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

Travel Registered Nurse (Step Down Unit)

Location: Dayton, Ohio
Employment Type: Travel/Contract
Contract Length: 13 weeks

Job Summary

Seeking a Registered Nurse for a Step Down (SD) unit with a 1:4 targeted patient ratio (can be up to 1:5-6). The unit is trialing a team nursing model where two nurses and a Patient Care Technician (PCT) partner together to care for a group of patients. Nurses may function in either team nursing or primary nursing depending on the trial status.

Patient Population & Unit Details

• Patients primarily with COPD, CHF, Pneumonia, Flu, Sepsis, Diabetic Ketoacidosis (DKA), and Post-COVID conditions.
• Care includes ventilators, tracheostomies, bipaps, high oxygen requirements, insulin drips, heparin, Cardizem, and other drips.
• No orally intubated patients on the unit.
• Work involves Telemetry, drips, and ventilators.
• Navy blue scrubs required.

Required Experience & Skills

• Minimum 1.5 years Step Down or PCU experience with some level 1 or 2 preferred.
• ICU experience does NOT count toward Step Down/PCU experience requirement.
• Must have ventilator experience.
• Must have EPIC electronic medical record experience.
• Must be able to work 36 or 48-hour shifts.
• Must be able to float to other Premier Health specialty clusters and campuses within 15 miles.
• Must be available to work every other weekend and holidays.

Prior Travel Experience

• Travel experience is preferred but not explicitly required.

Required Certifications & Licenses

• Current Registered Nurse (RN) license for Ohio (primary source verification required).
• BLS (Basic Life Support) - AHA only.
• ACLS (Advanced Cardiac Life Support) - AHA only, required for all RNs except L&D.
• Must pass an online EKG Telemetry competency assessment before starting.
• Ability to read and interpret EKG strips required.
• Fit testing for N95 respirator prior to working on the unit (PAPR offered if needed).

Additional Requirements

• Pass a Dysrhythmia/EKG Competency Exam within 1 year of start or complete within 72 hours of contract signing (3 attempts max, 80% passing score).
• Complete medication/pharmacology competency exam within 2 years of start.
• Physical exam within 2 years indicating fitness to work and free of communicable diseases.
• Negative drug screen (9 or 10 panel including marijuana) within 12 months prior to documentation due date.
• Seasonal flu vaccination or approved medical/religious exemption required during flu season.
• Respiratory safety clearance within 1 year of start, renewed annually.
• 7-year criminal background check and other standard background screenings required.
• Two professional references within 2 years required (one must be a manager/supervisor/charge RN).
• Current resume/application required.
• Skills checklist updated within 1 year prior to documentation due date.

Floating & Scheduling

• Traveler will be first to float at Premier’s discretion.
• Floating assignments will be medically appropriate and may include main campus and satellite campuses within 15 miles.
• Premier Health reserves the right to cancel shifts due to low census with appropriate notice.

Summary

This is a travel contract RN position on a Step Down unit requiring at least 1.5 years of Step Down/PCU experience (ICU experience does not count), ventilator and EPIC experience, and strong competency in telemetry and EKG interpretation. The role involves working in a team nursing model with a patient population requiring complex care including ventilators and drips. Travel experience is preferred but not mandatory. The contract length is approximately 13 weeks.

Note: This summary excludes contact details, pay rates, and facility-specific names per instructions.