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

Travel Registered Nurse – Step Down Unit

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

Job Summary

• Work on a Step Down (SD) unit with a team nursing model (two nurses + PCT caring for a group of patients).
• Patient population includes COPD, CHF, Pneumonia, Flu, Sepsis, Diabetic Ketoacidosis, and Post-COVID.
• Care involves Telemetry, drips, vents, trachs, bipaps, and high oxygen requirements (no orally intubated patients).
• Target patient ratios typically 1:4, can be up to 1:5-6.
• Shift: Night, 4 shifts per week, 12 hours each (7:00 PM – 7:30 AM).
• Overtime paid after 48 hours worked.

Required Qualifications

• Valid RN license in Ohio.
• Minimum 1.5 years of Progressive Care Unit (PCU) experience, with PCU experience within the last year.
• Associate of Science in Nursing (ASN) or Associate Degree in Nursing (ADN).
• ACLS certification issued by the American Heart Association.
• BLS certification issued by the American Heart Association.
• NIH Stroke Scale (NIHSS) certification.
• Ventilator (vent) experience.
• Experience with Epic electronic health record system.

Floating and Other Requirements

• Floating to other specialty clusters or nearby campuses (within 15 miles) may be required.
• Employer reserves the right to cancel shifts due to low census with notice.
• No employee incentives available for travelers.

Orientation and Documentation Requirements

• Request time off (RTO) must be submitted with initial application; no RTO added after offer.
• Application must include current Nursys report and proof of licensure.

Compliance and Background Checks

• 7-year criminal background check required, including SSN trace, national and county checks, and sex offender registry.
• E-Verify and I-9 documentation required.
• Government-issued photo ID required.
• Drug screening: Negative 9 or 10 panel drug screen including marijuana panel within 12 months.
• Physical exam within 2 years indicating fitness for duty.
• Annual health questionnaire and medical clearance for respiratory protection required.
• Seasonal flu vaccination or approved medical/religious exemption required during flu season.
• Various immunizations or proof of immunity required: Measles, Mumps, Rubella, Varicella, Hepatitis B (vaccination series, immune titer, or declination).
• Negative TB test or chest X-ray required; annual TB questionnaire if past positive.
• NIH Stroke Certification required within 12 months prior to start and updated annually (exceptions apply).

Certifications and Competencies

• BLS and ACLS (AHA only) required and must be current at start.
• Dysrhythmia/EKG competency exam required within 1 year or must be passed within 72 hours of contract signing (3 attempts max).
• Medication/pharmacology competency exam within 2 years.
• Unit-specific competency exam within 2 years.
• Respiratory safety clearance within 1 year, renewed annually.

Uniform

• Navy blue scrubs required.

References and Work History

• Two professional references required within 2 years; one must be a manager, supervisor, or charge nurse.
• Current resume/application required.
• Work history verification required only if references are not available.

This position is ideal for experienced RNs with Step Down/Progressive Care experience, ventilator skills, and EPIC proficiency seeking a night shift travel assignment in Ohio.