Step Down Unit Nights Ratios: 1:4 Years of experience REQ: 2 years Must have experience in vents, titration of pressors, and insulin drips. First-timers accepted: N Weekend REQ: 2 shifts every other weekend. For day shift it is every other weekend, Saturday and Sunday. For night shift it can be Friday/Saturday or Saturday/Sunday -depends on who already is on rotation Certs REQ: ACLS, BCLS, NIH required Is on-call REQ? N Will clinician float within scope to meet facility needs? Yes, Float to floors that are lower acuity Open to accommodating block schedule? N Locals accepted: N What is the local radius rule? 75 miles Pending License accepted: Y RTO Restrictions: None Guaranteed Hours: 36 hours for 3-12s Special Requirements: Titration of vasopressors, sedation medication, insulin drips, trach vents, art lines, external pacemakers, chest tubes. Must have been at the bedside within the last 6 months.

Hospital Highlights Type of Facility: Acute Care Hospital Total Staffed Beds: 233 Scrub Color: Navy Charting: EPIC Parking Cost: None

CO

Modified Time:5/4/2026 12:00:00 AM

Account Manager: Taylor Mason

Account Manager Email: Taylor.Mason@ayahealthcare.com

COVID-19 Vaccine: Not Required

Flu Vaccine: Required - Medical/Religious Exemptions Only Submittals:Low
Job Requirements & Qualifications Previous Charge Experience : Preferred Years of Experience : 2 Patient Ratio Experience : Charting System Experience : Preferred Charting System Name : Epic Community Hospital Experience : - LTAC Experience : - Trauma Level I Experience : - Trauma Level II Experience : Required Travel Experience Required : Yes Certifications : ACLS, BLS, NIHSSSkills : Arterial line management, BiPAP/CPAP management/maintenance, Blood Product Administration, Cardiac Telemetry, Care of Ventilated Patient, Central line care/management, Chest tubes-Emerson/PleurEvac, Continuous Bladder Irrigation (CBI), CVA (Cerebrovascular Accident), Feeding tube care and management, Heparin Protocols, High Flow Nasal Cannula (HFNC), Interpretation of Arterial Blood Gases (ABGs), Interpretation of dysrhythmias, Isolation Precautions/PPE, IV insulin protocols, Lumbar drains, Manage Cardiac drips- no titration, Manage Vasoactive drips-no titration, Management of dysrhythmias, MS/Tele, Nasal Cannula, Non-invasive airway management, Ortho trauma, Oxygen administration, Oxygen tanks, Pacemakers/Temporary/Permanent, PCA, PCU/DOU/IMC/Stepdown, Peripheral Line Care/Management, Phlebotomy, PICC line management, Post Cardiac Angiogram, Post MI, Pre/Post Cardiac Cath, Pre/Post Hemodialysis Management, Pre/Post neurosurgery, Procedural Sedation Administration/Monitoring, Renal failure, Seizure disorders, Skin grafts, Spinal cord injury, Starting and maintaining IVs, Substance Withdrawal, Surgical drains, Telemetry, Telemetry - on the unit monitoring, Thrombolytic Agents, Titrate Cardiac drips, Titrate Vasoactive drips, Total joint replacement, TR Band, Tracheostomy care/management, Traumatic Brain injury, Use of Rapid Response/Code teams, Wound Care/Wound Vac, Titrating vasopressors (HARDSTOP)-Continous IV sed, Needs some ICU exp/hi acuity PCU
Unit Details Staffing & Scheduling Scheduling Type : self Patient Ratios Days : 3 Patient Ratios Nights : 3 Patient Ratios Weekends : 3 Float Required : Float to floors that are lower acuity Call Required : - Weekend Coverage : False Number of Weekend Shifts Per Contract : Every other weekend (Saturday and Sunday required) Pre-Approved Time Off : - Orientation Hours : 24 Facility & Patient Care Details Patient Age Groups : Adults Daily Census : 25 Number of Visits Per Day : - Number of Rooms : 29 Number of Beds : 29 Additional Unit Information Interdisciplinary Support : Physical Therapy, Respiratory Services, Interpretation Services, Social Services, Rapid Response Teams, Pharmacy, Unit Secretary Patient Diagnoses : Acute Medical Care Unit, essentially a step-down from ICU. High acuity step down unit
Special Procedures/Unit Details : **** HARDSTOP - need travelers who have proficient exp with the following: Titration of vasopressors (Levophed, Nicardipine, etc), sedation medication, art lines, cardiac arrhythmias, chest tubes, trach vented patients ****

Typically we have 1-2 RTs that are assigned to SDU each shift, depending on census. RT is responsible for vents, but RN needs to know how to troubleshoot alarms.

The special procedures and equipment are non-negotiable, as this is the level of care of the floor. Special Equipment : ***** HARDSTOP - Bipap, Opti flow, art line ****

The special procedures and equipment are non-negotiable, as this is the level of care of the floor.

#Tier2 Travel Compliance

Compliance deadline is 3pm CST on the Monday of the week before initial start date.

Fit testing
: *Travelers must have facial hair that allows for proper testing or will be expected to shave. No exceptions

SSN
a valid SSN is required by all candidates at time of submittal.

DOB
required

RTO:

RTO must be on the submittal and cannot be changed once the profile has been sent to the manager for review.

No RTO the first week of an assignment.

Amount of RTO:
please, no more than 7 days of RTO per 13 week contract, HIGHLY encouraged - (
for Float pool, 7 days RTO max - hard rule)

Please ensure RTO on submission email and profile match

BJC policy: Every other weekend required

of jobs in system we can sub

Please make sure to only submit to your TOP 3 within the BJC system. We will send to clinical to review and offer the best fit or recommend another option.

Please do not apply to jobs with identical titles. BJC lists each position as an individual job.

Requires specific amount of exp (ex: 1 or 2 yrs required for submission)

Please see job description for specific job requirements as each unit varies

Please ensure correct skills checklist are completed at the time of submittal

Valid State License (required at time of submission)

Okay to submit without license in hand in Missouri, HOWEVER:

Illinois is NOT a compact state!

PLEASE NOTE
:
It is required to have

license in hand at time of submission.

Missouri requires a MO license or a compact license in their home state. Missouri will not issue a license to anyone with a license/residency in another compact state.

Compact license
MUST
match the state where candidate permanently lives. If candidate has moved to a new compact state and license does not match, they must be submitted to the proper licensure project and obtain the correct compact license. Verify ETA for new compact license.

Mile Radius Rule Applies:
No local candidates accepted within 75 mile radius.
local travelers are no longer allowed, except for Patient Care Technicians, Certified Nurse Assistants, and Medical Assistants.

References Required

Please see job description for specific job requirements as each unit varies.

For the most part, references preferred at time of submittal. Barnes-Jewish West County requires two supervisory references within the last two years at time of submittal.

Candidates will float within hospital or to an affiliate hospitals near by

Please see job description for specific job requirements as each unit varies

All travelers will float within service line

Copy of Certifications
All RNs (except for those submitting to Behavioral Health, Case Manager
Outpatient) are required to obtain ACLS by compliance hard document deadline. Certifications not required
at time of submittal unless otherwise noted in the job description.

Specific Charting Exp Required
(ex: epic experience required to submit)

EPIC is the charting system throughout BJC system.

EPIC experience required for certain units - Please see job description for specific job requirements as each unit varies

Bill rate (for hospitals that use bidding system)
N/A

Background Policy to be noted prior to submission (ex: won't accept any Background hits, will not accept DUIs, etc)

No medical marijuana cards accepted

Please note: Travelers who obtained RN degree outside of the U.S. and do NOT hold MO/IL/Compact license require extended licensing and compliance timeframe.

Return Staff Policy (ex: gone 1 yr or 6 months to return as traveler)

Permanent employees at must wait 1 year before returning to any BJC facility as a traveler.

All Standard Travelers
(reside outside of a 75 mile radius, excluding Interim Leadership and RNFA) can stay for an 18 month period.

Must take a 3 month break after 18 months.

Profile

• Please indicate if your clinician is interested in a longer travel contract than 13 weeks (13 week minimum). For applicable positions, please indicate if your clinician would prefer 36 or 48 hours per week

Labs: Labs must be completed within 48-72 hours of signing

Modules:

Modules are billable up to 16 hours at $20/hr

Modules are completed pre-start, they are required for RNs and LVS and do not differ per specialty

Modules are completed through WorkRamp and uploaded to compliance report

Modules should be started within 1 week of signed contract, and MUST be completed 2 Fridays prior to the start date to avoid a delay in starting

Submittal Details: #Tier2 Travel ComplianceCompliance deadline is 3pm CST on the Monday of the week before initial start date.Fit testing: *Travelers must have facial hair that allows for proper testing or will be expected to shave. No exceptionsSSN a valid SSN is required by all candidates at time of submittal.DOB requiredRTO:RTO must be on the submittal and cannot be changed once the profile has been sent to the manager for review.No RTO the first week of an assignment.Amount of RTO: please, no more than 7 days of RTO per 13 week contract, HIGHLY encouraged - (for Float pool, 7 days RTO max - hard rule)Please ensure RTO on submission email and profile matchBJC policy: Every other weekend required# of jobs in system we can subPlease make sure to only submit to your TOP 3 within the BJC system. We will send to clinical to review and offer the best fit or recommend another option.Please do not apply to jobs with identical titles. BJC lists each position as an individual job.Requires specific amount of exp (ex: 1 or 2 yrs required for submission) Please see job description for specific job requirements as each unit varies Please ensure correct skills checklist are completed at the time of submittalValid State License (required at time of submission)  - Okay to submit without license in hand in Missouri, HOWEVER:Illinois is NOT a compact state! PLEASE NOTE: It is required to have license in hand at time of submission.Missouri requires a MO license or a compact license in their home state. Missouri will not issue a license to anyone with a license/residency in another compact state.Compact license MUST match the state where candidate permanently lives. If candidate has moved to a new compact state and license does not match, they must be submitted to the proper licensure project and obtain the correct compact license. Verify ETA for new compact license.Mile Radius Rule Applies: No local candidates accepted within 75 mile radius. local travelers are no longer allowed, except for Patient Care Technicians, Certified Nurse Assistants, and Medical Assistants.References RequiredPlease see job description for specific job requirements as each unit varies.For the most part, references preferred at time of submittal. Barnes-Jewish West County requires two supervisory references within the last two years at time of submittal.Candidates will float within hospital or to an affiliate hospitals near by Please see job description for specific job requirements as each unit varies All travelers will float within service lineCopy of Certifications All RNs (except for those submitting to Behavioral Health, Case Manager & Outpatient) are required to obtain ACLS by compliance hard document deadline. Certifications not required at time of submittal unless otherwise noted in the job description.Specific Charting Exp Required  (ex: epic experience required to submit) EPIC is the charting system throughout BJC system.EPIC experience required for certain units - Please see job description for specific job requirements as each unit varies Bill rate (for hospitals that use bidding system) N/ABackground Policy to be noted prior to submission (ex: won't accept any Background hits, will not accept DUIs, etc) No medical marijuana cards acceptedPlease note: Travelers who obtained RN degree outside of the U.S. and do NOT hold MO/IL/Compact license require extended licensing and compliance timeframe.  Return Staff Policy (ex: gone 1 yr or 6 months to return as traveler) Permanent employees at must wait 1 year before returning to any BJC facility as a traveler.All Standard Travelers (reside outside of a 75 mile radius, excluding Interim Leadership and RNFA) can stay for an 18 month period. Must take a 3 month break after 18 months.Profile - Please indicate if your clinician is interested in a longer travel contract than 13 weeks (13 week minimum). For applicable positions, please indicate if your clinician would prefer 36 or 48 hours per weekLabs: Labs must be completed within 48-72 hours of signingModules:Modules are billable up to 16 hours at $20/hrModules are completed pre-start, they are required for RNs and LVS and do not differ per specialtyModules are completed through WorkRamp and uploaded to compliance reportModules should be started within 1 week of signed contract, and MUST be completed 2 Fridays prior to the start date to avoid a delay in starting