Medical-Surgical Orthopedics RN
Council Bluffs, IA
American Traveler
3x12 hrs, Nights

Assignment Overview

• Shift: Nights, 3x12hrs
• Hours: 36 hrs/wk
• Start Date: May 11, 2026
• Length: 13 weeks
• Openings: 1

Description

American Traveler is seeking an experienced RN for a 13-week Med/Surg Orthopedics night shift position at a Level III trauma acute care hospital, requiring an active IA or compact RN license and at least one year of experience.

Details

• Acute care hospital setting with a 28-bed Med/Surg Orthopedics unit and 22 overflow beds
• Patient population includes total joint replacements (knees, hips, shoulders), COPD, diabetes, wounds, IV infusions, dementia, oncology, fractures, sepsis, pneumonia, CHF, appendicitis, acute respiratory distress, cholelithiasis, and patients with ETOH/drug abuse history
• Nurse-to-patient ratio of 1:5; nurse aides/patient care techs available at a 1:10 ratio
• Charge nurse is present on each shift and carries an assignment
• Heparin, IV antibiotics, antithrombotics, and narcotic drips are used on the unit; RNs are not required to titrate drips
• Telemetry monitors are available at the main nurses station; monitor techs are located in the ICU
• EMR: Epic
• 12-hour night shifts (1830–0700); self-scheduling
• Every third weekend required; Friday and Saturday nights are considered the weekend for this shift
• Floating required to PCU and McDermott (behavioral health unit)

Requirements

• Active IA or compact RN license required; pending licenses are not accepted
• Current BLS certification required; pending certifications are not accepted
• Minimum 1 year of RN experience required
• Med/Surg experience required
• Epic EMR experience preferred
• Driver's license required for consideration, used to verify permanent address is at least 50 miles from the facility
• 2 professional references required: one supervisor from within the last 12 months and one peer or supervisor from within the last 3 years, each including dates of employment and eligibility for rehire
• Candidates must not have been directly employed full-time, part-time, or PRN by any CommonSpirit-affiliated facility (including CHI or Dignity Health) within the past year; those employed PRN through outside staffing firms will be considered

Additional Information

• Unit emphasizes hourly rounding and bedside shift report
• Travelers are expected to be flexible, self-directed, and comfortable with change
• Orientation consists of one week of classroom training followed by one 12-hour shift on the unit
• A pass/fail open-book skills exam is administered during orientation; a score of 90% or higher is required to continue the assignment
• Navy blue scrubs are required; artificial nails are prohibited in all patient care areas
• All requested time off must be submitted upfront; additional RTO will not be approved after submission
• Candidates must reside at least 50 miles from the facility to be eligible for this position
• Level III trauma acute care hospital environment