Travel Step Down 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 seeking a Stepdown RN with Trauma Level II experience and at least 2 years of recent bedside experience for a night shift position in a high-acuity stepdown unit.

Details

• Acute care hospital setting on the Step Down Unit
• Patient ratio of 1:4
• Night shift, 3x12 hours (19:00-7:30)
• Required to work every other weekend (Friday/Saturday or Saturday/Sunday rotation)
• No on-call requirements
• Floating required to lower acuity floors within scope
• EPIC charting system preferred

Requirements

• Active MO or compact RN license required (must match permanent residence for compact)
• Minimum 2 years of experience required
• Trauma Level II experience required
• Must have recent bedside experience within the last 6 months, including ICU or high-acuity stepdown background
• Recent travel experience required within the last 6 months
• Required certifications: ACLS, BLS, NIHSS
• Required skills: titration of vasopressors, sedation medication, insulin drips, trach vents, art lines, external pacemakers, and chest tubes
• Additional skills include IV therapy, arterial/central/peripheral line management, blood product administration, PICC line management, and phlebotomy
• Respiratory skills required: BiPAP/CPAP management, ventilator care, chest tube management, ABG interpretation, tracheostomy care
• Cardiac monitoring skills required: dysrhythmia interpretation/management, use of rapid response/code teams
• Experience managing cardiac and vasoactive drips, PCA, and thrombolytic agents preferred

Additional Information

• Care for high-acuity stepdown patients including cardiac, neurological, renal, and post-surgical cases
• Facial hair must allow for proper respirator fit testing or will be required to shave
• Navy scrub color required
• Does not accept first-time travelers
• Does not accept local candidates within a 75-mile radius
• Standard travelers must reside outside a 75-mile radius and may stay up to 18 months, followed by a required 3-month break in service
• Permanent employees must wait 1 year before returning to any affiliated facility as a traveler
• No RTO allowed during the first week of the assignment
• Maximum of 7 days RTO per 13-week contract

American Traveler Job ID #P-750746. 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