Travel Registered Nurse Stepdown Job
Registered Nurse – Step-Down Unit (PCU/IMC) in Saint Louis, Missouri, United States. Travel assignment begins 06/29/2026 for Weeks, with a 3x12 Nights shift. Weekly pay ranges from $2,132 to $2,221. Guaranteed hours are 36 per week on a 3x12 schedule. Setting: high-acuity adult step-down care with ventilated/trach patients in a 29-bed unit (census typically ~25). Frequent collaboration with Respiratory Therapy and other disciplines in an acute-care hospital environment.
Key Highlights
- Weekly pay: $2,132–$2,221 per week
- Guaranteed hours: 36 hours per week
- Contract duration: Weeks
- Shift: Nights, 3x12
- Start date: 06/29/2026
- Setting: High-acuity step-down unit (PCU/IMC) supporting adult patients
Responsibilities
- Provide bedside RN care for adult step-down patients, including those ventilated or with trachs, chest tubes, arterial lines, and cardiac arrhythmias.
- Troubleshoot ventilator alarms, manage ventilator settings, and coordinate with Respiratory Therapy; monitor for changes in respiratory status.
- Titrate vasopressors and sedation drips; manage insulin drips per protocol; monitor hemodynamics and patient response.
- Maintain arterial and central lines, monitor telemetry, and assist with post-cardiac or neuro care as needed; respond to alarms and changes in patient condition.
- Manage external pacemakers and chest tubes; interpret basic arterial blood gases and support ABG interpretation as appropriate.
- Float within the service line to lower-acuity floors when needed; collaborate with RTs, PT, Pharmacy, and other team members; adhere to unit staffing and policies.
- Adhere to unit-specific scheduling rules: 1:4 nurse-to-patient ratio; weekend coverage of two shifts every other weekend; orientation and onboarding completed prior to full duty.
Requirements
- Active RN license in Missouri (or eligibility); IL license may be accepted if pending per noted licensing guidelines; MO submission may be allowed without license in some cases per policy.
- Minimum 2 years of RN experience; must have been at the bedside within the last 6 months; travel experience required; first-timers not accepted; prior charge experience preferred; trauma Level II experience required.
- Required certifications: ACLS, BLS (BCLS), NIHSS.
- Clinical competencies: Ventilator care and trach management with alarm troubleshooting; vasopressor and sedation drip titration; insulin drip management; arterial/central line care; chest tube care; external pacemaker management; telemetry and basic ABG interpretation.
- Education: RN (degree not specified beyond licensure in input); must be eligible for practice in the listed setting.
- Non-local candidates only; local radius rule applies (75 miles); RTO: max 7 days with manager approval; no RTO during the first week of assignment.
- Orientation: 24 hours; on-call status: No.
Benefits and Support
- 24-hour orientation
- 24/7 recruiter and travel support
- Dedicated account management during the assignment
- Support with assignment logistics and ongoing communication throughout the engagement
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PAY DISCLAIMER
Please note: Pay rates and guaranteed hours are estimates and may vary. Final compensation packages and confirmed hours will be discussed during the hiring process.
About Healthforce
Healthforce is a nationwide travel healthcare staffing agency connecting travel nurses and allied health professionals with high-quality contract assignments across the United States.
We specialize in placing clinicians in travel nursing jobs, allied health travel assignments, and local contract opportunities in hospitals, long-term care facilities, and outpatient settings. Whether you are an experienced traveler or taking your first assignment, Healthforce provides the support and opportunities you need to succeed.
Travel Nursing and Allied Health Opportunities Nationwide
Healthforce partners with healthcare facilities across the country to offer a wide range of opportunities for nurses and allied professionals.
- Travel RN jobs in Med Surg, ICU, ER, LTC, and more
- Allied health travel jobs including CT Tech, Rad Tech, PT, OT, Respiratory, and more
- Local contract and per diem opportunities
- Short-term and 13-week travel assignments
Our goal is simple: match you with the right assignment, in the right location, at the right pay.
What Makes Healthforce Different
We know that travel healthcare professionals have options. That is why we focus on delivering a better experience at every step of the process.
- Competitive weekly pay packages with transparent breakdowns
- Fast credentialing support to help you get submitted quickly
- Dedicated recruiters who stay with you from submission to start
- 24/7 support while you are on assignment
- Nationwide job access across multiple specialties and care settings
We do not just place you in a job. We help you build a sustainable travel healthcare career.
Built for Travel Nurses and Allied Professionals
Healthforce is designed around the needs of today’s travel healthcare workforce. We make it easier for clinicians to move quickly, stay informed, and access strong opportunities across the country.
- Quick submissions to open jobs
- Access to multiple job options at once
- Flexible assignment locations
- Ongoing support throughout your contract
Whether you are searching for your next assignment or planning your first travel job, our team is here to help you move forward with confidence.
Start Your Next Travel Assignment
Healthforce is actively hiring travel nurses and allied healthcare professionals for assignments nationwide.
Apply today to connect with a recruiter and explore current travel nursing and allied health job opportunities.