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

Registered Nurse - Stepdown Cardiac

Overview

• Location: Dayton, Ohio
• Employment Type: Travel/Contract
• Contract Length: 13 weeks (winter contract option of 13- or 18-week contracts)
• Shift: Night, 4x12-hour shifts (19:00 to 07:30)
• Hours: 12 per day, 48 per week

Unit Details

• Unit: Advanced Care Unit (Stepdown Cardiac)
• Targeted patient ratio: 1:5-6
• Daily average census: 31
• Typical patients: Heart failure, chest pain rule out, NSTEMI, post-procedure patients, COPD exacerbation, drug/ETOH overdose and withdrawal
• Clinical expectations: RNs must be competent to run IV drips such as heparin, nitroglycerin, amiodarone, Cardizem, and insulin
• Attire: Navy blue scrubs

Required Qualifications

• Valid RN license in Ohio
• Stepdown experience of at least 1 year, with stepdown experience within the last year
• ACLS (Advanced Cardiac Life Support) issued by the American Heart Association or RQI
• BLS issued by the American Heart Association or RQI
• NIHSS certification
• Associate of Science in Nursing (ASN) / Associate Degree in Nursing
• IV insertion skills
• Experience with cardiac drips
• Experience with Epic

Floating and Scheduling

• Traveler is first to float, at the system's discretion. Agency staff float in and out of specialty clusters, and are assigned medically appropriate assignments or to support the nursing care team of the unit floated to.
• May float to other campuses within 10 miles (south campus) or 15 miles (north campus) of the main campus.
• Up to 2 shifts may be cancelled for low census per 13-week contract.
• The agreement may be cancelled with 2 weeks' notice without fee or fine.

Application and Onboarding Requirements

• Return-to-office (RTO) requests: Must be submitted with the initial application. No RTO requests are accepted after the offer. Approval is at the manager's discretion.
• Respiratory protection: Nurses will be fitted for an N95 before working on the unit unless a PAPR is offered or needed. RespSafety clearance is required within 1 year of start and renewed annually.
• Health documents: Physical exam within 2 years of start, negative TB test or chest X-ray, annual health questionnaire, and flu vaccination or declination for the 2026-27 season (due 11/13/2026).
• References: 2 professional references from within 2 years of start, 1 of which must be a manager, supervisor, or charge RN.
• Skills checklist: Required within 1 year prior to documentation due date and updated annually.
• Work history verification: Required only if 2 professional references cannot be obtained.
• Identification and verification: Government-issued photo ID, E-Verify and I-9 attestation, and proof of name change if the candidate's name differs across documents.