Cardiac Step-Down RN
Dayton, OH
American Traveler
4x12 hrs, Nights

Assignment Overview

• Shift: Nights, 4x12hrs
• Hours: 48 hrs/wk
• Start Date: Aug 10, 2026
• Length: 13 weeks
• Openings: 1

Description

American Traveler is hiring a travel RN for a Step-Down/Telemetry position at an Ohio hospital, requiring Epic proficiency, stable chronic ventilator experience, and night shift availability every other weekend.

Details

• Step-down unit within a large inpatient hospital setting
• Night shift schedule: 4x12-hour shifts (19:00–07:30)
• 36- or 48-hour workweek options available
• Target patient ratio is 1:4, though ratios may reach 1:5–6
• Patient population includes cardiac telemetry, neuro step-down, PCU/stepdown, MS/Tele, and neurological/psychiatric cases
• Common procedures and skills include: central line care, PICC line management, BiPAP/CPAP, high-flow nasal cannula (HFNC), tracheostomy care, chest tube management, ABG interpretation, heparin protocols, cardiac and vasoactive drip management (titration preferred), PCA, pre/post hemodialysis management, IV insulin protocols, wound care/wound vac, and feeding tube management
• Epic EMR experience is required
• Travelers are the first to float, within the same hospital or to nearby Premier Health campuses (within 10–15 miles), and will receive a medically appropriate assignment or support the nursing care team of the floated unit
• Every other weekend and holiday availability is required
• 13-week contract

Requirements

• Active OH RN license or compact RN license required; candidates with any past license disciplinary action will not be considered
• Current BLS and ACLS certifications required; NIHSS required
• Must pass an online EKG/dysrhythmia competency assessment prior to starting the assignment
• Minimum 1.5–2 years of RN experience required
• Experience with stable chronic ventilators required
• Epic EMR experience required
• Trauma Level I or II experience preferred
• Teaching hospital experience preferred
• Previous charge nurse experience preferred
• Travel nursing experience preferred
• IV start/IV therapy experience preferred; port access/management preferred
• Candidates must reside more than 50 miles from the facility to be eligible for this position

Additional Information

• Provide step-down nursing care to a diverse patient population including cardiac, neuro, and general medical-surgical telemetry patients
• Responsibilities include dysrhythmia interpretation and management, telemetry monitoring, use of rapid response/code teams, isolation precautions/PPE, and management of complex drip therapies
• Candidates who previously worked at Premier Health Partners as permanent or PRN staff, or prior agency travelers not extended due to tenure, must wait 6 months before applying; facility rehire approval is required before an offer can be extended
• RTO must be requested at the time of initial application; no RTO will be added after an offer is made, and approval is at the manager's discretion
• Maximum of 14 days of RTO allowed per contract
• Up to 24 hours of paid orientation modules are included
• Local candidates (within 50 miles of the facility) are not accepted for this position