Travel Nurse (RN) - Step Down Unit

Artificial nails are not allowed for any travelers. Failure to adhere could result in being sent home and/or terminated if policy is not followed.

If candidate worked a perm facility in the last 12 months, 1 reference must be from perm facility.

References: At least one reference must be from the same unit/specialty as the job you're applying to.

Required Skills/Experience

• Must be able to read and interpret cardiac rhythm strips.
• Must be able to titrate Cardizem, Nitro, Dopamine, Dobutamine, and Heparin drips; insulin is set-rate, and there are no sedation drips.

Special Requests

• Eligibility as Current/Previous Employee: cumulative experience applies for previous travelers.
• Self-scheduling and blocked schedules are allowed as long as unit needs are met.

Unit Details

• Patient ratios are 1:6-7 on Med-Surg and 1:4-5 on Step Down; Step Down assignments with Med-Surg acuity may be 1:6.
• Med-Surg units have no monitors; remote telemetry is monitored by a monitor tech on the third floor. Step Down has telemetry monitors and is the central monitor station for the hospital.
• Patient populations include mainly post-surgical and orthopedic patients, as well as pneumonia, dialysis, palliative care, hospice, end-of-life care, and low-volume inpatient chemotherapy.
• Step Down cares for heavy cardiac cases, dysrhythmias, CVAs, mixed-acuity patients, and patients downgraded from the ICU.
• COVID patients may be housed on a designated "dirty" hallway, and assignments may include both "clean" and "dirty" patients at the same time; clinicians must be comfortable with this.
• BiPAP, CPAP, and high-flow support are used; on Med-Surg, these are managed by respiratory therapy.
• Currently uses Cerner.
• A hospitalist is in-house 24/7. An intensivist is in the ICU 7a-7p 7 days/week and is on-call after hours; an NP is sometimes available.
• There is no IV team; ICU charge nurses or the ICU Director can be called for difficult IV sticks.
• Respiratory therapy and pharmacy are in-house 24/7.

Shift & Scheduling

• Med-Surg assignments include every other Saturday/Sunday and 2 Fridays per schedule; Step Down night assignments include every other Friday/Saturday/Sunday.
• Holidays are worked into the permanent staff holiday rotation; Step Down assignments require every other holiday.

Floating Requirements

• Float destinations include MS units 1E/S, 1W, 2E/S, and 4E; Step Down/IMCU (3W); IRU (Rehab); and ED holding for inpatients with medical-surgical or Step Down needs.
• Within Med-Surg assignments, floating is only to other Med-Surg units.
• Step Down assignments may float to ICU as helping hands.

Pre-employment modules may be required for this role. Please upload any certifications or health documents you have to your profile to expedite your on-boarding process.

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