Travel Nurse Level II RN - Stepdown

First Connect Health is seeking a travel nurse RN Stepdown Level II for a travel nursing job in Auburn, New York.

• Specialty:
  Stepdown
• Discipline:
  RN
• Start Date:
  
  03/15/2026
• Duration:
  13 weeks
• 36 hours per week
• Shift:
  12 hours, nights
• Employment Type:
  
  Travel

Auburn Community Hospital is seeking a highly skilled and experienced Step-Down Registered Nurse (RN) to join the Critical Care Stepdown (CCST) unit for night shifts. The Step-Down RN will provide specialized nursing care to patients requiring close observation and advanced monitoring following cardiac and vascular procedures, as well as patients with acute cardiac, respiratory, and neurological conditions.

The ideal candidate will possess strong clinical judgment, the ability to manage rapidly changing patient conditions, and demonstrated competency in post-catheterization care, cardiac monitoring, and critical care nursing interventions.

Key Responsibilities:

• Deliver comprehensive nursing care to Step-Down / Critical Care Stepdown patients
• Perform continuous cardiac monitoring and interpret cardiac rhythms
• Provide post-heart catheterization care, including management of TR bands
• Monitor patients following vascular procedures and conduct neurovascular assessments
• Perform frequent vital signs, hemodynamic monitoring, and patient evaluations
• Administer medications, including cardiac drips and emergency medications
• Initiate and maintain IV therapy; manage central lines and PICC lines
• Safely administer blood products in accordance with facility protocols
• Conduct and interpret 12-lead EKG/ECG
• Provide and monitor procedural sedation as required
• Manage respiratory support modalities including BiPAP, CPAP, and Vapotherm
• Recognize and respond to neurological changes, including stroke symptoms
• Assist with bedside procedures such as chest tube management
• Maintain strict infection prevention and isolation precautions
• Perform phlebotomy and specimen collection when necessary
• Collaborate with physicians and interdisciplinary care teams
• Complete accurate and timely documentation per hospital standards

Patient Population / Diagnoses:

• Congestive Heart Failure (CHF)
• Post-heart catheterization patients
• Post-vascular procedure patients
• Respiratory failure (BiPAP / CPAP / Vapotherm)
• Cardiac dysrhythmias

Qualifications & Requirements:

• Active Registered Nurse (RN) license (state-compliant)
• Minimum 1+ year recent Step-Down experience REQUIRED
• Minimum 1 year Post-Cath experience REQUIRED
• Strong cardiac monitoring and rhythm interpretation skills
• Experience with cardiac drips and emergency medications
• Competency in IV therapy and vascular access management
• Ability to manage high-acuity patients in a fast-paced environment

Required Certifications:

• BLS (Basic Life Support)
• ACLS (Advanced Cardiovascular Life Support)
• NIHSS (Stroke Certification)

Additional Details:

• Shift: Night – 3×12 Hours (19:00 – 07:30)
• Hours:
  
  36 hrs guaranteed
• Scheduling:
  Every Other Weekend (EOW) & Every Other Holiday (EOH)
• Medication System:
  Pyxis
• No blocked scheduling
• Local candidates accepted (lower bill rate applies)

Additional Information:
This position is within a Critical Care Stepdown (CCST) unit caring for moderate to high-acuity patients Recent Step-Down experience and Post-Cath experience are strictly required Candidates must be comfortable with post-heart catheterization recovery and TR band management Strong cardiac monitoring and dysrhythmia interpretation skills are essential Experience with cardiac drips, emergency medications, and rapid patient assessment is expected Ability to manage patients requiring BiPAP, CPAP, and high-flow oxygen therapy (Vapotherm) Frequent vital signs and neurovascular checks are a core part of the role Fast-paced unit requiring strong prioritization and clinical decision-making No blocked scheduling – flexibility is required Every Other Weekend (EOW) & Every Other Holiday (EOH) commitment Facility utilizes Pyxis medication system Local candidates are accepted (lower bill rate applies for candidates within 50 miles) Job

At First Connect Health, we take pride in being a Joint Commission–certified healthcare staffing agency, headquartered in Newark,…