Step Down RN
Lillington, NC
Access Healthcare
3x12 hrs, Nights

Registered Nurse – Step Down (RN/PCU/MS/Tele)

Location: Lillington, North Carolina Contract length: 13 weeks Employment type: Travel/Contract

Assignment and Schedule

• Shift: Night, 3x12 hours (19:00–07:00)
• Hours: 12 hours per day, 36 hours per week
• Ratio: 1:6
• Weekends: Every other weekend
• Holidays: Required
• On-call: Not required
• Callouts: Any missed scheduled shift requires makeup shift(s), as deemed necessary by the department.
• Guaranteed hours: Call-off policy allows 2 shifts per 13-week assignment. After that limit is met, all contracted shifts are guaranteed.
• Float: Must be able and willing to float between both campuses to meet facility needs, and may float to all facility locations as needed.
• Return to work: RTO restrictions are at the manager's discretion.

Eligibility

• Experience: 3 years of experience in the ER
• First-time travelers: Accepted
• Local candidates: Not accepted (50-mile radius rule)
• Pending licenses: Not accepted
• Return policy: Must be gone 1 year to return as a traveler.
• Contract limit: The employer allows 2 contracts, with one extension at most. After that, a candidate must be gone 6 months before returning.

Required Qualifications

• Valid RN license in North Carolina
• Stepdown experience (2 years)
• Stepdown experience within the last year
• ACLS (Advanced Cardiac Life Support) issued by the American Heart Association
• NIHSS
• Associate of Science in Nursing (ASN) / Associate Degree in Nursing
• Emergency Department (ED) experience
• Experience with Epic

Health and Immunization Requirements

• Physical exam: Within 1 year, signed by a physician, NP, or PA-C, and updated annually
• TB test: Negative PPD, QuantiFERON, or T-SPOT within 1 year of start. If positive, a chest X-ray within 1 year of start and a completed TB follow-up form are required.
• Tdap: Within the last 10 years
• Measles, mumps, rubella, and varicella: Titer or 2 vaccines. Negative or borderline titers require 2 boosters at least 28 days apart, and a candidate may start with the second booster pending.
• Hepatitis B: Vaccine series, positive titer, or signed declination
• Drug screen: Negative 10-panel within 30 days, with results that cannot be pending. Instant drug screens are not accepted.
• Flu vaccine: Required year-round. Medical or religious exemptions must be approved by the facility. Exemptions for working candidates are due by 10/30/2026, and the flu vaccine deadline is November 9, 2026.
• COVID-19 vaccine: Not required for employment.

Background and Education Checks

• Background check: Required within 6 months of start, including SSN trace, 7-year county residence, nationwide search, and sex offender search. An international search is required if the candidate lived or worked abroad in the past 7 years. Conviction dispositions within the last year and open or active cases are not permitted.

Onboarding and Documents

• Photo for badge: Must be sent as soon as the candidate signs, and must be a clear, professional passport-style photo with a solid background.
• Facility documents: Several must be completed or signed before start, including the RN job description, confidentiality agreement, patient identification agreement, conflict of interest questionnaire, emergency contact form, agency personnel form, and computer use acknowledgement.
• Orientation modules: Due the Monday before start.

Facility Information

• Facility type: Short-term acute care
• Designation: Level III Trauma Center and teaching hospital
• Staffed beds: 733
• Scrub color: Royal blue and white
• Charting system: Epic