Cardiac Stepdown RN
Dayton, OH
Access Healthcare
4x12 hrs, Nights

Stepdown Cardiac Registered Nurse

Overview

• Location: Dayton, Ohio
• Employment type: Travel/Contract
• Contract length: 13 or 18 weeks (winter opening)
• Shift: Night, 4x12-hour shifts, 19:00 to 07:30
• Hours: 12 hours per day, 48 hours per week
• Unit: Advanced Care Unit (daily average census of 31)
• Targeted patient ratio: 1:5 to 1:6
• Scrubs: Navy blue

Unit Details

• Typical patients: heart failure, chest pain rule-out, NSTEMI, post-procedure patients, COPD exacerbation, and drug/ETOH overdose and withdrawal.
• RNs must be competent running IV drips such as heparin, nitroglycerin, amiodarone, Cardizem, and insulin.

Schedule and Float Expectations

• Must work at least every other weekend and every other holiday.
• Travelers are the first to float, at the facility's discretion.
• Float occurs in and out of specialty clusters, with medically appropriate assignments or support for the floated-to unit's nursing team. This may include floating to the ED to care for boarders.
• If assigned to the main campus, the traveler may float to the south campus (less than 10 miles from main campus) or the north campus (less than 15 miles from main campus).
• The facility may cancel 2 shifts per 13-week contract due to low census.
• The facility may cancel the agreement with 2 weeks' notice without fee or fine.

Required Qualifications

• Valid RN license in Ohio
• Cardiac Stepdown (1.5 years of experience)
• Cardiac Stepdown experience within the last year
• ACLS (Advanced Cardiac Life Support) issued by American Heart Association or RQI
• BLS issued by American Heart Association or RQI
• NIHSS
• Associate of Science in Nursing / Associate Degree in Nursing
• IV insertion skills
• Experience with titratable drips
• Experience with Epic

Onboarding Requirements

• Identity and employment:

  • Government-issued photo ID
  • E-Verify, with the I-9 and E-Verify attestation form on the required branded form
  • Proof of legal name change, if applicable
  • Current resume or application
  • Orientation safety manual acknowledgement
  • Candidate agreement (all pages and check boxes completed before the documentation due date)
  • Annual health questionnaire
• Background and screening:

  • 7-year criminal background check based on SSN trace, completed within 12 months before the documentation due date, including a national sex offender check
  • EPLS/GSA/SAM and HHS/OIG checks
  • Open or pending cases are not accepted, and no hits are accepted
  • Fingerprinting, completed within 6 months before the documentation due date, is required only for specific units (infants, children, elderly care, pharmacy techs, and pain management)
  • DMV check for anyone required to drive for their position
• Health and immunizations:

  • Physical exam within 2 years of start, signed by an MD, DO, NP, PA, or RN, stating the candidate is fit to work
  • Negative TB test (PPD, T-spot, or QuantiFERON) at any time in the past. Candidates with a past positive TB require a positive test record, a clear chest X-ray, and an annually updated negative TB questionnaire.
  • Measles, mumps, rubella, and varicella: titer or 2 vaccines preferred, with attestation of immunity accepted
  • Hepatitis B: vaccination series, immune titer, or declination required
  • Flu vaccination documentation or completed declination, due by 11/13/2026
  • Drug screen: negative 9- or 10-panel test within 12 months, including a marijuana panel. Lab work is due within 72 hours of contract signing. Medical marijuana is not accepted as justification for a positive result. Up to 2 dilute screens are allowed during onboarding, and a random screen is required during orientation week.
• Respiratory and medical clearance: Medical questionnaire for respirator protection must be submitted to Employee Health before orientation, with medical clearance provided to the manager on arrival.
• References and history:

  • 2 references from within 2 years of start, one of which must be a manager, supervisor, or charge RN. If references are unavailable, an employment verification is accepted.
  • A 1-year work history verification is required only if 2 professional references cannot be obtained.
  • Skills checklist completed within 1 year before the documentation due date and updated annually

Reporting to Work (RTO)

• RTO must be requested with the initial submittal. No RTO will be added after the offer.
• RTO approval is at the manager's discretion.
• The submittal email must include the application and a current NURSYS report.