Stepdown Registered Nurse

The Custom Group of Companies
  • Newport News, VA
  • $54 Per Hour
13 days ago

Job Description

Job #: 136391 Title: Stepdown Registered Nurse Location: Newport News, VA 23601 Salary Range: 54.00 Position: REGISTERED NURSE HOSPITAL Description:
Custom Healthcare Solutions is seeking experienced Registered Nurses (RNs) for a 13-week night-shift contract assignment at a Critical Illness Recovery Hospital in Newport News, VA 23601!

Locals and Travelers Welcome!

Registered Nurses (RN) Assignment Details

  • Location: Newport News, VA 23601
  • Contract Length: 13 weeks
  • JUNE / ASAP Start Dates
  • Shift: Nights 7P-7A | 3x12 schedule, every other weekend required
  • Pay Rate: $54/hour (weekly pay)
  • Benefits available
  • EMR: EPIC
Facility Overview

We are a Critical Illness Recovery Hospital - our patients are high acuity and must have had at least a 3-night ICU stay prior to admission. We prepare patients for Rehabilitation, Skilled Nursing, Home discharge, or Palliative Care.

Patients may present with:
  • Stroke, TBI, spinal cord injuries
  • Trauma and surgical complications
  • Respiratory failure and ventilator dependence
  • Cardiac failure and cardiogenic shock
  • Non-healing wounds and complex medical conditions
Acuity
  • Highest acuity: patients on vents with vasoactive drips titrated upward
  • Lower acuity: extended IV antibiotic therapy patients
Nurse Patient Ratios
  • Typical: 4-5:1
  • Higher acuity: 2-3:1
Systems
  • EPIC EMR
  • Omnicell medication dispensing
  • Nurses expected to draw labs
Orientation
  • One 12-hour orientation shift, after which nurses assume patient assignments
Successful nurses for this engagement typically have strong experience managing vents, drips, and multiple oxygen delivery modalities (Vents, HHF, Vapotherm, etc.). Stepdown experience is beneficial, and nurses must be able to manage a 5-patient assignment while delivering organized, high-quality care.

Registered Nurses (RN) Responsibilities
  • Perform nursing assessments and develop individualized care plans
  • Provide direct patient care using the nursing process
  • Monitor ventilated patients and vasoactive drips
  • Communicate patient status changes to physicians and care teams
  • Provide discharge planning and patient/family education
  • Delegate tasks appropriately and supervise ancillary staff
  • Maintain accurate documentation in the medical record
  • Promote patient and employee safety in accordance with hospital standards
Why Apply?
  • Weekly pay
  • Benefits available
  • High-acuity clinical experience
  • Multiple openings available - bring a colleague or referral
Requirements:
  • Active TN RN License or Compact RN License
  • BLS
  • ACLS
  • Minimum 2 years recent bedside clinical experience
  • Recent ICU or high-acuity experience strongly preferred
  • Experience with vents, drips, and critical care patients preferred
Job Type: Temporary Post Date: 06/05/2026

Numbers & Facts

LocationNewport News, VA

Skills

  • Acute Careunmatched
  • Advanced Cardiac Life Support (ACLS)unmatched
  • Cardiologyunmatched
  • Cerebral Vascular Accidentunmatched
  • Clinical Medicineunmatched
  • Critical Careunmatched
  • Discharge Plansunmatched
  • Documentationunmatched
  • Electronic Medical Recordsunmatched
  • Epic Systemsunmatched
  • Health Planunmatched
  • Healthcareunmatched
  • Hospitalunmatched
  • Intensive Careunmatched
  • Medical Conditionsunmatched
  • Medical Recordsunmatched
  • Medicationsunmatched
  • Nursingunmatched
  • Organizational Skillsunmatched
  • Patient Careunmatched
  • Patient Educationunmatched
  • People Managementunmatched
  • Registered Nurse (RN)unmatched
  • Spinal Cord Injuryunmatched
  • Titrationunmatched
  • Ventilatorunmatched
  • Wound Careunmatched

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