Stepdown RN
Englewood, OH
Access Healthcare
3x12 hrs, Nights

Registered Nurse - Step Down

Location: Englewood, Ohio

Employment Type: Travel/Contract

Contract and Schedule

• Contract Length: 13 weeks (a winter contract option of 13 or 18 weeks)
• Shift: Night, 3 x 12-hour shifts (19:00 to 7:30)
• Hours: 12 hours per day, 36 hours per week
• Weekend and Holiday Commitment: Must work every other weekend and every other holiday.
• Cancellation: The facility may cancel the agreement with 2 weeks' notice without fee or fine.

Unit and Assignment

• Unit: Step Down, with telemetry and surgical patients. Ratio is typically 1:4 to 1:5 on a 39-bed unit.
• Float Scope: If assigned to the main campus, the assignment includes floating to two other campuses within the system: one less than 10 miles away and one less than 15 miles away.

Requirements

Licenses and Certifications

• Valid RN license in Ohio, verified through primary source verification
• NURSYS verification (RN)
• ACLS (Advanced Cardiac Life Support) issued by American Heart Association or RQI; non-AHA certifications are accepted only as a placeholder while AHA certification is pending
• BLS issued by American Heart Association or RQI; non-AHA certifications are accepted only as a placeholder while AHA certification is pending
• IV start certification and IV insertion skills
• Telemetry certification
• NIH Stroke certification, completed within 12 months before start and updated annually. Acceptable providers: Apex (preferred), or Blue Cloud by HealthCarePoint. ACCME is not accepted.
• Associate of Science in Nursing (ASN) / Associate Degree in Nursing

Experience

• Stepdown experience of at least 1 year, with experience within the last year
• Experience with Epic

Skills and Competencies

• Must read and interpret telemetry strips
• Dysrhythmia/EKG competency exam within 1 year of start, with a passing score of 80% or higher and up to 3 attempts
• Medication test/pharmacology competency exam within 2 years of start
• Unit-specific competency exam within 2 years before start
• Skills checklist within 1 year before documentation due date, updated annually

Health and Compliance

• Physical exam within 2 years of start, signed by an MD, DO, NP, PA, or RN
• Negative 9- or 10-panel drug screen with marijuana panel, completed within 12 months before documentation due date. Medical marijuana use is not accepted as justification for a positive result.
• TB test (PPD, T-spot, or Quantiferon) or chest X-ray, with additional requirements for a past positive TB result
• Hepatitis B vaccine series, immune titer, or declination
• Current flu vaccination or declination (due by 11/13/2026)
• RespSafety clearance within 1 year, renewed annually
• Background: 7-year criminal background check within 12 months before documentation due date. Candidates with an open or pending case, or any hits, are not accepted without approval.
• Government-issued photo ID and E-Verify
• Legal documentation of name change, if the name on documents differs

Documents and References

• Current resume or application
• 2 professional references from within 2 years of start, one of which must be a manager, supervisor, or charge RN

Preferred

• Measles (Rubeola), mumps, rubella, and varicella: titer or 2 vaccines preferred; attestation of immunity is also acceptable.
• Tetanus/diphtheria/Tdap: proof of vaccination within the last 10 years is preferred; attestation is acceptable.