Step-Down (Progressive Care Unit) Registered Nurse
Dayton, Ohio
Miami Valley Hospital

Job Title

Step Down Nurse (Registered Nurse)

Location

Dayton, Ohio

Employment Type

Travel / Contract

Contract Length

13 weeks

Shift Details

• Day shift, 4 shifts per week
• 12-hour shifts (7:00 AM – 7:30 PM)
• Total 48 hours per week
• Overtime paid after 48 hours

Unit & Patient Population

• Step Down unit with team nursing model (two nurses + PCT caring for a group of patients)
• Patient conditions include COPD, CHF, Pneumonia, Flu, Sepsis, Diabetic Ketoacidosis, Post-COVID
• Care involves telemetry, drips, vents, trach, bipap, high oxygen requirements
• Insulin drips, heparin, Cardizem, and other sporadic drips
• No orally intubated patients on unit
• Navy blue scrubs required

Required Experience & Skills

• Valid RN license in Ohio
• Minimum 1.5 years of Progressive Care Unit (PCU) experience, with PCU experience within the last year
• ACLS certification
• BLS certification issued by the American Heart Association
• Associate of Science in Nursing (ASN) or Associate Degree in Nursing (ADN)
• Experience with Epic electronic health record system

Floating & Scheduling

• Floating required at employer’s discretion, including to nearby campuses within 10-15 miles
• Must be available to work every other weekend and holidays
• Employer reserves the right to cancel shifts due to low census with notice

Required Certifications & Competencies

• BLS (AHA only)
• ACLS (AHA only)
• Dysrhythmia/EKG Competency Exam (must be passed within 1 year or completed within 72 hours of contract signing)
• Medication/Pharmacology competency exam (within 2 years)
• NIH Stroke Certification (required within 12 months prior to start, updated annually; exceptions apply)
• Respiratory protection medical clearance and fit testing required prior to orientation
• Other unit-specific competency exams as required

Licensure

• Valid Ohio RN license with primary source verification
• NURSYS verification required

Health & Background Requirements

• Government-issued photo ID required
• 7-year criminal background check including SSN trace, national and county checks, sex offender registry
• Drug screening: Negative 9 or 10 panel drug screen including marijuana panel within 12 months
• Physical exam within 2 years indicating fitness for work and free of communicable diseases
• Immunizations or proof of immunity required for:

  • Measles (Rubeola)
  • Mumps
  • Rubella
  • Varicella
  • Hepatitis B (vaccination series, immune titer, or declination)
• Flu vaccination or approved medical/religious exemption required during flu season
• Negative TB test or chest X-ray; annual TB questionnaire if past positive TB
• Respiratory safety clearance within 1 year, renewed annually

Documentation & Application Requirements

• Current resume/application required
• Work history must clearly show 1:5 ratio experience in step down or PCU
• Two professional references within 2 years required (one must be manager/supervisor/charge nurse) or 1-year work history verification if references unavailable
• Skills checklist updated within 1 year
• E-Verify and I-9 compliance required
• Candidate agreement and annual health questionnaire must be completed prior to documentation due date

Additional Notes

• Team nursing model is currently being trialed; nurses may function in team or primary nursing roles
• Traveler will be first to float and may be assigned to medically appropriate units
• No employee incentives available for travelers
• Request time off (RTO) must be submitted with initial application; no additions after offer
• Manager discretion applies to RTO approval and floating assignments