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

Assignment Overview

• Shift: Nights, 4x12hrs
• Hours: 48 hrs/wk
• Start Date: Sep 21, 2026
• Length: 13 weeks
• Openings: 4

Description

American Traveler is hiring an experienced RN for a Step Down unit position requiring EPIC experience and 1.5+ years of chronic stable ventilator care.

Details

• Step Down unit within a hospital setting
• Targeted patient ratios of 1:4, potentially up to 1:5-6
• Night shift, 4x12 hours (19:00-07:30)
• 13 or 18-week contract options available
• 36 or 48 hour weekly options, with OT paid after 48 hours for the 48-hour contract
• Requires availability to work every other weekend and every other holiday
• Floating required within the hospital and to nearby Premier Health campuses (Dayton, Centerville, Englewood) based on skillset and census needs
• Travelers are prioritized for floating assignments at facility discretion

Requirements

• Active OH or compact RN license required
• BLS, ACLS, and NIHSS certifications required
• IV Start experience preferred
• Minimum 1.5 years of RN experience, with some Level I or II trauma experience preferred
• Experience with stable chronic ventilator patients required
• EPIC charting experience required
• Must pass an online EKG telemetry competency assessment prior to starting the assignment
• Travel nursing experience preferred
• Prior charge experience preferred
• Teaching hospital experience preferred
• No history of RN license disciplinary action

Additional Information

• Provide telemetry and step down level nursing care including cardiac monitoring, dysrhythmia management, and rapid response coordination
• Skills utilized may include central/PICC line care, blood product administration, respiratory support (BiPAP/CPAP, tracheostomy care, ABG interpretation), and cardiac/vasoactive drip management
• Additional exposure to wound care, insulin protocols, and renal/dialysis management may be required
• Facility reserves the right to cancel up to 2 shifts per 13-week contract due to low census
• Facility reserves the right to cancel the contract with 2 weeks' notice
• Maximum of 14 days RTO allowed per contract, must be requested at time of submission with no changes after offer
• Local candidates are not accepted; must reside outside a 50-mile radius of the facility
• Previous PERM/PRN employees of Premier Health or prior agency travelers not extended due to tenure must wait 6 months before reapplying and require facility rehire approval
• Lab work and EKG/Dysrhythmia exam must be completed within 72 hours of signing the contract