Step-Down RN
Auburn, New York
Auburn Community Hospital

Step-Down RN

Overview

• Travel/Contract role in Auburn, New York
• Night shift: 4x12 hours, 19:00–7:30
• 36 hours guaranteed
• Every other weekend and every other holiday
• No blocked scheduling
• Local candidates accepted
• Ratio: 1:4–5
• Medication system: Pyxis

Unit / Patient Population

• Step-Down unit
• Diagnoses include CHF, post-heart catheterization, post-vascular procedures, respiratory failure requiring BiPAP / CPAP / Vapotherm, and cardiac dysrhythmias

Unit Procedures / Expectations

• Post-heart cath care
• TR bands
• Post-vascular procedure monitoring
• Frequent vital signs and neurovascular checks

Required Qualifications

• Associate of Science in Nursing / Associate Degree in Nursing
• Valid RN license in New York
• Stepdown (2 years of experience)
• Stepdown experience within the last year
• BLS - Basic Life Support issued by American Heart Association
• ACLS - Advanced Cardiac Life Support issued by American Heart Association
• NIHSS

Required Skills

• Cardiac / Emergency
• Cardiac monitoring
• Dysrhythmia interpretation
• Dysrhythmia management
• 12-lead EKG/ECG
• IV start and maintenance
• PICC line management
• Blood product administration
• Emergency medications
• Procedural sedation administration/monitoring
• Cardiac drip titration
• CVA / Acute Stroke management
• BiPAP / CPAP management
• Assist with chest tube insertion/removal
• Infection prevention
• Isolation precautions / PPE
• Phlebotomy

Additional Required Items

• Full physical within 12 months of start, signed by a licensed provider
• Fit test within 12 months of start, updated annually
• Tdap within the last 10 years or declination
• TB screening within 1 year of start, or chest x-ray if past positive
• Measles and rubella immunity documentation
• Mumps immunity status must be provided
• Hepatitis B series, titer, or signed declination
• Varicella immunity documentation or signed declination if negative titer
• 9-panel drug screen within 30 days of start
• Flu vaccine or declination during flu season
• COVID vaccine records or declination
• Annual tuberculosis screening questionnaire
• Automated dispensing cabinet security acknowledgement for Pyxis access
• Medication test/pharmacology competency exam
• Competency exam
• Conscious sedation competency exam
• Pass/fail telemetry assessment on first day of orientation
• NIH Stroke Scale training annually
• NURSYS verification
• State license verification
• National certification/verification as applicable by profession
• Pass/fail testing for EKG/medication as applicable

Notes

• Local candidates are accepted, with lower bill rate noted in the source
• Housing or lodging is not mentioned