Step-Down Registered Nurse
Auburn, New York
Auburn Community Hospital

Job Opportunity: Step-Down Registered Nurse

Location: Auburn, New York
Employment Type: Travel/Contract
Contract Length: 13 weeks

Position Overview

• Work a day shift schedule: 4 shifts per week, 12 hours each (7:00 AM – 7:30 PM), totaling 48 hours weekly
• Patient ratio approximately 1:4-5
• Unit focuses on step-down care for patients with:

  • Congestive Heart Failure (CHF)
  • Post heart catheterization and vascular procedures
  • Respiratory failure requiring BiPAP/CPAP/Vapotherm
  • Cardiac dysrhythmias
• Responsibilities include post-procedure monitoring, frequent vital signs and neurovascular checks, and use of medication systems such as Pyxis

Required Qualifications

• Valid Registered Nurse (RN) license in New York
• Minimum 2 years of recent Cardiac Step-Down nursing experience, including experience within the last year
• Associate of Science in Nursing (ASN) or Associate Degree in Nursing (ADN)
• BLS (Basic Life Support) certification issued by the American Heart Association
• ACLS (Advanced Cardiac Life Support) certification issued by the American Heart Association
• NIH Stroke Scale (NIHSS) certification
• Experience in dysrhythmia management
• Experience with PICC line management
• Experience with cardiac drip titration
• Experience managing BiPAP/CPAP therapy
• Step-down nursing experience

Competency & Testing Requirements

• Pass a telemetry assessment (minimum 80%) on the first day of orientation covering cardiac rhythm interpretation, arrhythmia recognition, and clinical interventions
• Medication/pharmacology competency exam as applicable
• Skills checklist required

Health & Safety Requirements

• Physical exam completed within 12 months prior to start, signed by a licensed provider confirming ability to perform job duties
• Fit mask test within 12 months, updated annually (approved mask types specified)
• Immunizations and screenings:

  • TDAP vaccine within last 10 years or declination
  • Negative TB test or chest X-ray within 1 year (with annual TB questionnaire if history positive)
  • Measles, mumps, rubella immunity (2 MMR vaccines or serologic titers)
  • Hepatitis B series, titer, or signed declination
  • Varicella immunity (2 vaccines, positive titer, or documented history)
  • Seasonal flu vaccine or declination during flu season
  • COVID vaccine records or declination
• 9-panel drug screen within 30 days of start (amphetamines, barbiturates, benzodiazepines, opiates, cocaine, methadone included)

Background & Documentation

• Background check within 1 year covering all locations lived/worked/schooled in past 7 years; must be complete before start
• EPLS/GSA/SAM and HHS/OIG checks required prior to start
• Valid government-issued photo ID (driver’s license or state ID)
• Nursys verification prior to start
• Review and sign facility-specific documents including code of conduct, patient abuse reporting, confidentiality agreement, orientation packet, automated dispensing cabinet security, and annual tuberculosis screening questionnaire
• Provide 2 professional references within 3 years of hire

Additional Notes

• Local candidates within 50 miles are accepted
• No blocked scheduling; every other weekend and every other holiday off

This position is ideal for experienced step-down RNs comfortable with cardiac and respiratory patient care, telemetry monitoring, and post-procedural nursing in a fast-paced environment.