Stepdown RN
Marshfield, WI
American Traveler
3x12 hrs, Days

Assignment Overview

• Shift: Days, 3x12hrs
• Hours: 36 hrs/wk
• Start Date: Dec 7, 2026
• Length: 13 weeks
• Openings: 1

Description

American Traveler is hiring a Med/Surg Tele RN for a cardiac-heavy IMC/Stepdown unit requiring 1 year of Tele/IMC experience and drip titration skills.

Details

• IMC/Stepdown unit within a Level 2 trauma acute care hospital, 28 beds
• Patient population up to 75% cardiac (pre/post cath, pre-CABG, chest pain, NSTEMI) with remaining general med/surg diagnoses including CHF, COPD, pneumonia, diabetes, dialysis, altered mental status, nephrology, hematology, wounds, and overflow strokes
• Nurse-to-patient ratios average 1:5 on days/PMs and 1:5-7 on NOCs
• Nurse aide ratios average 1:9 days/PMs and 1:14 NOCs when full
• Uses Cerner EMR (transitioning to Epic)
• 12-hour day shift schedule, 0700-1930
• Every other weekend (Friday, Saturday, Sunday) and every other holiday required
• Floating required to other Med/Surg floors on a rotating basis, and possibly outside the Med/Surg cluster for 1:1 observation needs
• No self-scheduling, though block scheduling may be accommodated when possible
• No agency staff on-call, though shifts are scheduled in 4-hour blocks and staff may be low-censused or reallocated
• Charge RN typically carries a partial patient assignment while serving as a resource

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 cardiac-heavy unit
• Drip titration experience required, including insulin, heparin, nitro, diltiazem, and lasix
• BSN not required for this position
• 2 professional references required, one from a supervisor and one from a peer or supervisor

Additional Information

• Responsible for titrating common drips including insulin, heparin, nitro, diltiazem, and lasix
• Tele techs stationed elsewhere provide 24/7 monitoring, with an on-unit monitor available for nurses to verify rhythms
• Respiratory equipment on unit includes continuous CPAP/BiPAP, high flow, vapotherm, nebulizers, and chest PT (no ventilators)
• Unit orientation includes 1 12-hour day off-unit and 1 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
• Previous travel experience preferred
• Former Marshfield permanent staff must have an end date at least 6 months prior to consideration
• Candidates living within 80 miles of the facility are considered local