Step Down RN
Mequon, WI
Access Healthcare
4x12 hrs, Nights

RN Step Down

Location: Mequon, Wisconsin Assignment type: Long-term assignment (LTA) Contract length: 13 weeks Shift: 19:00 - 07:30 Schedule: Every other weekend (EOW) and every other holiday (EOH)

Unit and Float Scope

• Float position: will need to float onsite to where the greatest need is, within skill set
• Departments included:

  • AAU (Acuity Adaptable Unit, mixed patient types)
  • Med/Surg
  • Inpatient Rehab
  • ED boarded patients in the ED department
• May need to float to sites within 40 miles if needed

Required Qualifications

• Valid RN license in Wisconsin, with current license and primary source verification within 30 days prior to start
• Nursys verification within 30 days prior to start
• Disciplinary actions, if any: complete the disciplinary questionnaire and upload it with board documents and verification
• 2 years of stepdown nursing experience
• Stepdown experience within the last year
• Associate of Science in Nursing (ASN) / Associate Degree in Nursing (ADN)
• One completed travel assignment (prior travel experience required)
• EMR familiarity (software familiarity, not a credential)
• BLS certification issued by the American Heart Association (AHA)
• ACLS certification issued by the American Heart Association (AHA)
• NIHSS certification (NIH Stroke Scale; Group A updated yearly; Groups B-F updated every 2 years)
• Valid driver's license

Onboarding Requirements

Checklists and testing

• Skills checklist (clinical only), completed within one year of start and updated annually for specialty
• Specialty exam: minimum 80% or the national benchmark passing score, completed before first assignment and updated every 3 years; 2 attempts allowed
• Core competencies (HIPAA, Joint Commission, NPSG, OSHA topics): minimum 80% or national benchmark, completed within one year of start and updated every 3 years; 2 attempts allowed
• EKG exam: minimum 80% passing score, 2 attempts permitted; graded and uploaded by agency; updated every 3 years
• EMR test-out with signed attestation
• Unit-specific checklist (optional for onboarding, but must be uploaded by the unit leader within a week)
• Color vision test, completed before start and updated every 3 years

Health and immunizations

• MMR: two documented vaccines or positive IgG titer; declinations not accepted
• Hepatitis B: vaccine series documentation or signed declination
• Influenza vaccine (season October 1, 2026 through March 31, 2027): exemptions and declinations accepted, but must wear a mask at all times
• Varicella: two vaccines, serological evidence of immunity, or provider-verified history; declinations not accepted
• Tdap: valid 10 years from administered date; declinations not accepted
• TB: 2-step PPD (first within 1 year, second within 30 days of start) or negative IGRA within 90 days of start; annual TB questionnaire
• Fit test: required for all travelers, preferably before start; WI requires 3M 1860 Regular, 3M 1860 Small, or 3M 1870+; PAPR cannot be completed onsite; updated annually
• Health statement or physical exam before first assignment, updated annually
• 11-panel drug screen within 30 days prior to first assignment, updated annually

Background and verification

• Criminal background check (SSN trace, OIG, National Sex Offender, and related searches) within 90 days of first assignment, updated yearly
• EPLS check within 90 days of start
• Education verification within 90 days of start; diplomas not accepted
• Third-party employment verification for the past 7 years, updated yearly
• Driver's license or state ID, not expired, with address matching the one on file

Professional documents

• Resume or profile
• At least two professional references, completed before first assignment
• Pre-hire education attestation (6 hours of modules), uploaded by the agency
• Nursing contract worker onboarding, completed onsite
• Pre-hire modules for non-allied positions, required annually
• Confirmation of assignment on agency letterhead, provided at initial assignment and each extension
• Badge photo: forward-facing headshot on a white or blue background, no alterations or filters
• Legal name change document (optional)