Med Surg RN
Norfolk, NE
Host Healthcare
3x12 hrs, Days
Referral Bonus

Medsurg RN

Location: Norfolk, Nebraska (45-mile radius rule) Start/Length: 10 weeks, starting 12/29, with an option to extend Shift: Days, 3x12-hour shifts (36 hours/week) Unit: Med Surg, 38 beds Float: May float to IMCU for MS assignments

Required Qualifications

• BLS (AHA or ARC)
• Nonviolent Crisis Intervention (CPI)
• 1 year of Med Surg experience
• Experience with bedside shift report
• Ability to take a 1:6 patient ratio
• Experience on the shift submitted for (days or nights)
• Ability to titrate drips (RNs are required to titrate)

Assignment Details

• Patient ratios: 1:5-6 on days and nights; must be able to take 6. Days have high turnover, and discharging a patient may result in an admission.
• Patient population: Possibly older teens and adults. Largest nursing specialty with many diagnoses, including pneumonia, UTI, dehydration, influenza, alcohol withdrawal, and respiratory viruses. Surgical patients include orthopedic (hips, knees, shoulders), general surgery (appendix, gallbladder, bowel), spinal surgery (laminectomy, spinal fusion), and urology.
• Drips: Common titratable and/or set-rate drips include heparin (set rate: Bumex, Lasix).
• Telemetry: A cardiac tech is available 24/7. RNs are not required to read their own strips and will call the cardiac tech when telemetry is ordered.
• Charge/supervision: Nursing supervisor 24/7. Days have two charge nurses, and the second rarely takes patients. Nights have one charge nurse who does not take patients.
• Nurse aides: Ratio of 1:8-1:10. Aides can perform accuchecks and vital signs.
• Respiratory therapy: RT support 24/7. Equipment includes trachs, CPAP for OSA, BiPAP, and high flow (not often used).

Scheduling

• No self-scheduling for travel RNs.
• Blocked scheduling can be accommodated at times (6-630).
• Weekends and holidays: as needed.
• On call/standby: Yes, for low census or cancellations.

Orientation and Attire

• Unit/department orientation: 1.5 shifts
• Scrubs: navy blue

Additional Notes

• Expectations include teamwork (helping answer call lights and working well with CNAs), bedside shift report, and proactive patient rounding.
• Clinical prescreen first, then managers auto-offer.
• First-time travelers are accepted.