

Travel Registered Nurse – Step Down Unit (Night Shift)

Location: Saint Louis, Missouri
Employment Type: Travel/Contract
Contract Length: 13 weeks

Unit & Shift Details

• Unit: Step Down (Acute Care Hospital)
• Shift: Night, 3 shifts per week, 12 hours each (7:00 PM – 7:30 AM)
• Guaranteed Hours: 36 hours per week
• Patient Ratio: 1 nurse to 4 patients
• Weekend Requirement: 2 shifts every other weekend (Friday/Saturday or Saturday/Sunday depending on rotation)
• Floating: Yes, may float to lower acuity floors within scope
• Local candidates within 75 miles radius are not accepted
• First-time travelers are not accepted (prior travel experience required)
• Must have been at bedside within last 6 months

Required Experience & Skills

• Minimum 2 years of Registered Nurse experience
• Experience with ventilators, titration of vasopressors, sedation medications, insulin drips, tracheostomy vents, arterial lines, external pacemakers, and chest tubes
• Must have recent bedside experience (within 6 months)

Required Certifications

• ACLS (American Heart Association only)
• BLS (American Heart Association only)
• NIH Stroke Certification (required for all nurses)
• Additional certifications may be required based on unit specifics (verify during onboarding)

Licensure

• Active Registered Nurse license for Missouri accepted
• Pending Missouri license accepted
• Primary source verification of professional license required (NURSYS verification for Missouri licenses)

Compliance & Background Requirements

• Government-issued ID required
• Criminal background check within 6 months, including statewide and nationwide searches
• Quarterly EPLS/GSA/SAM and HHS/OIG checks required
• Education verification of highest nursing degree required before start
• Missouri Family Care Safety Registry (FCSR) check required for certain clinical roles
• Drug testing within 1 year of start, including a comprehensive panel (amphetamines, benzodiazepines, cocaine, opiates, etc.)
• Physical exam within 1 year of start
• Fit mask testing (N95) required and must be renewed annually; facial hair must allow proper fit
• Immunizations and health screenings required:

  • Tdap vaccine or declination (expires every 10 years)
  • Negative TB test or chest x-ray within 1 year
  • Measles, Mumps, Rubella, Varicella immunity or vaccination/declination as applicable
  • Seasonal flu vaccination or approved exemption required during flu season (Sept 30 – April 1)
• HIPAA Acknowledgement, Latex Allergy Questionnaire, Confidentiality Form, Hand Hygiene Policy, Fingernail Policy, Dress Code Policy, and Regulatory Compliance Education must be completed and signed prior to start

Additional Requirements

• Unit-specific competency exams and skills checklists required and must be updated annually
• Two professional references required (supervisors preferred)
• Employment application must be submitted and uploaded for facility review
• Badge photo required (head and shoulders, white background, no obstructions, taken within 6 months)
• Orientation modules through online platform required for all RNs before start (approximately 16 hours)

Requirements / Qualifications

• Valid Registered Nurse (RN) license in Missouri
• Minimum 2 years of experience in Progressive Care Unit (PCU) / Step Down Unit
• PCU experience within the last year
• Associate of Science in Nursing (ASN) or Associate Degree in Nursing (ADN)
• Current ACLS certification issued by the American Heart Association
• Current BLS certification issued by the American Heart Association
• NIH Stroke Scale (NIHSS) certification
• Experience in ventilator management
• Experience with titration of vasopressors
• Experience with insulin drips
• Must have been at the bedside within the last 6 months

Special Notes

• No on-call requirement
• No block scheduling accommodations
• Parking is free at the facility
• Charting system used: EPIC
• Scrub color: Navy

This position is ideal for experienced travel RNs with recent critical care skills in ventilator management and vasoactive medication titration, seeking a night shift role in a step down acute care setting.