Stepdown RN
Milwaukee, WI
ADN Healthcare
4x12 hrs, Nights
Referral Bonus

RN Step Down

• Location: Milwaukee, Wisconsin
• Contract length: 13 weeks
• Shift: 19:00 - 07:30
• Schedule: Every other weekend (EOW); every other holiday (EOH)

Role Details

• Placement is on a PCU or Med/Surg/Tele unit, based on where the greatest need is and the traveler's skills. Tele means telemetry.
• Accepts Med/Surg or Stepdown RNs. Both skills have the same credentialing.
• Floating is within the traveler's skill set, or to sites within 40 miles if needed.

Required Qualifications

• Valid RN license in Wisconsin
• Stepdown experience (2 years)
• Stepdown experience within the last year
• One completed travel assignment
• Basic Life Support (BLS) certification issued by the American Heart Association
• Advanced Cardiac Life Support (ACLS) certification issued by the American Heart Association
• NIHSS certification
• Associate of Science in Nursing (ASN) / Associate Degree in Nursing (ADN)
• Valid driver's license
• Med/Surg or Telemetry experience

Exams and Checklists

• Specialty exam (RN Step Down PCU): Completed before first assignment and updated every 3 years. Minimum score of 80% or the national benchmark, with 2 attempts allowed.
• EKG exam: Minimum score of 80%, with 2 attempts allowed. Updated every 3 years. Answers must be visibly marked on the graded exam.
• Core competencies (HIPAA, Joint Commission, NPSG, OSHA): Completed within 1 year of start and updated every 3 years. Minimum score of 80%, with 2 attempts allowed.
• Skills checklist (clinical): Completed within 1 year of start and updated annually.
• Unit-specific checklist: Optional for onboarding. If completed, the unit leader must upload it within 1 week.
• EMR test-out: Required for onboarding, with test results, a training checklist, and a signed attestation.

Health and Immunizations

• Color vision: Completed before start and updated every 3 years
• Fit test: Required for all travelers and preferred before start, but can be completed onsite. PAPR fit testing is not done onsite. WI requires 3M 1860 Regular, 3M 1860 Small, or 3M 1870+. Updated annually.
• Hepatitis B: Vaccine series completion (3 doses) or a signed and dated declination
• Influenza: Required for the 2026-2027 flu season (October 1, 2026 through March 31, 2027). Declinations and exemptions are accepted, but the traveler must wear a mask at all times.
• MMR: Proof of 2 doses or a positive IgG titer. Declinations are not accepted. If the titer is negative, 2 doses are required, given 4 weeks apart.
• Varicella: Proof of 2 doses, serological immunity, or verified history of varicella or shingles. If negative, 2 doses are required, given 4 weeks apart. Declinations are not accepted.
• Tdap: Valid for 10 years from the administration date. Declinations and attestations are not accepted.
• TB screening: Two-step PPD or IGRA (Quantiferon/T-spot). The first PPD must be within 1 year and the second within 30 days of start, or a negative IGRA within 90 days of start. TB questionnaire updated annually. A positive result requires a chest X-ray within the last year plus the TB questionnaire.
• Health statement: Statement of good health or a physical exam before first assignment, updated annually
• 11-panel drug screen: Completed within 30 days prior to the first assignment and updated annually. Retesting is required if there is a break in service over 90 days.

Background and Verification

• Criminal background check: Includes SSN trace, OIG search, and National Sex Offender search. Completed within 90 days of first assignment and updated every year.
• EPLS: Completed within 90 days of start and rerun after a break in service over 90 days
• Education verification: Completed within 90 days of start. Diplomas are not accepted.
• Employment verification: Third-party verification for the past 7 years, updated every year
• Driver's license or state ID: Must not be expired and must match the address on file. Front and back required.

Submission and Onboarding Documents

• Submitted before start: Resume or profile, 2 professional references, and the skills checklist
• Onboarding: Pre-hire education attestation (6 hours), uploaded by the agency when complete. Nursing contract worker onboarding is done onsite. StatStrip pre-hire modules are required annually.
• Other: Badge photo (forward-facing headshot on a white or blue background, no filters). Confirmation of assignment on agency letterhead, provided at initial assignment and updated with each extension.