Step Down Registered Nurse
Dayton, OH
Access Healthcare
4x12 hrs, Nights

Job Opportunity: Step Down Registered Nurse (Travel/Contract)

Location: Dayton, Ohio
Contract Length: 13 weeks

Specialty

• Registered Nurse (RN)
• Cardiac experience required
• Must have experience with CABG and valve post-op
• Must have some Step Down (SD) or Progressive Care Unit (PCU) experience with a 1:5 patient ratio documented in work history (ICU experience does NOT count)
• 1.5 years of experience preferred, with some level 1 or 2 preferred
• Prior travel experience preferred (not required)

Unit Details

• 36-bed unit specializing in pre and post-op open heart management including CABG, valve, mitral clip, TAVR, thoracotomy, etc.
• Lung cases including pneumothorax, hemothorax, chest tube, zephyr valve
• Advanced care cardiac patients with continuous telemetry
• Targeted patient ratios: 1:4-6
• Navy Blue Scrubs required

Required Skills & Certifications

• EPIC experience required
• Must pass an online EKG tele competency assessment before starting
• BLS, ACLS, IV start, NIH & cardiac drip titration skills required (must be able to read and interpret EKG strips)
• Nurses will be fitted for N95 masks prior to working on the High-Risk Respiratory Unit (HRRU) unless PAPR is offered/needed
• Must be available to work every other weekend and holidays

Floating & Other Requirements

• Traveler will float at Premier’s discretion, including to high-risk respiratory/COVID units
• Floating may include main campus and nearby campuses within 10-15 miles
• Premier Health reserves the right to cancel shifts with notice and cancel agreements with 2 weeks’ notice without fee or fine
• Travelers are not eligible for Premier Health employee incentives

Compliance & Documentation Requirements

• I-9, Government Issued Photo ID, and E-Verify required
• Background checks including 7-year criminal background, EPLS/GSA/SAM, HHS/OIG required
• Fingerprinting not required unless working with infants, children, elderly, pharmacy techs, or pain management clinics
• Education verification required for non-RN candidates
• State licensure verification (Ohio RN license) and NURSYS verification required
• Physical exam within 2 years indicating fitness to work
• Negative TB test or chest x-ray required; annual TB questionnaire if past positive
• Drug screening within 12 months, including marijuana panel; random drug screening during orientation week
• Seasonal flu vaccination or approved medical/religious exemption required during flu season
• Respiratory safety clearance required within 1 year and renewed annually
• References: 2 professional references within 2 years required (1 must be manager/supervisor/charge RN)
• Current resume/application required
• Skills checklist updated within 1 year required
• Work history verification required if references are not available

Competency Exams

• Medication/Pharmacology competency exam within 2 years
• Dysrhythmia/EKG competency exam required within 1 year or must be completed within 72 hours of contract signing (3 attempts max, 80% passing score)
• Unit-specific competency exam within 2 years
• Color blind testing required for lab units only

Certifications Summary

• ACLS (AHA only) required for all RNs except Labor & Delivery
• BLS (AHA only) required for all clinical positions
• NIH Stroke Certification required within 12 months for most RN units (exceptions apply)
• Other certifications (PALS, NRP, TNCC, EFM) required based on unit assignment

Additional Notes

• Must submit Request Time Off (RTO) with initial application; no RTO added after offer
• Application must clearly document required experience and certifications to avoid delays

This position is ideal for RNs with cardiac and step-down experience looking for a travel contract in Ohio with a reputable health system. Prior travel experience is preferred but not mandatory.