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

Assignment Overview

• Shift: Nights, 3x12hrs
• Hours: 36 hrs/wk
• Start Date: Oct 26, 2026
• Length: 13 weeks
• Openings: 1

Description

American Traveler is seeking an experienced RN for a Med/Surg Tele IMC/Stepdown unit, requiring at least 1 year of tele/IMC experience and a heavy cardiac patient background.

Details

• 28-bed acute care Med Surg/IMC/Tele stepdown unit at a Level 2 trauma facility
• Nurse to patient ratios average 1:5-7 during days/PMs and 1:5-7 (up to 7) during NOCs
• Patient population up to 75% cardiac (pre/post cath, pre-CABG, chest pain, NSTEMIs, procedural cardiac) with general medical cases including CHF, COPD, pneumonia, diabetes, dialysis, altered mental status, nephrology, hematology, and wounds, plus overflow stroke patients
• Uses Cerner EMR, currently transitioning to Epic
• 12-hour night shifts from 1900 to 0730
• Every other weekend (Friday, Saturday, Sunday) and every other holiday required
• Floating required to other Med/Surg floors and occasionally outside the cluster for 1:1 patient observation needs
• No on-call requirement, though staff may be low-census or reallocated in 4-hour blocks
• RNs required to titrate drips including insulin, heparin, nitro, diltiazem, and lasix
• Unit staffed with tele techs for 24/7 monitoring, with on-unit monitors for nurse verification
• Charge RN carries a partial patient assignment while also performing charge duties
• Nurse aide ratios average 1:9 day/PM and 1:14 NOCs when fully staffed
• Respiratory equipment includes continuous CPAP/BiPAP, high flow, vapotherm, nebulizers, and chest PT (no ventilators)

Requirements

• Active WI or compact RN license required
• Current BLS (AHA) and NIHSS certifications required
• Minimum 1 year of Tele/IMC/Stepdown RN experience required
• Majority of experience must be in a heavy cardiac care setting
• Drip titration experience required
• Good communication, teamwork, and work ethic required
• Two professional references required: one from a supervisor and one from a peer or supervisor

Additional Information

• Provide direct patient care on a high-acuity cardiac and general medical stepdown unit
• No self-scheduling, though block scheduling is accommodated when possible
• Unit orientation includes one 12-hour day off-unit and one 12-hour shift on-unit
• Scrubs may be any color but must be clean and professional
• Previous travel experience preferred
• Candidates living within 80 miles of the facility are considered local with a reduced travel rate
• Former Marshfield employees must have an end date at least 6 months prior to consideration
• All clinicians must clock in and out at the facility