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

Registered Nurse: Step Down (SD/PCU)

Overview

• Location: Dayton, Ohio
• Employment type: Travel/Contract
• Contract length: 13 weeks
• Shift: Night, 4x12-hour shifts, 19:00 to 7:30 (48 hours per week)
• Unit: 36-bed unit
• Uniform: Navy blue scrubs
• Patient ratio target: 1:4 to 6

Clinical Scope

• Pre- and post-op open heart management, including CABG, valve, mitral clip, and TAVR
• Thoracotomy
• Lung cases, including pneumothorax, hemothorax, chest tube, and Zephyr valve
• Advanced cardiac patients on continuous telemetry

Required Qualifications

• Valid RN license in Ohio
• At least 1 year of Stepdown experience, 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
• Associate of Science in Nursing (ASN) / Associate Degree in Nursing (ADN)
• Experience working with cardiac patients
• Experience with CABG
• Experience with valve post-op care
• IV insertion skills
• Experience with cardiac drips
• Experience with Epic

Certifications

• BLS and ACLS: AHA only. RQI is acceptable. Non-AHA certifications are accepted only as a placeholder while AHA certification is pending. Certifications expiring within one week of start must be renewed.
• NIH Stroke Certification: Required within 12 months before start, and updated annually even if the certificate is valid for 2 years. A 5-day grace period applies to expirations, after which the candidate is removed from the floor. Acceptable providers include Apex (preferred), AHA, and Blue Cloud by HealthCarePoint. ACCME is not accepted.

Assignment Details

• Float: The traveler is first to float at the system's discretion. Floats occur within specialty clusters and may include high-risk respiratory unit or COVID assignments. The traveler will receive a medically appropriate assignment or support the nursing team of the unit floated to.
• Other campuses: May float to other campuses in the system, including one less than 10 miles from the main campus and one less than 15 miles from the main campus.
• Schedule: Must work every other weekend and holiday.
• Cancellation: The system may cancel up to 3 shifts for low census in a 13-week contract. The agreement may be canceled with 2 weeks' notice without fee.
• Return to Office (RTO): Must be requested with the initial submittal. RTO cannot be added after the offer and is approved at the manager's discretion.

Onboarding Requirements

• Competency exams:

  • Dysrhythmia/EKG competency exam within 1 year of start, or the first attempt within 72 hours of signing the contract. Three attempts are allowed. Failing the third attempt cancels the assignment.
  • Unit-specific competency exam within 2 years before start
  • Medication/pharmacology competency exam within 2 years of start
• Skills checklist: Required within 1 year before the documentation due date and updated annually.
• Respiratory protection: Must be fitted for N95 before working on the high-risk respiratory unit, unless a PAPR is offered or needed. Medical questionnaire, respiratory safety clearance within 1 year, and annual renewal required.
• Immunizations and health:

  • Physical exam within 2 years, signed by an MD, DO, NP, PA, or RN
  • TB: negative PPD, Tspot, or Qgold from any time in the candidate's past. If TB was previously positive, a clear chest X-ray and a negative TB questionnaire are required, with the questionnaire updated annually.
  • Measles, mumps, rubella, and varicella: titer or 2 vaccines preferred. Attestation of immunity is acceptable.
  • Hepatitis B: vaccination series, immune titer, or declination required
  • Flu vaccination or declination due by 11/13/2026
• Drug screening:

  • Lab work within 72 hours of signing the contract
  • Negative 9- or 10-panel drug screen within 12 months before the documentation due date, including a marijuana panel
  • Medical marijuana use is not accepted as justification for a positive result.
  • Two dilute screens during onboarding are allowed, but a random screen is required during orientation week.
• Background and eligibility:

  • 7-year criminal background check based on SSN trace, within 12 months before the documentation due date, including national sex offender search
  • EPLS/GSA/SAM and HHS/OIG checks
  • E-Verify and I-9 attestation for subcontractors
  • Government-issued photo ID
  • Legal documentation of name change, if applicable
• References: 2 professional references from within 2 years of start, one of which must be a Manager, Supervisor, or Charge RN. A 1-year work history verification is required only if 2 references cannot be obtained.
• Documents: Current resume or application, and a completed facility candidate agreement