RN – Step-Down

Council Bluffs, IA 51503
Starts: January 5, 2026
Ends: April 6, 2026
DESCRIPTION

Specialty: Step-Down
Facility: CHI Health Mercy Council Bluffs
State License: IA
Certs/Licenses:
Years of Experience: 2 year(s)
Shift: 12H Days 12 hr days

Guaranteed Hours: 36 hours per week
Description: Specialty: PCUFacility: CHI Health Mercy Council BluffsState License: IACerts/Licenses: Years of Experience: 2 year(s)Shift: 12H Days 12 hr daysGuaranteed Hours: 36 hours per weekDescription: Unit Notes:* * RN’s – Pass/Fail exam on Friday during orientation. OPEN BOOK exam on skills learned – they are given all necessary resources to pass. Must receive a 90% to pass or they will be terminated * * Radius Rule: 50 miles AND candidates may not be full time, part time, or PRN with any facility associated with CommonSpirit, including CHI and/or Dignity.**Driver’s license required at submittal and will be used to determine if candidate is outside 50 miles.****Fingernail policy: Artificial nails are prohibited in all departments providing patient care- refusal to remove nails will lead to termination of contractDepartment: Stepdown RN*Certifications Required: BLS, ACLS, NIHSS*PRESCREEN+AUTO OFFER – # of Beds: 22- Nurse:Patient Ratios: 1:04- Common diagnoses/Types of patients: Heart failure, Afib, respiratory distress, stroke- Are RNs required to titrate drips?: Yes- Common titratable &/or set rate drips: Cardizem, amiodarone, nitro- Is there a Charge Nurse on each shift? Does the charge nurse take an assignment?: Yes- does take a full patient assignment- Are there nurse aids/patient care techs on this unit? Ratios? Duties?: Yes- 1:10- RT Equipment (Vents, Cpap, BiPap, High Flow, etc.) Are RNs required to do anything with these besides trouble shoot?: CPAP- Are there Tele/Monitor Techs on this unit? Are RNs required to read their own strips? What brand are the tele monitors?: RNs must read and interpret strips- Shifts & Scheduling (Do you allow self-scheduling? Block scheduling?): 0630-1900, 1830-0700 // cyclic scheduling- Weekend Requirements: Everyother- Holiday Requirements: 1 major, 1 minor- Floating Requirements: Will float to ICU if appropriate and has experience- How many shifts of unit/department specific orientation?: 1- 12 hour shift in the department- Additional Notes: Fast paced unit with many admits and discharges. Attributes that help make a nurse successful in this department are a positive attitude, teamwork, patient oriented, and comes to work to care for someoneRadius Rule: 50 miles AND candidates may not be full time, part time, or PRN with any facility associated with CommonSpirit, including CHI and/or Dignity within the past yearRTO needed upfront – Additional RTO will not be approved, including after submissions.Entered On: 12/13/2023 Cancellation Policy:Hospital can cancel up to 4 shifts per 13-week assignment, 3 shifts for assignments that are less than 13 weeks. Charting System:EPIC BSN Required: License to Submit:Yes Trauma Level:3 Care Setting:Acute Division:Nursing Shift Notes:12 hr days Required Certifications:ACLS, BLS, NIHSS

Application

Council Bluffs, IA
AGENCY OVERVIEW
RN - Step-Down
Nomad Health
27 E 28th Street, Suite 1754
New York, NY 10016
Summary

At Nomad Health, we’re redefining the travel healthcare experience by removing obstacles between clinicians and the bedside—so you can get where you want to go, faster. Whether you're chasing adventure, career growth, or a higher paycheck, your reason for traveling is yours—we’re just here to help you get there. With… Learn more


TGN Housing Partnerships

The easiest way for travel nurses to find accommodations! Browse properties, access discounted rates, and book your stay all in one place—with white-glove service along the way. Type in where you want to go and our platform (and team of experts) will help you secure discounted rates on hotels, furnished apartments, and more.

Start Booking

The Gypsy Nurse has partnered with Extended Stay Hotels to offer rates at over 720+ hotels nationwide. You can search locations nationwide and choose the location that is the best fit for you and book directly online and receive your confirmation via email. Please download our mobile Apps for both Android and IOS devices.

Start Booking

Wherever your healthcare journey takes you, Travelers Haven by Blueground makes finding housing easy. We offer flexible, fully furnished options backed by fast, on-demand service and 24/7 support anywhere in the country, even in hard-to-reach areas. With our dedicated team by your side, you can focus on your assignment while we handle the logistics.

Start Booking

Other Housing Options

Furnished Finder

Start Booking