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

Registered Nurse - Telemetry

Location: Dayton, Ohio Employment Type: Travel/Contract Contract Length: 13 or 18 weeks (winter assignment) Shift: Night (4x12 hours), 19:00-07:30 Hours: 12 per day, 48 per week

Unit and Patient Care

• Advanced care level unit with mixed acuity
• Targeted patient ratio is 1:4, with ratios up to 1:5-6 possible
• Team nursing model may be used, with RNs, LPNs, and PCTs caring for a group of patients. Nurses may work in team or primary nursing depending on unit needs.

Required Qualifications

• Valid RN license in Ohio, verified through primary source online verification
• Associate of Science in Nursing (ASN) or Associate Degree in Nursing (ADN)
• Stepdown experience (2 years)
• Stepdown experience within the last year
• Telemetry experience
• Experience with advanced care level drips
• ACLS (Advanced Cardiac Life Support) certification issued by the American Heart Association (AHA), or RQI accepted
• BLS certification issued by the American Heart Association (AHA), or RQI accepted
• NIHSS (NIH Stroke Scale) certification (must have or be willing to obtain)
• Experience with Epic

Schedule and Availability

• 36- or 48-hour weeks accepted
• No block schedule
• Must be available to work at minimum every other weekend and every other holiday
• Up to 7 days of requested time off (RTO) approved
• No travel partners
• Local candidates not accepted
• Medical exemptions not accepted for the contract

Float Scope

• Traveler is first to float, at facility discretion
• Must float to all stepdown and advanced care units
• Agency will float in and out of the specialty cluster and be assigned a medically appropriate assignment or support the nursing care team of the unit floated to
• May float to other campuses in the system, including one within 10 miles and one within 15 miles of the main campus

Onboarding Requirements

Background and Verification

• Government-issued photo ID (driver's license or state ID)
• E-Verify and I-9 attestation required
• 7-year criminal background check within 12 months before documentation due date, including SSN trace, national or all-state check, all-county check, and national sex offender registry search
• Exclusion checks required (EPLS/GSA/SAM and HHS/OIG)
• Fingerprinting not required for telemetry
• Proof of name change required if documents show a different name
• Primary source verified education (diploma)

Health and Safety

• Physical exam within 2 years, signed by an MD, DO, NP, PA, or RN
• Negative 9 or 10 panel drug screen within 12 months, including a marijuana panel. Medical marijuana does not justify a positive result.
• Lab work for drug testing within 72 hours of signing contract
• Negative TB test (PPD, T-spot, or QuantiFERON) or chest X-ray, or documented past positive TB with clear chest X-ray and negative TB questionnaire
• Hepatitis B vaccination series, immune titer, or declination
• Immunity to measles, mumps, rubella, and varicella: titer or 2 vaccines preferred; attestation of immunity accepted
• Flu vaccination or declination due by 11/13/2026
• Annual health questionnaire
• Respiratory protection (RespSafety) clearance within 1 year, with N95 fit testing before working on the unit
• Dysrhythmia exam must be completed within 72 hours of signing contract for first attempt

Work History and Documents

• Current resume or application
• 2 professional references within 2 years, one from a manager, supervisor, or charge RN
• 1-year work history verification if 2 references are not available
• Skills checklist within 1 year, updated annually