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 seeking a Med/Surg/PCU/Tele RN for a Neuro Trauma stepdown unit requiring trach and vent experience and drip titration skills.

Details

• Acute care stepdown unit (5N Neuro Trauma) within a Level 2 trauma facility
• 28-bed unit with nurse-to-patient ratios of 1:4-5 days and 1:5-6 nights, depending on acuity
• Patient population includes strokes, seizures, Guillain-Barre, Myasthenia Gravis, spinal injuries, thrombectomies, post-TNK/TPA care, endovascular neuro specialties, AMS, dementia, and trauma ortho injuries
• 12-hour day shifts from 0700-1930
• Self-scheduling model that opens 6 weeks in advance; same shifts cannot be guaranteed for travel duos
• Every other weekend required (Friday, Saturday, Sunday)
• Floating required to sister Med/Surg units across 6 specialties including mixed care, cardiac, general, MS ortho, and heme/onc
• No call or standby requirements
• Uses Cerner EMR (facility transitioning to Epic)
• RT equipment on unit includes vents, trachs, CPAP, BiPAP, Vapotherm, and EtCO2 monitoring
• Central tele monitoring located off-unit
• Charge nurse takes a full team assignment on nights and a smaller assignment on days
• Nurse aide support available at 1:9 ratio days and 1:12 nights

Requirements

• Active WI or compact RN license required
• Current BLS (AHA) and NIHSS certifications required
• Minimum 2 years of Med/Surg, PCU, or ICU experience required
• Experience must be within the last 1 year in a similar setting
• Drip titration experience required (e.g., Heparin, Nitro, Diltiazem, Amiodarone, Insulin)
• Trach and vent experience strongly preferred; willingness to train and learn vents required if not experienced
• 2 professional references required: 1 from a supervisor and 1 from a peer or supervisor

Additional Information

• Provide direct care for neuro and neuro trauma patients, including post-stroke, seizure, spinal injury, and endovascular cases
• Manage and titrate common drips as part of daily patient care
• Participate in unit orientation consisting of 1 general shift and 1 shift with a preceptor
• Holiday coverage typically includes 2 of 3 winter holidays, otherwise every other holiday
• Any solid color scrubs permitted
• All clinicians must clock in and out at the facility
• First-time travelers are welcome to apply
• Candidates who previously worked at the facility as permanent staff must have an end date at least 6 months prior to consideration
• Candidates residing within 80 miles of the facility are considered local for pay rate purposes