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:
  
  03/30/2026
• Duration:
  13 weeks
• 36 hours per week
• Shift:
  12 hours, nights
• Employment Type:
  
  Travel

Internal Job Description

RN Float Pool What units are included in the float pool Med Surg, Tele, PCU, ICU, potential ED if ED exp. No floating to L&D for the float pool travelers. No Peds experience required but is helpful. Nurse:

Patient Ratios MS/Tele: 1:6-7 PCU:
Days 1:4, Nights 1:4-5 ICU: 1:1 1:2 3 if they have overflow Required Certifications (i.e., BLS, ACLS?) BLS, ACLS, PALS, NIHSS Common diagnoses/Types of patients ICU: STEMI, CVA- TPA, Sepsis, Multiorgan failure, Covid, EKOS, arrest, overdose, COPD, CHF, Pneumonia, DKA, post vascular, Swanz, code freeze,
-travelers won't take IABP or Impella unless proficient PCU: COPD, CHF, Post cath, pacer, ablation, A-Fib RVR, TEE
- Cardioversions bedside, PE, Covid, Sepsis, CVA, TIA, STEMI, nonstemi, Hypertensive urgency, head injury, dedicated Chest Pain Center - CP R/O - Stress test Med Surg:
General medsurg, Ortho - total joints, hips, knees, shoulders, spines. Oncology related admissions and chemo administration, Medsurg overflow. Experience or 'Must have' skills
* Ability to read cardiac telemetry.
* Must be proficient with ortho; they have a lot here.
* Experience with chest pain and post heart caths if working in acuity higher than Med Surg Are RNs required to titrate drips? Yes Common titratable &/or set rate drips All critical care drips including pressors, paralytics, sedation, heparin, insulin, lasix, Nitro, Cardizem, Amiodarone, precedex, Dopamine, Dobutamine. Charge Nurse/House Supervisor? Does the charge nurse take an assignment? Charge nurse on days and nights, charge may take patient assignment.

House Supervisor available 24/7. Are there nurse aids on this unit/Ratios CNAs and LPNs depending on the unit. RT Equipment (vents, Cpap, BiPap, etc) MS/TELE/PCU:
Cpap, Bipap for OSA only. Rt to manage. ICU:
Drager, A40, LTV and Avea in nursery Is there tele on this unit? Monitor Techs? RNs read strips? Monitor techs assisting, however nurses will also assist and must be competent in strip interpretation. Shifts & Scheduling (Do you allow self-scheduling? Block scheduling?) 3 12's: 7a - 7:30 pm / 7 pm - 7:30 am Will consider block schedules, including every weekend, as long as the needs of the unit are met but not a guarantee Weekend Requirements Every 3rd weekend, can be considered for more if requested Holiday Requirements Rotated with the perm staff Is there a call or standby requirement?

Typically no, may volunteer if low census How are units assigned? i.e. via text message, daily sheet assignments, set schedule? Daily assignment sheet is located near float pool breakroom. Can see assigned unit and then clock in. Schedule is set 6 weeks in advance, but might not know what unit you are assigned to until you report for shift. We mostly have been preassigning travelers to specific units based on the unit staffing needs and skill set however, there are times when the traveler will float to a different department due to census.

Scrub Color/Dress Code Pewter Gray Scrubs (Reference Cherokee Brand Pewter Gray) Unit/Department specific orientation 2 shifts with a preceptor Additional Notes Please inform traveler it is important to remember to return the Vocera, locator badge, & other unit equipment at the end of each shift. Can be charged for lost equipment. Additional Questions Notes obtained:
Phone Implementation, Email, or On-Site? One site with Tracie Kerns 11.21.23 Notes entered by & date:
Kayla Bregg RN 11.21.23

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