Stepdown RN
Dayton, Ohio
Miami Valley Hospital

Registered Nurse, Step Down

Location: Dayton, Ohio Contract: 13 weeks Schedule: Nights, 4x12-hour shifts (19:00 to 07:30); 36 or 48 hours per week Unit: HRRU unit

Unit and Patient Population

• Working with telemetry, drips, and vents
• Patients primarily have COPD, CHF, pneumonia, flu, sepsis, diabetic ketoacidosis (DKA), and post-COVID conditions
• Respiratory therapists support care for trach, vent, BiPAP, and high-oxygen patients
• Drips include insulin, heparin, Cardizem, and others
• Trach and vent patients only; no orally intubated patients on the unit
• Patient ratio target is 1:4, with a possible range up to 1:5 to 1:6
• Trial of team nursing: two nurses and a PCT share a group of patients. Nurses may work in team nursing or primary nursing depending on the trial's status.
• Navy blue scrubs

Assignment Details

• Traveler is first to float, at the facility's discretion, within specialty clusters. Floating is only to medically appropriate assignments or to support the nursing team of the unit floated to.
• If assigned to the main hospital, floating may include a south campus under 10 miles away and a north campus under 15 miles away.
• Must work every other weekend and holidays.
• Facility may cancel 2 shifts for low census per 13-week contract, and may cancel the agreement with 2 weeks' notice without fee or fine.
• RTO requests must be submitted with the initial application. No RTO can be added after the offer, and approval is at the manager's discretion.

Required Qualifications

• Valid RN license in Ohio
• Stepdown experience of 1 year, obtained within the last year
• ACLS (Advanced Cardiac Life Support) certification issued by the American Heart Association or RQI
• BLS certification issued by the American Heart Association or RQI
• Associate of Science in Nursing (ASN) / Associate Degree in Nursing
• Experience with mechanical ventilation
• Experience with Epic

Onboarding and Compliance

• Government-issued photo ID
• E-Verify form, completed before start
• Proof of legal name change, if names differ on documents
• 7-year criminal background check based on SSN trace, completed within 12 months before documentation due date. Must include national sex offender check.
• EPLS/GSA/SAM and HHS/OIG checks
• Negative 9- or 10-panel drug screen within 12 months, including a marijuana panel. Medical marijuana is not accepted as justification for a positive result. Two dilute screens are allowed during onboarding, but a random screen is required during orientation week.
• Physical exam within 2 years, signed by an MD, DO, NP, PA, or RN
• Negative TB test (PPD, T-spot, or Quantiferon) from within the candidate's past, or a clear chest X-ray plus negative TB questionnaire if TB was previously positive
• Hepatitis B: vaccination series, immune titer, or declination
• Flu vaccination or declination due by 11/13/2026
• Annual health questionnaire and candidate agreement
• Respirator medical questionnaire
• Current resume and employment application
• Skills checklist within 1 year before documentation due date, updated annually
• 2 professional references from within 2 years, 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.