Registered Nurse - Step down @ MUSC Health - Florence

Job Description Job Title Stepdown Registered Nurse (RN) Job Summary The Stepdown RN provides direct patient care in a stepdown unit (also known as progressive care or intermediate care), providing close monitoring and specialized care to patients transitioning from the intensive care unit or those requiring a higher level of care than a general medical-surgical unit. Key Responsibilities Provide direct patient care, including assessment, medication administration, and treatments. Monitor patients' vital signs, cardiac rhythms, and overall condition. Respond to changes in patient condition and initiate appropriate interventions. Collaborate with physicians and other healthcare team members to develop and implement patient care plans. Administer medications, including titrating vasoactive drips and other complex infusions. Perform wound care and manage wound vacs. Provide respiratory support, including BiPAP/CPAP management, high flow nasal cannula, and tracheostomy care. Manage arterial lines, central lines, and PICC lines. Educate patients and families on their condition, treatment plan, and discharge instructions. Float within scope to meet facility needs, potentially floating between like units. Participate in rapid response and code teams as needed. Charting using Epic. Required Qualifications Minimum of 1 year of experience as a Registered Nurse. Current SC license or Compact license in hand prior to start. BLS certification. ACLS certification. Travel Experience Required Preferred Qualifications NIHSS certification. Charting System Experience Charting System Name : Epic Skills & Competencies Telemetry Oncology Neuro Stepdown FloTrac/Vigileo monitoring Interpretation of dysrhythmias Management of dysrhythmias Telemetry - on the unit monitoring Pacemakers/Temporary/Permanent Post Cardiac Angiogram Post MI Pre/Post Cardiac Cath Pre/Post Cardiac Surgery Sheath Removal Transcatheter Aortic Valve Replacement (TAVR) Titration of Insulin drips Feeding tube care and management Continuous Bladder Irrigation (CBI) Pre/Post Hemodialysis Management Renal failure Accessing/Managing Ports Arterial line management Heparin Protocols PCA Aneurysms and repair Craniotomy CVA (Cerebrovascular Accident) Intracranial bleeds Lumbar drains Pre/Post neurosurgery Post TPA care Seizure disorders Spinal cord injury Traumatic Brain injury Ortho trauma Peripheral nerve block catheters Total joint replacement Care of Ventilated Patient Chest tubes-Emerson/PleurEvac BiPAP/CPAP management/maintenance High Flow Nasal Cannula (HFNC) Interpretation of Arterial Blood Gases (ABGs) Tracheostomy care/management MS/Tele Telemetry Cardiac Telemetry PCU/DOU/IMC/Stepdown Telemetry - remote monitoring Use of Rapid Response/Code teams TR Band IV insulin protocols Blood Product Administration Central line care/management Phlebotomy Peripheral Line Care/Management PICC line management Starting and maintaining IVs Nasal Cannula Oxygen administration Oxygen tanks Non-invasive airway management Isolation Precautions/PPE Wound Care/Wound Vac Shift Details Nights, 3x12-Hour (19:00 - 07:00) Holiday Rotation Weekend Requirement: Yes, every other weekend. Licensing Requirements South Carolina (SC) Registered Nurse (RN) License or Compact License Source=AYA;SourceID=3184258;Status=Open;Association=Qualivis MSP;Client=MUSC Health - Florence;City=Florence;State=SC;Zip=29505;Start=2/23/2026;End=5/25/2026;Duration=91;Cert=Registered Nurse;Specialty=Step down;Unit=FLO - Step Down (FMC), CC003605;Shift=Night 3x12-Hour (19:00 - 07:00);# of Postions=1;Type=Travel;BillRate=75.00;OTRules=40 total hours in 1 week : 1.25%;Orientation=16;Description=About the Position Position/Specialty: Stepdown RN Shift: 3x12s, Nights, 7p-7a, Holiday Rotation Ratios: 1:4 Weekend REQ (Y/N): Yes, every other weekend. Is on-call REQ? (Y/N): No Will this traveler need to float within scope to meet facility needs/float between like units/sister facilities (Y/N)? Yes, same expectation as current staff nurses, agency will float first. Required/Preferred Years of experience REQ: 1 Year First-time travelers accepted: (Y/N): No License REQ: SC license or Compact license must be in hand prior to start Certifications REQ: ACLS, BLS Certifications PREF: NIHSS Miscellaneous Open to accommodating block schedule? (Y/N): Approval can be requested prior to assignment, but not guaranteed. Local Radius: 60 miles Locals Accepted: (Y/N): No locals accepted RTO Restrictions for Client Offers: All RTO must be included at time of submission. Approval will be based on facility needs. Guaranteed Hours: Facility is allowed to call off 1 shift per 2 weeks. Hospital Highlights Type of Facility: Total Staffed Beds: Scrub Color: Royal blue Charting: Epic Parking Cost: Free parking Hurricane Season** Travelers should be aware that during hurricane season, all employees and contractors may be assigned to emergency response teams. If this is a problem, please ensure travelers do not confirm a NEW or EXT assignment during the season. Hurricane season runs from June through November each year. The peak months for hurricane activity are August and September. Modified Time:2/23/2026 12:00:00 AM Account Manager: Alex Harwood Account Manager Email: COVID-19 Vaccine: Not Required Flu Vaccine: Required - Medical/Religious Exemptions Only Submittals:Low Job Requirements & Qualifications Previous Charge Experience : - Years of Experience : 1 Patient Ratio Experience : 4 Charting System Experience : Preferred Charting System Name : Epic Community Hospital Experience : - LTAC Experience : - Trauma Level I Experience : - Trauma Level II Experience : - Travel Experience Required : Yes Certifications : NIHSS*, ACLS, BLSSkills : Telemetry Oncology*, Neuro Stepdown*, FloTrac/Vigileo monitoring*, Interpretation of dysrhythmias*, Management of dysrhythmias*, Telemetry - on the unit monitoring*, Pacemakers/Temporary/Permanent*, Post Cardiac Angiogram*, Post MI*, Pre/Post Cardiac Cath*, Pre/Post Cardiac Surgery*, Sheath Removal*, Transcatheter Aortic Valve Replacement (TAVR)*, Titration of Insulin drips*, Feeding tube care and management*, Continuous Bladder Irrigation (CBI)*, Pre/Post Hemodialysis Management*, Renal failure*, Accessing/Managing Ports*, Arterial line management*, Heparin Protocols*, PCA*, Aneurysms and repair*, Craniotomy*, CVA (Cerebrovascular Accident)*, Intracranial bleeds*, Lumbar drains*, Pre/Post neurosurgery*, Post TPA care*, Seizure disorders*, Spinal cord injury*, Traumatic Brain injury*, Ortho trauma*, Peripheral nerve block catheters*, Total joint replacement*, Care of Ventilated Patient*, Chest tubes-Emerson/PleurEvac*, BiPAP/CPAP management/maintenance*, High Flow Nasal Cannula (HFNC)*, Interpretation of Arterial Blood Gases (ABGs)*, Tracheostomy care/management*, MS/Tele, Telemetry, Cardiac Telemetry, PCU/DOU/IMC/Stepdown, Telemetry - remote monitoring, Use of Rapid Response/Code teams, TR Band, IV insulin protocols, Blood Product Administration, Central line care/management, Phlebotomy, Peripheral Line Care/Management, PICC line management, Starting and maintaining IVs, Nasal Cannula, Oxygen administration, Oxygen tanks, Non-invasive airway management, Isolation Precautions/PPE, Wound Care/Wound Vac Unit Details Staffing & Scheduling Scheduling Type : Other Patient Ratios Days : 4 Patient Ratios Nights : 4 Patient Ratios Weekends : 4 Float Required : Float as required within the facility Call Required : - Weekend Coverage : True Number of Weekend Shifts Per Contract : - Pre-Approved Time Off : one Orientation Hours : 24 Facility & Patient Care Details Patient Age Groups : Adults, Geriatrics Daily Census : - Number of Visits Per Day : - Number of Rooms : - Number of Beds : - Additional Unit Information Interdisciplinary Support : - Patient Diagnoses : - Special Procedures/Unit Details : Holiday Rotation Special Equipment : - #Tier2 Travel Compliance RTO is due at time of submission. RTO after submission will not be accepted. Please ensure your traveler does not have any time off planned that will prevent them from completing pre-start compliance on time for the proposed start date. SSN is required to submit. Local Rule : MUSC prioritizes non-local candidates first. Radius rule is 60 miles. Locals not accepted Previous perm staff(this includes PRN) must be separated from the MUSC system for 1 year before returning as a traveler. South Carolina RN License: MUSC will prioritize candidates that have SC license in hand. We will still consider candidates with a pending license at the time of submission please provide proof that they have applied for the license or confirm that they can complete the SC walk-through process. Traveler will not be cleared to report to the facility until SC license is issued/active. RTO GUIDELINE FOR AUTO OFFERS: If a candidate is a clinical PASS, the account manager can auto offer a traveler that has 7 days or less of NON-HOLIDAY RTO. Any candidate that has 7+ days and/or includes holidays will have to be submitted to the facility for approval and can delay the process We can only submit to one MUSC unit/campus at a time. If you do submit to multiple job IDs, please mention in the submission what their top choice is. Hurricane Season** Travelers should be aware that during hurricane season, all employees and contractors may be assigned to emergency response teams . If this is a problem, please ensure travelers do not confirm a new or ext assignment during the season. Hurricane season runs from June through November each year. The peak months for hurricane activity are August and September. Modules: Modules are non-billable, average 4 hours spent on modules Module hours are included in NBO hours, completed pre-start Modules are reported by facility Submittal Details: #Tier2 Travel ComplianceRTO is due at time of submission. RTO after submission will not be accepted. Please ensure your traveler does not have any time off planned that will prevent them from completing pre-start compliance on time for the proposed start date. SSN is required to submit. Local Rule: MUSC prioritizes non-local candidates first. Radius rule is 60 miles. Locals not acceptedPrevious perm staff(this includes PRN) must be separated from the MUSC system for 1 year before returning as a traveler.South Carolina RN License: MUSC will prioritize candidates that have SC license in hand. We will still consider candidates with a pending license at the time of submission please provide proof that they have applied for the license or confirm that they can complete the SC walk-through process. Traveler will not be cleared to report to the facility until SC license is issued/active.RTO GUIDELINE FOR AUTO OFFERS: If a candidate is a clinical PASS, the account manager can auto offer a traveler that has 7 days or less of NON-HOLIDAY RTO. Any candidate that has 7+ days and/or includes holidays will have to be submitted to the facility for approval and can delay the processWe can only submit to one MUSC unit/campus at a time. If you do submit to multiple job IDs, please mention in the submission what their top choice is.Hurricane Season** Travelers should be aware that during hurricane season, all employees and contractors may be assigned to emergency response teams. If this is a problem, please ensure travelers do not confirm a new or ext assignment during the season. Hurricane season runs from June through November each year. The peak months for hurricane activity are August and September.Modules:Modules are non-billable, average 4 hours spent on modulesModule hours are included in NBO hours, completed pre-startModules are reported by facility;url=

Created: 2026-02-06