Travel Stepdown RN - $2,276 per week

American Traveler is seeking a travel nurse RN Stepdown for a travel nursing job in St. Louis, Missouri.

Job Description & Requirements

• Specialty: Stepdown
• Discipline: RN
• Start Date: 12/14/2026
• Duration: 13 weeks
• 36 hours per week
• Shift: 12 hours, nights
• Employment Type: Travel

Assignment Overview

• Shift: Nights, 3x12hrs
• Hours: 36 hrs/wk
• Start Date: Dec 14, 2026
• Length: 13 weeks
• Openings: 1

Description

American Traveler is hiring a Registered Nurse for a Step Down Unit night shift position requiring 2 years of recent bedside experience and vasopressor titration skills.

Details

• Acute care hospital Step Down Unit with 1:4 patient ratios
• Night shift schedule, 3x12 hours (19:00-07:30)
• Every other weekend required, either Friday/Saturday or Saturday/Sunday rotation
• Floats to lower acuity floors within service line as needed
• No on-call requirements
• Uses Epic charting system

Requirements

• Active MO or compact RN license required (must match permanent residence if compact)
• Minimum 2 years of RN experience required
• Must have worked at the bedside within the last 6 months
• ICU or high-acuity stepdown experience required due to unit acuity
• Required certifications: ACLS, BLS, NIHSS
• Travel RN experience required within the last 6 months
• Hands-on experience required with titration of vasopressors, sedation medications, and insulin drips
• Experience managing trach vents, arterial lines, external pacemakers, and chest tubes
• Trauma Level II hospital experience required

Additional Information

• Responsibilities include managing high-acuity patients with cardiac, respiratory, neurological, and renal conditions
• Skills needed include arterial line management, central and PICC line care, IV therapy, and blood product administration
• Experience with cardiac monitoring, dysrhythmia management, and rapid response/code team activation
• Wound care and isolation precaution knowledge required
• Navy scrub color required
• First-time travelers are not accepted for this role
• Must reside outside a 75-mile radius of the facility; no local candidates accepted
• Permanent employees of the health system must wait 1 year before returning as a traveler
• Standard travelers may stay up to 18 months, followed by a required 3-month break in service
• Maximum of 7 days RTO per 13-week contract, with no RTO permitted during the first week of orientation

American Traveler Job ID #P-782667. Pay package is based on 12 hour shifts and 36.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Travel RN - Telemetry - Stepdown

About American Traveler