Stepdown RN
Dayton, Ohio
Miami Valley Hospital

Registered Nurse – Step Down

Location: Dayton, Ohio Employment Type: Travel/Contract Contract Length: 13 or 18 weeks (winter contracts available) Schedule: Night shift, 4 x 12-hour shifts (19:00–07:30), 48 hours/week Holidays and Weekends: Must work every other weekend and every other holiday Patient Ratio: Targeted 1:4–6 Scrubs: Navy blue

Unit Details

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

Required Qualifications

• Valid Ohio RN license with primary source verification
• Associate of Science in Nursing (ASN) / Associate Degree in Nursing
• Minimum of 1 year of step-down experience, with step-down experience within the last year
• Experience working with cardiac patients
• Experience with CABG post-op patients
• Experience with valve post-op patients
• Experience with cardiac drips
• IV insertion skills
• ACLS (Advanced Cardiac Life Support) certification issued by the American Heart Association or RQI
• BLS certification issued by the American Heart Association or RQI
• NIH Stroke Scale (NIHSS) certification
• Experience with Epic

Floating

• Traveler is first to float, at the facility's discretion, within specialty clusters.
• Assignments will be medically appropriate or will support the nursing team of the unit floated to, including the high-risk respiratory unit and COVID.
• Floats may include other campuses in the system: a south campus less than 10 miles from the main campus and a north campus less than 15 miles from the main campus.

Cancellation Policy

• The facility may cancel 3 shifts per 13-week contract (or 2 shifts per 8-week contract) due to low census.
• The facility may cancel the agreement with 2 weeks' notice.

Onboarding and Compliance

• Background check: 7-year criminal background check within 12 months before the documentation due date, including national sex offender registry. DMV check is required for anyone who must drive for the position.
• Drug screen: Negative 9- or 10-panel drug screen within 12 months, including a marijuana panel. Medical marijuana use is not accepted as justification for a positive result. Lab work is due within 72 hours of signing the contract.
• 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 past. If TB was positive in the past, a clear chest X-ray and a negative TB questionnaire (updated annually) are required.
• Immunity documentation: Measles, mumps, rubella, and varicella. Titer or 2 vaccines preferred; attestation of immunity is acceptable. Hepatitis B vaccination series, immune titer, or declination is required.
• Flu: Vaccination or declination due by 11/13/2026
• Respirator protection: RespSafety clearance within 1 year, renewed annually. N95 fit testing is required before working on the high-risk respiratory unit unless a PAPR is offered or needed.
• Competencies:

  • Unit-specific competency exam within 2 years
  • Medication/pharmacology competency exam within 2 years
  • Dysrhythmia/EKG competency exam within 1 year, with up to 3 attempts at 80% or higher
• Skills checklist: Within 1 year, updated annually
• References: 2 within 2 years, one from a manager, supervisor, or charge RN. A 1-year work history verification may be used if 2 references cannot be obtained.
• Documents: Current resume or application, government-issued photo ID, and proof of name change if the name differs on documents
• Certifications expiring within a week of start must be renewed and will not be accepted.

Other

• Return to Operations (RTO): Must be requested with the initial submittal. No RTO can be added after the offer. Approval is at the manager's discretion. The submittal must include the application and a current NURSYS report. Other certifications are not needed if listed on the application.