Travel Nurse (RN) - Step Down Unit

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.

Additional Details:

BJC policy: Every other weekend required.

RNs only - Clinicians who obtained RN degree outside of the U.S. and do not hold MO/IL/Compact license require extended licensing and compliance timeframe.

No medical marijuana cards accepted.

Previous Employment Requirements:

• Permanent employees at must wait 1 year before returning to any BJC facility as a traveler.
• All Standard Travelers (reside outside of a 75 mile radius) can stay for an 18 month period. Must take a 3 month break after 18 months.

Required Skills/Experience:

• Must have been at the bedside within the last 6 months; some ICU exp. or high acuity stepdown required due to the high acuity of this unit.
• Must have experience in vents, titration of pressors, and insulin drips. Must have been at the bedside within the last 6 months*
• IV therapy/Phlebotomy

Arterial line management Blood Product Administration Central line care/management Peripheral Line Care/Management Phlebotomy PICC line management Starting and maintaining IVs Work Settings

Cardiac Telemetry MS/Tele PCU/DOU/IMC/Stepdown Telemetry Respiratory

Care of Ventilated Patient Chest tubes-Emerson/PleurEvac External CPAP/BIPAP High Flow Nasal Cannula (HFNC) Interpretation of Arterial Blood Gases (ABGs)* Nasal Cannula Non-invasive airway management Oxygen administration Oxygen tanks Tracheostomy care/management Genitourinary/Renal

Continuous Bladder Irrigation (CBI) Pre/Post Hemodialysis Management Renal failure Neurological/Psychiatric

CVA (Cerebrovascular Accident) Lumbar drains Pre/Post neurosurgery Seizure disorders Spinal cord injury Substance Withdrawal Traumatic Brain injury Gastrointestinal

Feeding tube care and management Medications

Heparin Protocols Manage Cardiac drips- no titration Manage Vasoactive drips-no titration PCA Thrombolytic Agents Titrate Cardiac drips Titrate Vasoactive drips Cardiac Monitoring and Emergency response

Interpretation of dysrhythmias Management of dysrhythmias Telemetry -on the unit monitoring Use of Rapid Response/Code teams Professional Topics and Skills

Isolation Precautions Wound Care/Wound Vac Endocrine/Metabolic

IV insulin protocols Orthopedics

Ortho trauma Total Joint Replacements Cardiovascular

Pacemakers/Temporary/Permanent Post Cardiac Angiogram Post MI Pre/Post Cardiac Cath TR Band Plastics

Skin grafts Surgical drains Additional Skills

Titrating vasopressors (HARDSTOP)-Continous IV sed Needs some ICU exp/hi acuity PCU

Preferred Skills/Experience:

• Procedural Sedation Administration/Monitoring*
• Previous Charge Experience

Required Credentials: Drivers License/State ID

Procedures/Diagnostics/Treatments Performed on Unit:

• Acute Medical Care Unit, essentially a step-down from ICU. High acuity step down unit
• Titration of vasopressors, sedation medication, insulin drips, trach vents, art lines, external pacemakers, chest tubes.

Types of Patients on Unit: Adults

Equipment Used on Unit: Acute Medical Care Unit, essentially a step-down from ICU. High acuity step down unit

Unit/Facility Details: Number of Beds 29, Daily Census 25

Shift & Scheduling: Every Other Weekend

Floating Requirements: