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Profession/Specialty

Registered Nurse / Step Down Unit

Location

SAINT LOUIS, MO

Gross Pay Rate

$2,129/Weekly

Start Date

December 14, 2026

Shift Type

12HR NIGHTS

Hours

36 Hrs/Wk

Length

13 Weeks

Job Type

Travel

Job ID1349501

Job Details & Requirements

Job Summary

Step Down Unit nursing position supporting adult patients in a high-acuity acute-care setting. The role provides care for patients requiring advanced monitoring and interventions, including vasoactive medication titration, ventilator support, arterial lines, chest tubes, and cardiac rhythm management. Candidates should be prepared to float to lower-acuity units within the scope of practice.

Job Details

  • Schedule: Night shift, 12-hour shifts, 36 hours per week. Two weekend shifts are required every other weekend, with coverage scheduled Friday/Saturday or Saturday/Sunday.
  • Required Qualifications:
    • Minimum of 2 years of experience in a Step Down Unit or comparable high-acuity setting.
    • Advanced Cardiovascular Life Support (ACLS), Basic Life Support (BLS), and National Institute of Health Stroke Scale (NIHSS) certifications required.
    • Travel experience required.
    • Level II trauma experience required.
    • Recent bedside practice within the last 6 months required.
    • Proficiency with titration of vasopressors, continuous intravenous sedation, insulin infusions, tracheostomy and ventilator patients, arterial lines, external pacemakers, and chest tubes required.
  • Preferred Qualifications:
    • Previous charge experience preferred.
    • Electronic charting system experience preferred.
  • Float: Float rotation may be required.
  • Additional Information:
    • Provides care for adult patients in a high-acuity Step Down Unit with typical patient assignments of 1:4.
    • Clinical responsibilities include cardiac telemetry, dysrhythmia interpretation and management, noninvasive airway support, blood product administration, central and peripheral line management, feeding tubes, hemodialysis support, wound care, surgical drains, and post-cardiac and neurological procedures.
    • Equipment and procedures include bilevel positive airway pressure, high-flow oxygen therapy, arterial lines, tracheostomy and ventilator support, chest tubes, cardiac and vasoactive infusions, and temporary or permanent pacemakers.
    • Collaboration is provided through respiratory services, physical therapy, pharmacy, social services, interpretation services, unit support staff, and rapid response teams.
    • Influenza vaccination is required; medical and religious exemptions are accepted.

Benefits

The benefits of taking a travel assignment with Cross Country include:

  • Private housing or generous housing allowance
  • Comprehensive health insurance with prescription coverage
  • Dependent health insurance with prescription coverage
  • Competitive salaries
  • Referral bonuses
  • Travel reimbursement
  • 401(k) retirement plan
  • Direct deposit/free checking
  • Unlimited free CE credits

Travel Nurse + Allied

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Home-Based PACE Services

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Travel Nurse + Allied

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Home Health

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