Stepdown RN
Middletown, OH
Access Healthcare
3x12 hrs, Days

Registered Nurse - Step Down

Location: Middletown, Ohio Employment Type: Travel/Contract Contract Length: 13 weeks Shift: Day, 3x12 hours (7:00 to 19:00) Hours: 12 hours per day, 36 hours per week

Required Qualifications

Licensure and Verification

• Ohio RN license, verified by primary source online verification, with the name matching the candidate's full legal name
• NURSYS verification (RN)
• Government-issued photo ID
• Proof of name change, if the name on documents differs (e.g., marriage license or divorce decree)

Certifications

• ACLS (required for all RNs except L&D). AHA certification required. RQI accepted. Non-AHA certifications are acceptable only as a placeholder while AHA certification is pending.
• BLS (required for all clinical positions). AHA certification required. RQI accepted. Non-AHA certifications are acceptable only as a placeholder while AHA certification is pending.
• NIH Stroke Certification, completed within 12 months prior to start and updated annually, even if the certificate is valid for 2 years. Acceptable certifications include Apex (preferred), AHA, and Blue Cloud by HealthCarePoint. ACCME is not accepted.

Competencies

• Dysrhythmia/EKG Competency Exam, required within 1 year of start, or the first attempt must be completed within 72 hours of signing the contract. Passing score is 80% or higher, with a maximum of 3 attempts. Failing all 3 attempts results in assignment cancellation.
• Online EKG telemetry competency assessment, which must be passed before starting the assignment
• Medication Test/Pharmacology Competency Exam, completed within 2 years of start
• Unit-specific competency exam, completed within 2 years prior to start, with the passing score set at the listed Angoff score

Health and Screening

• Physical exam within 2 years of start, signed by an MD, DO, NP, PA, or RN, stating the candidate is fit to work, in good physical health, and free of communicable diseases
• Negative TB test (PPD, T-spot, or Quantiferon) from any time in the past, or, if TB-positive in the past, a positive test, a clear chest X-ray, and a negative TB questionnaire updated annually
• Rubeola (measles), mumps, rubella, and varicella: titer or 2 vaccines preferred; attestation of immunity is also acceptable
• Hepatitis B: vaccination series, immune titer, or declination
• Negative 9- or 10-panel drug screen within 12 months prior to the documentation due date, including a marijuana panel. Medical marijuana use is not accepted as justification for a positive result. Instant screens are acceptable if confirmed by a lab when positive. Two dilute screens during onboarding are allowed, with a random screen during orientation week.
• Drug lab work completed within 72 hours of signing the contract
• Flu vaccination or completed declination due by 11/13/2026 (strongly recommended)
• RespSafety Clearance within 1 year of start, renewed annually
• Medical questionnaire for respirator protection, submitted to Employee Health prior to orientation

Background and Documentation

• 7-year criminal background check based on SSN trace, completed within 12 months prior to the documentation due date, including national sex offender check
• EPLS/GSA/SAM and HHS/OIG checks
• Candidates with an open or pending case, or any hits on reports, will not be moved forward
• E-Verify, as required per contract
• Current resume or application
• Skills checklist completed within 1 year prior to the documentation due date and updated annually
• 2 professional references from within 2 years of start, 1 of which must be a manager, supervisor, or charge RN. If 2 references cannot be obtained, a 1-year work history verification is required.

Assignment Details

• The traveler is the first to float, at the facility's discretion.
• The traveler floats in and out of the specialty cluster and is assigned a medically appropriate assignment, or supports the nursing care team of the unit floated to, including the High Risk Respiratory Unit and COVID units.
• Must be available to work every other weekend and holiday.
• 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.