Stepdown RN
Chula Vista, California
Scripps Health System Wide Float Pool

Registered Nurse – Step Down

• Location: San Diego, California
• Employment type: Travel/Contract
• Contract length: 13 weeks
• Shift: Night, 4x12-hour shifts (19:00–07:30)
• Hours: 12 hours per day, 48 hours per week

Role Details

• May be required to float across the organization (5 hospitals) to like units or to lower acuity units, as needed.
• Works 4 weekend shifts in a 4-week cycle, including at least one holiday and the holiday weekend.

Required Qualifications

• Valid RN license in California
• Associate of Science in Nursing (ASN) / Associate Degree in Nursing (ADN)
• Stepdown experience (2 years of experience)
• Stepdown experience within the last year
• One completed travel assignment
• Experience with Epic
• ACLS: Advanced Cardiac Life Support certification issued by the American Heart Association (AHA) or Resuscitation Quality Improvement (RQI)
• BLS: Basic Life Support certification issued by the American Heart Association (AHA) or Resuscitation Quality Improvement (RQI)
• NIHSS: NIH Stroke Scale certification, valid for the length of the assignment. Accepted sources are NIHSS via Blue Cloud, NIH via AHA, and Apex Innovations. Certificates must come from the original vendor; NIH through HealthStream is not accepted, even if from Apex, Blue Cloud, or AHA. Valid for 1 year and must be updated annually.

Health and Immunizations

• Physical exam: Required within 12 months of start. Does not need annual updates.
• TB: Negative PPD, QuantiFERON-Gold, or T-SPOT within 12 months of start. Positive PPD requires a clear chest X-ray within 12 months and an annual TB questionnaire. All TB testing, including CXR, must be updated yearly.
• Tdap: Required. Declinations are not accepted.
• Measles, mumps, rubella, and varicella: 2 vaccines or titer. Negative or equivocal titers require 2 boosters, and the candidate may start with the 2nd booster pending. Declinations are not accepted.
• Hepatitis B: Vaccination series, titer, or signed declination.
• Flu: 2026–27 flu vaccination or agency declination on file, due by 11/6. Masks are required for unimmunized personnel in clinical facilities through the end of flu season.
• COVID-19: Fully vaccinated or an approved medical or religious exemption on file. Exemptions are subject to approval, and the agency must complete an attestation form.
• N95 fit test: Required within 1 year of start and updated annually. Testing is not available onsite. Approved masks are Kimberly-Clark/Halyard N95 (small or regular, "Duckbill"), 3M N95 1860 (small or regular), and 3M N95 1870+. A failed fit test requires passing with another approved mask or PAPR testing before start. The traveler must bring their own PAPR mask.
• Drug test: 9-panel within 1 year of start. Does not need annual updates.

Background and Screening

• 7-year criminal background check, including SSN trace, county, statewide, federal, and national criminal and sex offender searches. International searches are not required.
• HHS/OIG check required.

Onboarding Documents and Training

• Proof of W-4 on file.
• Employment application, required and included in annual audits.
• Two satisfactory references.
• Skills checklist, required.
• Vaccine attestation form, required for all travelers regardless of vaccination status.
• Facility learning modules (about 8 hours), due by Monday before start. Transcript must be submitted as a PDF. Screenshots are not accepted.
• Standards of Conduct acknowledgment and Confidentiality and Non-Disclosure Agreement, both completed before start. Both expire each year on 2/28 and must be updated.
• Validation of Qualifications form, signed within 30 days of start.
• Documentation checklist.
• Pyxis acknowledgment, signed before start.
• Client job description, completed before start.