Stepdown Registered Nurse
Madison, WI
Revolution Healthcare Services
3x12 hrs, Days, Nights, Flexible, Rotating
Referral Bonus

Job Opportunity – Pediatric Medical-Surgical / Step-Down RN – Wisconsin

Start Date: September 14, 2026

Location: Madison, Wisconsin

Compensation: Details provided to qualified applicants

Schedule: 12-hour shifts, day or night (7:00am-7:30pm or 7:00pm-7:30am), Monday through Friday with every other weekend required

Highlights:

• Mixed acuity unit providing general medical to step-down intermediate care for pediatric patients
• Diverse patient population including neurology, diabetic, nephrology, spinal fusion, and respiratory cases
• Experience with pulmonary diagnoses, respiratory failure, tracheostomy, ventilator management, CPAP, and BiPAP
• Epic EMR system; telemetry monitoring on the unit
• Comprehensive interdisciplinary support including IV teams, respiratory services, physical therapy, pharmacy, and rapid response teams
• Magnet-designated pediatric facility with Level One Trauma Center designation

Requirements:

• Active RN license
• Minimum 2 years of Pediatric Medical-Surgical experience required
• BLS and PALS certification (American Heart Association only)
• Epic charting system experience required
• Trauma Level I experience preferred
• 3:1 patient ratio experience
• Must successfully pass telemetry exam prior to start date with strict passing criteria
• Floating to other units as needed

Clinical Skills:

• Proficiency in pediatric dosage calculations, IV starts and maintenance, central line care, and peripheral line management
• Experience with tracheostomy care, ventilator management, chest tube management, and oxygen delivery systems
• Knowledge of insulin administration, TPN/Lipids, isolation precautions, and infection prevention
• Competency in telemetry interpretation, dysrhythmia management, and seizure disorder care
• Ability to care for patients with neuromuscular disease, renal failure, and respiratory conditions

Patient Population:

• Infants, pediatrics, and adolescents
• Neurology patients including seizure disorders and neuromuscular disease
• Diabetic patients with DKA and new onset diabetes management
• Nephrology patients including kidney transplants
• Post-operative spinal fusion patients
• Respiratory patients requiring ventilator support or transitioning home with new tracheostomy

Why It's a Great Opportunity:

Join a Magnet-designated pediatric facility known for providing exceptional specialized care in a healing environment designed specifically for children and their families. This role offers the opportunity to work with a diverse patient population across multiple specialties, supported by nationally recognized pediatric specialists and a comprehensive interdisciplinary team. You'll gain valuable experience in both general pediatric care and step-down intermediate care while making a meaningful difference in the lives of young patients and their families.