RN Pediatric & Adult Medical-Surgical
Monterey, California
Community Hospital of the Monterey Peninsula

Registered Nurse (RN) – Pediatric and Adult Med Surg

Location: Monterey, California
Contract Length: 13 weeks
Shift: Nights
Hours: 12-hour shifts, approximately 36 hours per week

Unit Overview

• Pediatric and adult medical-surgical unit (Main West Med Surg)
• Pediatric patients range from 29 days to 15 years old
• 20 beds, all private rooms
• Nurse-to-patient ratios:

  • Pediatrics: 1:4
  • Adults: 1:5
• No telemetry on unit; continuous respiratory monitors available (O2 sat, RR, HR, ETCO2)
• No ventilators; HFNC available for adults only (peds requiring HFNC transferred to ICU)
• Adult hospitalists and intensivists available 24/7
• Respiratory therapists available 24/7
• Pharmacy available 24/7 and responds to all codes
• IV team not available; IR RNs trained in ultrasound-guided IV insertions
• Charge nurse on each shift who carries a small patient load (2-3 patients)
• CNAs available on PM and as needed on night shifts, caring for 5-7 patients

Patient Population and Common Diagnoses

• Pediatrics: RSV, croup, bronchiolitis, pneumonia, gastrointestinal issues, straightforward post-operative care
• Adults: Women’s health, adolescents, alcohol withdrawal, dementia/geriatric care, ENT post-ops, appendectomies, cholecystectomies, urosepsis, plastic surgeries, small bowel obstructions, bowel resections

Required Qualifications

• California RN license or California EMS license
• Minimum 2 years of experience in pediatric and adult medical-surgical nursing
• BLS (AHA) and PALS certifications required; ACLS preferred
• Negative nicotine/cotinine drug screen required (nicotine patch use must be documented)

Orientation and Floating

• 3-4 shifts of unit-specific orientation with a preceptor
• Floating limited to other medical-surgical units only

Work Schedule and Requirements

• Every other weekend required:

  • PM shift weekends: Saturday and Sunday
  • Night shift weekends: Friday and Saturday
• Required to work one major holiday per contract
• Scrubs provided; color is teal

Additional Notes

• Nurses may be responsible for total patient care despite availability of nurse aides
• No telemetry monitoring responsibilities
• Unit is nicotine-free; positive nicotine/cotinine results without legitimate reason may result in contract cancellation

This position is ideal for experienced travel nurses with pediatric and adult med-surg backgrounds seeking a 13-week night shift assignment in California.