Step Down RN
Baltimore, MD
Access Healthcare
4x12 hrs, Nights

RN Step Down

Location: Milwaukee, Wisconsin Assignment Type: Long-term assignment (LTA) Contract Length: 13 weeks Shift: 19:00 - 07:30 Schedule: EOW; EOH

Role Overview

• Traveler will be placed on a PCU or Med/Surg/Tele unit based on the greatest need and the traveler's skills.
• Traveler will accept an M/S or Stepdown RN assignment. Both skills use the same credentialing.
• Traveler must float onsite within their skill set, or to sites within 40 miles if needed.

Required Qualifications

• Valid RN license in Wisconsin
• Associate of Science in Nursing / Associate Degree in Nursing
• Stepdown (2 years of experience)
• Stepdown experience within the last year
• 2 years of PCU / Med-Surg Telemetry acute care experience
• One completed travel assignment
• BLS, must be AHA, required for onboarding
• ACLS, must be AHA, required for onboarding
• NIHSS
• Driver's license

Checklists and Testing

• RN Step Down (PCU) specialty exam: Completed before first assignment and updated every 3 years. Minimum score of 80% or the national benchmark, with 2 attempts allowed.
• Skills checklist (clinical): Required for submission, completed within 1 year of start, and updated annually for specialty.
• Core competencies (HIPAA, Joint Commission, NPSG, OSHA topics): Completed within 1 year of start and updated every 3 years. Minimum score of 80% or the national benchmark, with 2 attempts allowed.
• EKG exam: Latest edition, minimum score of 80%, with 2 attempts allowed. Updated every 3 years. Agency grades and uploads the exam with the percentage and traveler's e-signature and date.
• Color vision: Completed before start and updated every 3 years.
• Unit-specific checklist: Optional for onboarding. If completed, it must be uploaded within a week.

Professional Requirements

• Resume or profile, required for submission
• At least 2 professional references, completed before first assignment
• Confirmation of assignment on agency letterhead, provided at initial assignment and updated with each extension
• Employment verification (third-party) for the past 7 years, updated every year
• Education verification, completed within 90 days of start
• Criminal background check, completed within 90 days of first assignment and updated every year
• EPLS check, run within 90 days of start
• Driver's license or state ID, not expired, with front and back shown. Address must match the file. If placed outside the home state, the address must match the compact license's home state.
• Pre-hire education attestation (6 hours of modules), uploaded by the agency after completion
• Nursing contract worker onboarding, completed onsite
• Nova StatStrip pre-hire modules, required annually
• Software test-out with a signed training checklist attestation
• Badge photo: forward-facing headshot on a white or blue background, with no alterations or filters
• Name change document (optional)

Health and Immunization Requirements

• TB screening: Two-step PPD or IGRA (QuantiFERON/T-SPOT). The first PPD must be within 1 year, and the second within 30 days of start. Alternatively, a negative IGRA within 90 days of start. TB questionnaire updated annually. If TB is positive, proof of chest X-ray within the last year is required.
• Positive PPD with negative chest X-ray (optional alternative documentation)
• MMR: Proof of two MMR vaccines or positive IgG titer. Declinations are not accepted. If titer is negative, two doses four weeks apart are required.
• Varicella: Proof of two vaccines, serological immunity, or verified history of varicella or herpes zoster. Declinations are not accepted.
• Hepatitis B: Documentation of the 3-vaccine series, or a signed and dated declination.
• Tdap: Valid 10 years from administration. Declinations and attestations are not accepted.
• Influenza vaccine: Flu season runs October 1, 2026 through March 31, 2027. Exemptions and declinations are accepted, but the candidate must wear a mask at all times.
• Health statement: Statement of good health or physical exam before first assignment, updated annually.
• Fit test: Required for all travelers, updated annually. Preferably completed before start, and can be completed onsite. PAPR fit tests are not done onsite. Wisconsin requires 3M 1860 Regular, 3M 1860 Small, or 3M 1870+.
• 11-panel drug screen: Completed within 30 days before the first assignment, then updated annually. Retesting is required after a break in service over 90 days.