RN Med Surg/IMC/Telemetry Stepdown
Marshfield, WI
American Traveler
3x12 hrs, Nights

Assignment Overview

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

Description

American Traveler is hiring a travel RN for a Med/Surg IMC/Tele position at a Level II Trauma facility, requiring at least 1 year of telemetry or stepdown experience with a strong cardiac background and drip titration skills.

Details

• Acute care stepdown/IMC unit (6N) in a Level II Trauma hospital setting
• 28-bed unit with a heavy cardiac focus — up to 75% of patients are cardiac, including pre/post caths, chest pain, NSTEMIs, and procedural cardiac cases; general population includes CHF, COPD, pneumonia, diabetes, dialysis, altered mental status, nephrology, hematology, wounds, and overflow strokes
• Nurse-to-patient ratios average 1:4–5 on days/evenings and 1:5–7 on nights (must be comfortable with up to 7 patients on nights)
• Nurse aides available at approximately 1:9 on days/evenings and 1:14 on nights
• RNs are required to titrate drips; common drips include insulin, heparin, nitroglycerin, diltiazem, and Lasix
• Respiratory equipment on unit includes continuous CPAP/BiPAP, high flow, Vapotherm, nebulizers, and chest PT; no vents
• Telemetry techs provide 24/7 remote monitoring; a unit monitor is also available for nurses to verify rhythm capture
• Charting is done in Cerner (transitioning to Epic)
• 12-hour night shifts, 1900–0730
• Every other weekend (EOW) requirement covers Friday, Saturday, and Sunday
• Every other holiday (EOH) required
• No self-scheduling; block scheduling is accommodated when possible with varied shift start times of 0700, 1100, or 1900
• Floating to other Med/Surg floors is required on a rotating basis; floating outside the Med/Surg cluster is possible, particularly for 1:1 patient observer needs
• Agency staff are not placed on call, though shifts may be reduced or staff reallocated based on census needs
• 13-week contract

Requirements

• Active WI or compact RN license required by start date
• Current BLS (AHA) and NIHSS certifications required
• Minimum 1 year of telemetry, IMC, or stepdown RN experience required
• Majority of experience must be in a cardiac setting given the unit's heavy cardiac caseload
• Drip titration experience required
• Strong communication, teamwork, and work ethic expected
• Previous travel nursing experience preferred
• 2 professional references required for consideration: 1 supervisor reference from within the last 12 months of relevant experience, and 1 peer or supervisor reference from within the last 3 years of relevant experience

Additional Information

• Orientation consists of one 12-hour off-unit day followed by one 12-hour on-unit shift
• Scrubs may be any color; clean and professional appearance required
• Candidates who have previously worked at this facility as permanent staff must have an end date at least 6 months prior to their consideration date, and hospital approval is required
• Candidates residing within 80 miles of the facility are considered local, which may affect travel pay eligibility
• Local candidates are accepted for this position