Full employer posting
Nights, 4x12hrs Hours: 48 hrs/wk Start Date: Nov 16, 2026 Length: 13 weeks Openings: 1 Description American Traveler is hiring a Night Shift Stepdown RN with cardiac telemetry experience including CABG and valve post-op care, requiring an OH or compact RN license. Details 36-bed Stepdown unit specializing in pre/post-op open heart management including CABG, valve, mitral clip, and TAVR Also cares for thoracotomy and lung cases including pneumothorax, hemothorax, chest tube, and zephyr valve procedures Advanced care cardiac patients on continuous telemetry monitoring Night shift schedule, 4x12 hours, 19:00-7:30 Targeted patient ratios of 1:4-6 Epic EMR experience required Required to work every other weekend and every other holiday May float within the hospital or to other nearby Premier Health hospitals at facility discretion, including to high-risk respiratory/COVID units Floating may include Main Campus (Dayton), South Campus (Centerville, less than 10 miles away), and North Campus (Englewood, less than 15 miles away) Requirements Active OH RN license or compact license required BLS, ACLS, and NIHSS certifications required Minimum 1.5 years of experience required, preferably at a Level I or II trauma center Stepdown (SD) or PCU experience required; ICU experience does not qualify CABG experience required Experience with valve post-op care required Must demonstrate 1:5 patient ratio experience in SD or PCU setting Skilled in reading and interpreting telemetry strips Experience with IV starts, NIH stroke scale, and cardiac drip titration required Must pass an online EKG telemetry competency assessment prior to starting Additional Information Provide nursing care for cardiac and respiratory patients including BiPAP/CPAP management, ABG interpretation, and non-invasive airway management Manage central lines, peripheral lines, PICC lines, and administer blood products and IV therapy Administer and titrate cardiac drips, manage heparin protocols, and interpret/manage dysrhythmias Provide care for feeding tubes, wound care/wound vac, and IV insulin protocols Experience with pre/post cardiac catheterization and pre/post cardiac surgery patients preferred Will be fitted for N95 respirator prior to working on the HRRU unit unless PAPR is provided Navy blue scrubs required Facility may cancel up to 3 shifts per 13-week contract due to low census Maximum of 14 days RTO allowed per contract; must be requested at time of submission and will not be negotiated after an offer is made Travelers not accepted from within a 50-mile radius of the facility Previous Premier Health perm/PRN staff or prior agency travelers not extended due to tenure must wait 6 months before reapplying as a traveler Travel experience preferred but not required, making this role open to first-time travelers