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The job in short
Registered nurse, stepdown unit.
NursingICUClinical
Details
- Found
- 9 d ago · posted 2026-10-16
- Location as listed
- Council Bluffs, IA
- Role
- Registered Nurse (RN)
- Source
- The company’s own careers site
Full description
Registered Nurse (RN)
Job Overview
We are seeking a dedicated Registered Nurse (RN) to join our Stepdown unit. This nursing position involves a night shift and offers the opportunity to provide high-quality patient care in a fast-paced environment.
Unit Information
• Unit Type: Stepdown
• Number of Beds: 22
• Nurse-Patient Ratio: 1:4
• Common Diagnoses: Heart failure, atrial fibrillation, respiratory distress, stroke
• Additional Support: Nurse aides/patient care techs available with a ratio of 1:10
Shift Details
• Shift Length: 12 hours
• Guaranteed Hours: 36 hours per week
• Shift Times: 18:30 – 07:00
• Weekend Requirement: Every other weekend
• Holiday Requirement: 1 major holiday, 1 minor holiday
Role Responsibilities
• Provide clinical care to patients in a Stepdown unit setting.
• Administer medications and manage IVs, including titration of drips such as Cardizem, amiodarone, and nitroglycerin.
• Cluster patient monitoring – read and interpret telemetry strips.
• Work collaboratively with a charge nurse who also takes a full patient assignment.
• Assist with CPAP therapy as needed.
• May be required to float to the ICU if appropriately experienced.
Qualifications
• Years of Experience: 2 years required
• Required Certifications:
• BLS Certification
• ACLS Certification
• NIH Stroke Scale Certification (NIHSS)
Orientation and Training
New hires will be required to complete a 12-hour department-specific orientation, including a pass/fail exam on skills learned during the orientation. A score of 90% is required to successfully complete the exam.
Additional Notes
This unit is characterized by a fast-paced environment with frequent admits and discharges. Ideal candidates will possess a positive attitude, strong teamwork skills, and a commitment to patient-centered care.
Professional Policies
• Artificial nails are prohibited in patient care departments; refusal to comply will result in termination.
• A driver’s license is required for verification of residency outside a 50-mile radius.
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