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

Assignment Overview

• Shift: Nights, 3x12hrs
• Hours: 36 hrs/wk
• Start Date: Nov 9, 2026
• Length: 13 weeks
• Openings: 1

Description

American Traveler is hiring a Med/Surg/IMC/Tele RN for a night shift stepdown unit position requiring 1 year of cardiac tele/IMC experience and drip titration skills.

Details

• Work on a 28-bed Med Surg/IMC/Tele stepdown unit at a Level 2 trauma center
• Nurse to patient ratios average 1:5 days/PMs and 1:5-7 NOCs (must be comfortable with up to 7 patients)
• Up to 75% of patients are cardiac (pre/post cath, pre-CABG, chest pain, NSTEMIs, procedural cardiac) with additional general medical diagnoses including CHF, COPD, pneumonia, diabetes, dialysis, altered mental status, nephrology, hematology, wounds, and overflow strokes
• RNs are required to titrate drips including insulin, heparin, nitro, diltiazem, and lasix
• Tele techs provide 24/7 monitoring and nurses also check a unit monitor to confirm rhythm capture
• Charge RN takes a partial patient assignment while also serving as a resource and performing charge duties
• Nurse aide ratios average 1:9 days/PMs and 1:14 NOCs when full
• Respiratory equipment includes continuous CPAP/BiPAP, high flow, vapotherm, nebulizers, and chest PT (no vents)
• 12-hour night shifts from 1900-0730, with every other weekend (Friday, Saturday, Sunday) and every other holiday required
• Floating to other Med/Surg floors required on a rotating basis, and staff may float outside the med/surg cluster for 1:1 patient observer needs
• No self-scheduling, though block scheduling is accommodated when possible
• No on-call requirement, but staff may be low-census or reallocated in 4-hour blocks based on staffing needs
• Uses Cerner EMR, which is transitioning to Epic

Requirements

• Active WI or compact RN license required by start date
• Current BLS (AHA) and NIHSS certifications required
• Minimum 1 year of Tele, IMC, or Stepdown RN experience required
• Majority of experience must be in a cardiac-heavy unit
• Drip titration experience required
• Strong communication, teamwork, and work ethic required

Additional Information

• Provide direct patient care on a cardiac-focused stepdown unit, including drip titration and respiratory support
• Unit orientation includes one 12-hour day off-unit and one 12-hour shift on-unit
• Scrubs may be any color as long as clean and professional
• All clinicians must clock in and out at the facility
• Candidates living within 80 miles of the facility are considered local for rate purposes
• Previous travelers are preferred
• Former permanent staff must have an end date at least 6 months prior to consideration