Travel Nurse RN - Stepdown

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First Connect Health is seeking a travel nurse RN Stepdown for a travel nursing job in Galesburg, Illinois.

Job Description & Requirements\n

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• Specialty: Stepdown
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• Discipline: RN
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• Start Date: 10/19/2026
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• Duration: 15 weeks
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• 36 hours per week
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• Shift: 12 hours, nights
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• Employment Type: Travel
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\n Stepdown / Tele Intermediate Registered Nurse (RN)\n

 

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Position: Stepdown / Tele Intermediate Registered Nurse (RN)
Department: Tele Intermediate
Shift: 7:00 AM – 7:30 PM / 7:00 PM – 7:30 AM
Shift Length: 12 Hours
Patient Ratio: 1:4–5
EMR: Epic
Weekend: Every Other Weekend — Friday, Saturday & Sunday
Holiday: Every Other Holiday
Call: None
Floating: Required

Position Overview\n

We are seeking an experienced Stepdown / Tele Intermediate Registered Nurse (RN) to join a 26-bed Tele Intermediate unit within the OSF healthcare system.

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This unit provides care to a diverse population of higher-acuity medical and cardiac patients, including CHF, COVID pneumonia, atrial fibrillation with RVR, tachycardia/bradycardia syndromes, and syncope. The ideal candidate will be comfortable with telemetry monitoring, cardiac medications, and non-invasive respiratory support.

Unit Details\n

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• Unit: Tele Intermediate / Stepdown
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• Beds: 26
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• RN-to-Patient Ratio: 1:4–5
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• Tech Ratio: Approximately 1:9
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• EMR: Epic
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• Central Telemetry: Monitor technician available
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• Charge Nurse: Charge RN takes a patient assignment
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• RT Coverage: 24/7
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• Pharmacy: 24/7 support
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• Hospitalist: In-house 7:00 AM–5:00 PM
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• APN available in-house after hospitalist hours with e-hospitalist support
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• No IV team; nursing manages IV-related care.
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• Nursing does not mix medications.
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Common Diagnoses\n

The unit commonly cares for patients with:

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• Congestive Heart Failure (CHF)
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• COVID pneumonia
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• Atrial Fibrillation with RVR
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• Tachycardia/Bradycardia Syndrome
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• Syncope
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• Other complex medical and cardiac conditions requiring intermediate-level monitoring
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Key Responsibilities\n

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• Provide comprehensive nursing care to Stepdown/Tele Intermediate patients.
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• Perform detailed assessments and ongoing monitoring.
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• Monitor and respond appropriately to cardiac rhythms through centralized telemetry.
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• Administer and manage cardiac and critical-care medications.
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• Manage Cardizem, Lasix, renal-dose Dopamine, and Nitro as ordered.
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• Care for patients requiring BiPAP, CPAP, and high-flow/Vapotherm therapy.
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• Recognize changes in patient condition and escalate care appropriately.
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• Collaborate with hospitalists, APNs, respiratory therapists, pharmacy, and the interdisciplinary care team.
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• Maintain accurate and timely documentation in Epic.
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• Provide patient education and safe discharge planning.
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Required Credentials\n

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• Active Illinois RN License – Required
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• BLS – Required
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• ACLS – Required
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Schedule\n

12-Hour Shifts:

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• 7:00 AM – 7:30 PM
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• 7:00 PM – 7:30 AM
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Weekend: Every other weekend — Friday, Saturday & Sunday

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Holiday: Every other holiday

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Call: No call requirement

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Block Scheduling: Not guaranteed; the facility will make reasonable efforts to accommodate consecutive night shifts when possible.

Floating Requirements\n

Travelers are expected to float based on hospital staffing needs.

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When floating, travelers will maintain the same patient ratio appropriate to the assigned unit, with an expected ratio of approximately 1:5.

Orientation\n

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• 1 shift: General hospital orientation
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• 2 shifts: Unit-specific orientation\n
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  • 1 day shift
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  • 1 night shift
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Total orientation: 3 shifts

OSF Assignment PoliciesLocal Rate\n

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• Applies to clinicians with a permanent address within 50 miles of the facility.
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• Local rate is $25 lower than the regular and OT bill rates.
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Call-Off Policy\n

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• OSF may call off the equivalent of 12 hours during a 13-week assignment.
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• No penalty or payment is required for the cancelled shift under this policy.
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Orientation\n

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• 12 hours of orientation are non-billable.
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• Guaranteed hours do not apply during orientation.
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 Additional Highlights\n

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• 26-bed Tele Intermediate / Stepdown unit
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• 1:4–5 RN-to-patient ratio
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• Central telemetry with monitor technician support
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• Cardizem, Lasix, renal Dopamine, and Nitro experience
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• BiPAP, CPAP, and high-flow/Vapotherm exposure
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• 24/7 Respiratory Therapy
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• 24/7 pharmacy support
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• Epic EMR
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• No call requirement
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• Structured 3-shift orientation
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• Every other weekend and holiday requirement
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• Travelers accepted with required floating flexibility
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Akshay #1177009

About First Connect Health\n Benefits\n

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• Sick pay
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• 401k retirement plan
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• Weekly pay
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• Referral bonus
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