Registered Nurse – Step Down/Progressive Care Unit
Dayton, Ohio
Miami Valley Hospital

Travel Registered Nurse (Step Down Unit)

Location: Dayton, Ohio
Employment Type: Travel/Contract
Contract Length: 13 weeks

Job Overview

• Position on a Step Down (SD) / Progressive Care Unit (PCU) with a team nursing model trial (two nurses + PCT caring for a group of patients).
• Patient ratios targeted at 1:4, can be up to 1:5-6.
• Shift options: 36 or 48 hours per week. OT paid after 48 hours.
• Patient population includes COPD, CHF, Pneumonia, Flu, Sepsis, Diabetic Ketoacidosis, Post Covid.
• Care involves tele monitoring, drips, vents, trach care (no orally intubated patients), bipaps, high oxygen requirements, insulin drips, heparin, Cardizem, and other drips. Respiratory Therapist support available.
• Navy blue scrubs required.

Experience & Requirements

• Specialty: Registered Nurse with Step Down/PCU experience (ICU experience does NOT count toward SD/PCU experience).
• Required Experience: Minimum 1.5 years in Step Down or PCU with some level 1 or 2 experience preferred.
• Prior Travel Experience: Preferred but not required.
• Must have ventilator experience.
• Must have EPIC electronic health record experience.
• Must have experience with ventilators and be able to work with tele monitoring and drips.
• Must pass an online EKG tele competency assessment before starting.
• BLS and ACLS certifications required; must be able to read and interpret EKG strips.
• Nurses will be fitted for N95 masks prior to working on the unit unless PAPR is offered/needed.

Floating & Scheduling

• Travelers will float at Premier's discretion, including to other campuses within 10-15 miles.
• Must be available to work every other weekend and holidays.
• Facility reserves the right to cancel shifts due to low census with notice.
• Travelers are not eligible for employee incentives.

Certifications & Competencies Required

• BLS (AHA)
• ACLS (AHA)
• Dysrhythmia/EKG Competency Exam (must pass within 3 attempts)
• Medication Test/Pharmacology Competency Exam (within 2 years)
• NIH Stroke Certification (required within 12 months prior to start, updated annually)
• Other certifications as applicable based on unit (e.g., PALS, NRP, TNCC, EFM) may be required depending on assignment.

Licensure & Documentation

• Ohio RN license required (primary source verification).
• NURSYS verification required.
• Physical exam within 2 years indicating fitness to work.
• Negative TB test or chest x-ray (annual update if past positive).
• Drug screening (9 or 10 panel including marijuana) within 12 months prior to documentation due date.
• Seasonal flu vaccination or approved medical/religious exemption required during flu season.
• Respiratory safety clearance within 1 year of start, renewed annually.
• Background checks including 7-year criminal background, EPLS/GSA/SAM, HHS/OIG required.
• References: 2 professional references within 2 years, including 1 manager/supervisor/charge RN.
• Skills checklist updated within 1 year.
• Employment application/resume required.

Additional Notes

• Application must show Step Down/PCU experience with a 1:5 ratio in work history; ICU experience does not count.
• Team nursing model may require flexibility in nursing roles.
• Traveler will be first to float and may be assigned medically appropriate duties outside primary unit.
• Must comply with all facility-specific health and safety requirements including respirator medical questionnaire and fit testing.

This position is ideal for a Registered Nurse with Step Down/PCU experience, ventilator skills, and EPIC proficiency looking for a travel contract in Ohio with a reputable health system.