Stepdown ICU Registered Nurse
Orangeburg, SC
Access Healthcare
3x12 hrs, Nights

Registered Nurse - Stepdown ICU RN

Location: Orangeburg, South Carolina
Employment Type: Travel/Contract
Contract Length: 13 weeks

Position Details

• Shift: 3x12 hour shifts, Nights (6:45 PM - 7:15 AM)
• Patient Ratio: 1:4
• Weekend Requirement: Every other weekend
• On-call: No
• Floating: Yes, within scope to like units/sister facilities

Experience & Licensure Requirements

• Years of Experience Required: Minimum 1 year, 2 years preferred
• Prior Travel Experience: Not explicitly required
• License: South Carolina RN license or Compact license must be active prior to start
• Certifications Required:

  • BLS (Basic Life Support)
  • NIH Stroke Certification
• Certifications Preferred:

  • ACLS (Advanced Cardiac Life Support)
  • CPI (Crisis Prevention Intervention)
• Special Requirements:

  • Epic electronic health record experience required
  • Telemetry competency required
  • Cardiac telemetry experience required
  • Previous charge nurse experience preferred
  • Community hospital experience preferred

Facility & Work Environment

• Facility Type: Acute Care Hospital
• Total Staffed Beds: 286
• Charting System: Epic
• Parking: Free
• Scrub Color: Royal Blue
• Local Radius: 60 miles
• Locals Accepted: Yes, on a case-by-case basis

Scheduling & Hours

• Facility may call off 1 shift per 2 weeks
• Block schedule accommodation possible but not guaranteed

Required Documentation & Compliance

• Background Checks:

  • Annual background check covering all locations lived/worked in past 7 years
  • SSN Trace, Statewide, National Criminal, Sex Offender Registry, FACIS 3, EPLS/GSA/SAM, HHS/OIG
• Education Verification: Required
• Licensure Verification: Primary source verification required; must be active and unencumbered
• NURSYS Verification: Required for all RNs
• Drug Testing: 10-panel drug screen within 90 days of start (no instant tests)
• References: Proof of 2 clinical references or hospital evaluations
• Employment History: Verification of last 3 clinical employers (or all if fewer than 3)
• Photo for Badge: Clear, passport-style photo with solid light background, frontal view, business casual attire

Certifications & Competencies

• Mandatory:

  • BLS (AHA or equivalent)
  • NIH Stroke Certification
  • Medication/Pharmacology Competency Exam
  • Color Blind Testing (prior to start)
  • Competency Exam
• Preferred/As Applicable:

  • ACLS (AHA only) for adult critical care units including Stepdown
  • CPI
  • PALS (for pediatric units)
  • TNCC (Trauma Nursing Core Course) - not required for ER RNs
  • IV Therapy Certification (for select LPNs)

Health & Immunization Requirements

• Physical Exam: Initial and updated annually, attesting ability to meet physical demands
• Fit Mask Test: Conducted onsite during orientation; facial hair must be trimmed/shaved
• Vaccinations:

  • Tdap within 10 years or declination form required
  • Flu vaccine required during flu season (Aug 1 - Apr 30) or medical/religious exemption (no declinations accepted)
  • COVID vaccines highly preferred; vaccination records must be uploaded or declination form completed
  • Measles (Rubeola), Mumps, Rubella, Varicella: Positive titer or vaccination series required; boosters if low titer
  • Hepatitis B: Titer, vaccine series, or declination required
• TB Testing: Negative T-spot or Q-Gold within 90 days of start; if positive, chest x-ray and annual questionnaire required
• Drug Screen: 10-panel within 90 days of start

Orientation & Facility Specifics

• Orientation Modules: Must be completed prior to start; estimated 4-6 hours for this location
• First Day Instructions (FDI): Sent after clearance; includes OurDay login for module completion
• Badge Photo Deadline: Photo must be submitted by Wednesday end of day prior to start
• Emergency Response: Travelers may be assigned to emergency response teams during hurricane season (June-November)

Additional Notes

• Prior travel experience is not required for this position.
• Floating between like units/sister facilities is expected within scope.
• Facility allows locals on a case-by-case basis.
• Block schedule accommodations can be requested but are not guaranteed.

This position is ideal for RNs with at least 1 year of experience in stepdown or telemetry nursing, who are comfortable working night shifts in an acute care setting with a 1:4 patient ratio, and who have experience with Epic and cardiac telemetry.