Pediatric Stepdown RN
Washington, DC
Access Healthcare
3x12 hrs, Nights

Registered Nurse (Pediatric StepDown) - Washington, DC

Employment Type: Travel/Contract
Contract Length: 13 weeks

Job Summary

Seeking a Pediatric StepDown Registered Nurse with 2+ years of nursing experience (higher end of 1-2 years stated). Pediatric experience is preferred but first-time travelers are accepted.

Key Requirements

• Experience: Minimum 2 years nursing experience (pediatric experience preferred)
• Certifications Required:

  • BLS/CPR (Basic Life Support)
  • ACLS (Advanced Cardiac Life Support) - required based on unit/specialty
  • PALS (Pediatric Advanced Life Support) - required based on unit/specialty
  • NRP (Neonatal Resuscitation Procedure) - required based on unit/specialty
  • Chemotherapy certification - required based on unit/specialty
  • State RN License (must have or show proof of pending DC RN license prior to start)
  • NURSYS Verification (RN, LPN/LVN, AP)
• Preferred Certifications: CPN or pediatric rehab certification
• Other Requirements:

  • Strong assessment and communication skills
  • Comfortable supervising CNAs, LPNs, PCAs as needed
  • Experience with medically complex pediatric patients preferred
  • Floating within scope to similar pediatric rehab/inpatient/SNF units
  • Occasional weekend shifts (facility dependent)
  • Block scheduling available upon request (not guaranteed)
  • Locals and candidates with pending licenses accepted (pending license must be approved before start)
  • No on-call required

Work Environment

• Pediatric rehabilitation and specialized inpatient care
• Medically complex pediatric patients in inpatient and skilled nursing settings
• Typical pediatric inpatient/SNF nurse-to-patient ratios (varies by census)
• Charting system: Cerner
• Scrub color: Any child-friendly color, no logos
• Guaranteed 36 hours per week
• Max 1 week of RTO (request time off); if full week taken, must extend contract to make up time

Orientation & Onboarding

• 20+ hours of non-billable onboarding modules required
• Pass/fail medication calculation exam at orientation (must score 84% or higher, 2 attempts allowed)
• Facility-specific training modules including COVID-19 vaccine training and pediatric care modules

Compliance & Documentation Requirements

• Government-issued photo ID (Driver’s License/State ID)
• Background checks within 30 days of start (including SSN trace, education verification, sex offender registry, etc.)
• Education verification (transcript/diploma accepted if pending)
• Physical exam within 30 days of start (must include latex allergy info)
• Fit test for N95 mask within 1 year of start
• Immunizations and titers required:

  • Tdap (within 10 years)
  • MMR (2 vaccines or positive quantitative titer)
  • Varicella (2 vaccines or positive quantitative titer)
  • Hepatitis B series and quantitative titer or declination form
  • Flu vaccine or approved medical/religious exemption (seasonal)
  • COVID vaccine or declination for tracking
• Negative TB test or chest x-ray within 60 days of start (with additional requirements if positive or new converter)
• 10-panel drug screen within 30 days of start (must include marijuana)
• Required facility-specific documents such as photo for badge, emergency contact, and acknowledgment of safety manuals and pass/fail testing

References & History

• Two professional references dated within the past two years (preferably supervisors/managers) required
• Employment application and skills checklist required

Prior Travel Experience

• No explicit prior travel experience required; first-time travelers accepted

This position is ideal for a pediatric RN with experience or interest in medically complex pediatric patients, comfortable working in a specialized inpatient rehab/skilled nursing environment, and willing to complete thorough onboarding and compliance requirements.