Cardiac Step Down RN
Dayton, OH
Access Healthcare
4x12 hrs, Nights

Job Opportunity: Step Down Registered Nurse

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

Unit & Patient Population

• 36-bed Step Down unit specializing in pre- and post-operative open heart management including CABG, valve, mitral clip, TAVR, thoracotomy, and lung cases (pneumothorax, hemothorax, chest tube, zephyr valve).
• Care for advanced cardiac patients with continuous telemetry.
• Targeted patient ratios: 1:4-6.
• Uniform: Navy blue scrubs.

Shift Details

• Night shift, 4 shifts per week, 12 hours each (7:00 PM – 7:30 AM).
• Must be available to work every other weekend and holidays.

Requirements/Qualifications

• Valid RN license in Ohio.
• Minimum 1 year of Progressive Care Unit (PCU) experience within the last year.
• Associate of Science in Nursing / Associate Degree in Nursing.
• Current ACLS certification.
• Current BLS certification issued by the American Heart Association.
• Experience with Epic electronic health record system.

Required Certifications & Competencies

• IV start certification.
• NIH Stroke Certification (required within 12 months prior to start and updated annually).
• Pass an online EKG telemetry competency assessment before starting (must be able to read and interpret cardiac strips).
• Ability to titrate cardiac drips.
• Medication test/pharmacology competency exam within 2 years.
• Unit-specific 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 allowed).
• Respiratory protection medical clearance and N95 fit testing prior to starting on the high-risk respiratory unit (HRRU).

Floating & Other Requirements

• Floating to other units within the health system may be required, including high-risk respiratory/COVID units.
• Floating locations may include main campus and nearby satellite campuses within 15 miles.
• The employer reserves the right to cancel shifts due to low census with notice.
• Travelers are not eligible for employee incentives.

Health & Background Requirements

• Physical exam within 2 years indicating fitness for duty and free of communicable diseases.
• Negative TB test or chest x-ray with annual questionnaire if past positive.
• Required immunizations or proof of immunity: Measles, Mumps, Rubella, Varicella, Hepatitis B (vaccination series, immune titer, or declination).
• Seasonal flu vaccination or approved medical/religious exemption required during flu season.
• Drug screening: Negative 9 or 10 panel drug screen within 12 months prior to documentation due date, including marijuana panel.
• Background checks including 7-year criminal history, EPLS/GSA/SAM, and HHS/OIG required.
• Fingerprinting not required for this unit.

Documentation & Application Requirements

• Current resume/application required.
• Must include 1:5 Step Down or PCU patient ratio experience in work history section.
• Two professional references within 2 years required (one must be a manager/supervisor/charge nurse). Employment verification accepted if references unavailable.
• Skills checklist updated within 1 year.
• Ohio licensure and NURSYS verification required.
• E-Verify and government-issued photo ID required.
• Candidate agreement and annual health questionnaire must be completed prior to documentation due date.

Additional Notes

• Overtime for shifts over 48 hours is billed at 48 hours.
• Request time off (RTO) must be submitted with initial application; no RTO added after offer. Approval at manager’s discretion.
• Must be able to work in a fast-paced environment with cardiac and telemetry patients.

This position is ideal for experienced Step Down RNs with cardiac and telemetry skills seeking a travel contract in Ohio.