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Shift: Days, 3x12hrs
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Hours: 36 hrs/wk
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Start Date: Sep 8, 2026
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Length: 13 weeks
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Openings: 1
American Traveler is hiring an experienced RN for a Step Down unit position requiring 2+ years of high-acuity stepdown or ICU experience and vasopressor titration skills.
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Step Down Unit within an acute care hospital
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Patient ratio of 1:4
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Day shift schedule with 3x12-hour shifts from 7:00 AM to 7:30 PM
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Required to work every other weekend (Saturday and Sunday for day shift)
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No on-call responsibilities
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Float to lower acuity floors within scope to meet facility needs
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Uses EPIC charting system
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Active RN license (MO or Compact) required, with no issuance tied to another compact state
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Current certifications: BLS, ACLS, and NIHSS
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Minimum 2 years of RN experience required, with bedside experience within the last 6 months
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ICU or high-acuity stepdown experience required due to unit acuity
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Trauma Level II experience required
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Travel experience required within the last 6 months
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Experience with titration of vasopressors, sedation medication, insulin drips, trach vents, art lines, external pacemakers, and chest tubes required
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EPIC charting experience preferred
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Must be clean-shaven or have facial hair that allows for proper respirator fit testing
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Provide direct patient care to high-acuity stepdown patients including cardiac, neurological, and respiratory cases
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Manage patients requiring titration of vasopressors, sedation, insulin drips, and other advanced interventions
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Navy scrub color required
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First-time travelers will not be considered for this position
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Candidates must reside outside a 75-mile radius of the facility
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Maximum of 7 days RTO per 13-week contract, with no RTO during the first week of orientation
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Additional RTO beyond 7 days requires manager approval
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Permanent employees of the health system must wait 1 year before returning as a traveler
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Standard travelers may work up to an 18-month period before requiring a 3-month break in service
