Med Surg Float RN
Madras, OR
Access Healthcare
4x12 hrs, Nights

Registered Nurse - Medical Surgical Float

Location: Madras, Oregon Employment Type: Travel/Contract Contract Length: 13 weeks Shift: Night, 4x12 hours (17:45 to 06:15) Hours: 12 hours per day, 48 hours per week

Assignment Details

• 3 shifts per week at Madras and 1 shift per week at another location in the area (Bend, Redmond, or Prineville), depending on where need is greatest
• Clinicians may float within scope to meet needs, including to Prineville
• Some pediatric patients and some IMU-level patients
• Patient ratios are acuity-based, and most patients are low acuity
• Weekend requirement: every other weekend
• Return-to-work restriction: maximum of 7 total days off during the 13-week assignment

Required Qualifications

• Valid RN license in Oregon, with primary source verification
• NURSYS verification required for RN
• Associate of Science in Nursing (ASN) / Associate Degree in Nursing (ADN)
• Float (2 years of experience)
• Float experience within the last year
• Experience in a hospital setting, including community hospital experience
• BLS issued by American Heart Association (AHA only; Provider, Instructor, and RQI accepted)
• NIHSS
• Experience with Epic

Onboarding Requirements

Background checks

• 7-year criminal background check within 90 days of start, updated annually (includes SSN trace, counties lived/worked/schooled, FACIS L3, DOJ sex offender search, nationwide search, and highest-level education verification)
• EPLS/GSA/SAM and HHS/OIG checks within 90 days of start
• Diploma or transcript on file, in addition to education verification

Competencies

• Medication test/pharmacology competency exam and general competency exam, as applicable to profession and specialty
• Dysrhythmia/EKG competency exam (one attempt to pass); an EKG certification may be submitted for facility approval in lieu of testing

Facility documents (time-sensitive: on file within 48 hours of signing and no later than 2 Wednesdays before start)

• Passport-style badge photo with solid background
• Acceptable use and confidentiality agreement
• Contractual and third-party access agreement
• Compliance and privacy program attestation
• Emergency contact form

Health documents

• Physical exam within 1 year of start (not required annually)
• Tdap within 10 years of start, given after age 19 (declination accepted)
• TB: QuantiFERON within 1 year of start; positive responders need a negative chest X-ray within 5 years and annual TB questionnaire. TSpot and PPD are no longer accepted as of 4/2026.
• TB questionnaire required, updated annually
• Measles (rubeola), mumps, rubella, and varicella: positive titer or 2 vaccines (low/equivocal titer: 1 booster or declination accepted)
• Hepatitis B: positive titer required (vaccine series alone not accepted; low/equivocal titer: booster or declination accepted)
• Negative 12-panel drug screen within 90 days of start (not required annually)
• Flu vaccine or declination/exemption required during flu season (10/1 to 3/31); vaccine preferred; masking required regardless of vaccine status during high transmission; deadline 12/01
• COVID vaccines preferred, not required; declination or exemption required if never vaccinated
• RespSafety clearance within 1 year of start and annually
• Skills checklist required annually

Additional Notes

• Local candidates not accepted (75-mile radius rule; proof of address required at submission)
• Pending licenses not accepted
• First-time travelers accepted
• Epic experience requested (software familiarity, not a credential)