Step-Down RN
Auburn, New York
Auburn Community Hospital

Step-Down RN

Overview

• Travel/Contract role in Auburn, New York
• Day shift: 4x12 hours, 7:00–19:30
• 48 hours guaranteed
• Every other weekend and every other holiday
• No blocked scheduling
• Local candidates accepted

Required Qualifications

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

Unit Details

• Ratio: 1:4–5
• Medication system: Pyxis
• Patient population includes CHF, post-cardiac catheterization, post-vascular procedures, respiratory failure requiring BiPAP / CPAP / Vapotherm, and cardiac dysrhythmias
• Common procedures and expectations include post-heart cath care, TR bands, post-vascular procedure monitoring, and frequent vital signs and neurovascular checks

Required Skills

• Cardiac / Emergency
• Cardiac monitoring
• Dysrhythmia interpretation
• Dysrhythmia management
• 12-lead EKG/ECG
• IV / Vascular
• 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 Requirements

• Unexpired government-issued photo ID
• Background check within 1 year of start, covering all locations lived/worked/in school for the past 7 years, and updated annually
• EPLS/GSA/SAM clearance prior to facility start
• HHS/OIG clearance prior to facility start
• Orientation Safety Manual acknowledgement
• Annual stroke education: 8 hours
• Annual NIH Stroke Scale training: minimum 2 hours
• Annual tuberculosis screening questionnaire
• 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 test within 1 year of start, or chest x-ray if past positive
• Measles and rubella immunity required; mumps immunity status must be provided
• Hepatitis B series, titer, or signed declination
• Varicella vaccination, positive titer, or documented history of disease
• 9-panel drug screen within 30 days of start
• Flu vaccine or declination during flu season
• COVID vaccine records or declination
• 2 professional references within 3 years of hire
• Skills checklist
• New York NYS Nurse Aide Registry
• New York State Medicaid Exclusion List

Notes

• Telemetry assessment is required for travel RNs in this role’s department, with remediation if the initial assessment is not passed
• Pyxis access requires completion of the automated dispensing cabinet security document