Travel Nurse RN - Stepdown

Malone Healthcare - Nursing is seeking a travel nurse RN Stepdown for a travel nursing job in Council Bluffs, Iowa.

• Specialty:
  Stepdown
• Discipline:
  RN
• Start Date:
  
  01/31/2026
• Duration:
  13 weeks
• 36 hours per week
• Shift:
  12 hours, nights
• Employment Type:
  
  Travel

Units Included:
Med Surg, Tele, PCU, ICU
• May float to ED only if ED experience
• No floating to L&D
• No Peds required (helpful but not required) Ratios:
• Med Surg/Tele: 1:6–7
• PCU:
Days 1:4 | Nights 1:4–5
• ICU: 1:1–2 (1:3 if overflow) Certifications

Required:

BLS, ACLS, PALS, NIHSS Patient Populations:
• ICU: STEMI, CVA (TPA), sepsis, multi-organ failure, arrest, DKA, post-vascular, COVID (no IABP/Impella unless proficient)
• PCU: COPD, CHF, post-cath, pacers, ablations, A-Fib RVR, STEMI/NSTEMI, CVA/TIA, chest pain
• Med Surg:
General MS, ortho (total joints), oncology admissions & chemo, overflow

Required Skills:

• Cardiac telemetry interpretation
• Strong ortho experience
• Chest pain & post-heart cath experience (for higher acuity) Drips:
• Full critical care drips including pressors, sedation, paralytics, heparin, insulin, nitro, Cardizem, Amiodarone, Precedex, dopamine/dobutamine Support & Equipment:
• Charge RN may take assignment | House Supervisor 24/7
• CNAs/LPNs based on unit
• RT: CPAP/BiPAP (OSA only) on MS/Tele/PCU; full vent support in ICU
• Monitor techs assist; RNs must read strips

Schedule:

• 3×12s – Days or Nights (7–7:30)
• Block schedules may be considered (not guaranteed)
• Weekends:
Every 3rd
• Holidays:
Rotated with perm staff
• Call:
Typically none (voluntary if low census) Assignment Process:
• Daily assignment sheet near float pool breakroom
• Unit assignment may be given day of shift
• Schedules posted 6 weeks in advance Dress Code:
Pewter Gray scrubs (Cherokee Pewter Gray reference) Orientation: 2 shifts with a preceptor Additional

Note:

Traveler must return Vocera, badge, and equipment each shift—lost items may be charged.

With a commitment to providing a higher standard of service and experience in patient care, Malone Healthcare places expert nurses and allied health professionals in rewarding careers throughout the United States. As a leading healthcare staffing agency, Malone’s focus on compliance and integrity translates to a seamless experience for our team members and partner facilities. When you work with Malone Healthcare, you can rely on over 50 years of proven experience placing exceptional professionals in quality healthcare settings.

• Weekly pay
• Holiday Pay
• Guaranteed Hours
• Continuing Education
• 401k retirement plan
• Pet insurance
• Referral bonus
• Medical benefits
• Dental benefits
• Vision benefits
• License and certification reimbursement
• Life insurance