Med Surg Ortho RN
Council Bluffs, IA
American Traveler
3x12 hrs, Nights

Assignment Overview

• Shift: Nights, 3x12hrs
• Hours: 36 hrs/wk
• Start Date: Sep 28, 2026
• Length: 13 weeks
• Openings: 1

Description

American Traveler is hiring an experienced RN for a Med/Surg Orthopedics unit requiring an active IA or compact RN license and at least 1 year of experience.

Details

• 13-week assignment on a Med Surg/Ortho unit in an acute care Level 3 trauma hospital
• 28 beds plus 22 overflow with a 1:5 patient ratio
• Common diagnoses include total knee/hip/shoulder replacements, COPD, diabetes, wounds, IV infusions, dementia, oncology, hip and ankle fractures, sepsis, pneumonia, and CHF
• EPIC EMR used for charting
• 12-hour night shifts (0630-1900 or 1830-0700) with self-scheduling
• Weekend rotation required every third weekend (Friday and Saturday considered weekend nights)
• Float requirement to PCU and behavioral health (McDermott) units
• Charge nurse present on each shift and does not take a patient assignment
• Nurse aides/patient care techs available at a 1:10 ratio
• RNs are not required to titrate drips
• Monitor techs available in ICU with additional monitors at the main nurses station

Requirements

• Active IA or Compact RN license required, pending licenses not accepted
• Minimum 1 year of RN experience required
• BLS certification required
• BSN not required
• Must complete unit-specific orientation including a pass/fail open-book skills exam (90% required to pass)
• Driver's license required to confirm permanent residence

Additional Information

• Focus on hourly rounding and bedside shift report practices
• Ideal candidates are flexible, self-directed, and open to change
• Patient population includes individuals with mental health, addiction, and homelessness backgrounds
• Navy blue scrubs required, not provided by facility
• First week consists of classroom orientation followed by one 12-hour shift on the unit
• Artificial nails are prohibited in all patient care areas
• Candidates must reside at least 50 miles from the facility
• Candidates may not have been directly employed (full-time, part-time, or PRN) with any CommonSpirit, CHI, or Dignity facility within the past year
• RTO must be submitted upfront; additional RTO requests will not be approved after submission
• First-time travelers may be considered if flexible and adaptable to unit needs