Travel Registered Nurse Stepdown Job
Registered Nurse – Step-Down (High-Acuity PCU/IMC) in Saint Louis, Missouri, United States. This travel, temporary assignment is on a Nights shift (3x12s) in a hospital setting. Start date not specified in posting; duration is Weeks with a weekly pay range of $2,044 to $2,152 and 36 guaranteed hours per week. The unit is a high-acuity step-down/PCU environment with 29 beds and a typical daily census around 25. The role requires acute care clinical readiness, stability-focused care, and collaboration with an interdisciplinary team.
Key Highlights
- Weekly pay: $2,044 – $2,152 per week
- Guaranteed hours: 36 per week
- Contract duration: Weeks (travel assignment)
- Shift: Nights, 3x12-hour shifts
- Start date: Not specified in posting
- Unit type: High-acuity step-down / PCU (1:4 nurse-to-patient ratio; 29 beds)
- Orientation: 24 hours
- Travel experience required; first-timers not accepted
- Local radius restriction: no candidates within 75 miles
Responsibilities
- Provide skilled RN care for adults on a high-acuity step-down unit, including ventilated patients and those requiring advanced monitoring
- Manage ventilator care and troubleshoot alarms and ventilator issues; respond promptly to respiratory changes
- Titrate vasopressors, insulin drips, and sedation drips per protocol and patient response
- Handle arterial lines, chest tubes, external pacemakers, trach care, and other invasive support devices
- Assess, monitor, and document patient status; recognize deterioration and escalate to appropriate team members; participate in RRT as needed
- Collaborate with PT, Respiratory, Social Work, Pharmacy, and other disciplines; ensure accurate charting in Epic and maintain 1:4 nurse-to-patient ratios
- Float within service line to lower-acuity floors as needed; participate in unit-wide safety and quality initiatives
- Maintain trauma Level II-ready skills and contribute to a smooth turnover between shifts
Requirements
- Licensure: MO or compact license; for Illinois, license in hand required at submittal; pending licenses accepted in some states; local radius of 75 miles not accepted
- Certifications: ACLS, BLS, NIHSS
- Experience: Minimum 2 years RN experience with recent bedside practice (within last 6 months); travel experience required; first-timers not accepted
- Required clinical skills: ventilator care and troubleshooting; titration of vasopressors, insulin, and sedation drips; trach/vented care; arterial lines; chest tubes; external pacemakers
- Setting: Ability to work in a high-acuity step-down environment with potential for cross-floorFLOAT to lower-acuity areas
- Trauma: Trauma Level II experience required
- Education: Not specified in posting
Benefits and Support
- 24/7 recruiter and travel support for the assignment
- Dedicated onboarding and 24-hour orientation process
- Ongoing support throughout the assignment and a collaborative interdisciplinary team
- No on-call requirement for this role
- Float within service line to accommodate staffing needs and patient acuity
- Compliance and credentialing assistance to facilitate start
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PAY DISCLAIMER RULE:
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.