Step Down RN
Dayton, OH
American Traveler
4x12 hrs, Days

Assignment Overview

• Shift: Days, 4x12hrs
• Hours: 48 hrs/wk
• Start Date: Sep 8, 2026
• Length: 13 weeks
• Openings: 1

Description

American Traveler is hiring an experienced RN for a Step Down unit position requiring 1:5 patient ratio SD/PCU experience, vent experience, and an active OH or compact RN license.

Details

• Work in the Step Down unit of a hospital environment
• Patient population primarily includes COPD, CHF, Pneumonia, Flu, Sepsis, Diabetic Ketoacidosis and post-COVID patients
• Care for trach, vent, BiPAP, and high-oxygen requirement patients with Respiratory Therapist support
• Manage insulin drips, heparin, Cardizem and other sporadic drips
• No orally intubated patients on the unit
• Unit is trialing a team nursing model with two nurses and a PCT partnering to care for a group of patients
• Targeted patient ratios are 1:4, but may be up to 1:5-6
• Day shift schedule, 4x12 hours, 7:00 AM to 7:30 PM
• 13-week assignment length
• Uses Epic charting system
• Required to work every other weekend and holiday
• Traveler will be first to float at facility discretion, including to specialty clusters or other Premier hospitals within 10-15 miles of main campus
• May be fitted for N95 or PAPR prior to working on the HRRU unit

Requirements

• Active OH or compact RN license required
• BLS and ACLS certifications required
• Must be able to read and interpret EKG strips
• Minimum 1.5 years of nursing experience required
• Required 1:5 patient ratio experience in Step Down or PCU setting (ICU experience does not qualify)
• Ventilator experience required
• Epic charting experience required
• Must pass an online EKG tele competency assessment before starting the assignment
• Level 1 or 2 trauma experience preferred
• Travel nursing experience preferred
• Charge nurse experience preferred
• Teaching hospital experience preferred
• Trauma Level I experience preferred
• No candidates with past license disciplinary action will be accepted

Additional Information

• Provide direct patient care within a team nursing or primary nursing model depending on trial status
• Navy blue scrubs required
• Lab work and EKG/dysrhythmia exam must be completed within 72 hours of signing contract
• Maximum of 14 days RTO allowed per contract, must be requested at time of initial submission with no changes after offer
• Local candidates are not accepted; must reside outside a 50-mile radius of the facility
• Previous PERM/PRN staff or prior agency travelers not extended due to tenure must wait 6 months before reapplying and require facility rehire approval
• Facility reserves the right to cancel up to 2-3 shifts due to low census per contract
• Facility reserves the right to cancel the agreement with 2 weeks' notice
• Travelers are not eligible for facility employee incentives
• First-time travelers will be considered, though experienced travelers are preferred