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RN - Med Surg​/Step Down

Job in Hilo, Hawaii County, Hawaii, 96721, USA
Listing for: Travel Care Hawaii
Full Time position
Listed on 2026-07-07
Job specializations:
  • Nursing
    RN Nurse
Salary/Wage Range or Industry Benchmark: 90000 - 110000 USD Yearly USD 90000.00 110000.00 YEAR
Job Description & How to Apply Below
Position: RN - Med Surg / Step Down

Registered Nurse (RN) Flex Pool (Medical‑Surgical / Step‑Down) Position Overview

We are seeking a flexible and experienced Registered Nurse (RN) to join our Flex Pool team on a contract assignment. This position requires floating between various Medical‑Surgical and Step‑Down units while delivering high‑quality patient care in a dynamic hospital environment. The ideal candidate is adaptable, clinically proficient, and comfortable working with diverse patient populations across multiple units.

Key Responsibilities
  • Provide direct nursing care to adult patients in Medical‑Surgical and Step‑Down settings.
  • Float between assigned nursing units based on patient care and staffing needs.
  • Perform comprehensive patient assessments and develop individualized care plans.
  • Administer medications, treatments, and therapeutic interventions in accordance with physician orders and nursing standards.
  • Monitor patient conditions and promptly communicate changes to the healthcare team.
  • Utilize critical thinking and clinical judgment to prioritize patient care.
  • Collaborate with physicians, therapists, case managers, and interdisciplinary teams to ensure optimal patient outcomes.
  • Maintain accurate and timely documentation within the electronic medical record (EMR).
  • Adhere to infection prevention, patient safety, and regulatory compliance standards.
Qualifications Required
  • Active Registered Nurse (RN) license or ability to obtain required state licensure prior to assignment start.
  • Minimum of two (2) years of recent acute care nursing experience.
  • Experience in Medical‑Surgical and/or Step‑Down nursing environments.
  • Strong assessment, communication, and organizational skills.
  • Ability to adapt quickly to different units and patient populations.
Required Certifications
  • Basic Life Support (BLS)
  • Advanced Cardiovascular Life Support (ACLS)
Preferred Certifications
  • Pediatric Advanced Life Support (PALS)
  • Trauma Nursing Core Course (TNCC)
  • Emergency Nursing Pediatric Course (ENPC)
  • Procedural Sedation Certification
Schedule
  • Night Shift
  • 12‑Hour Shifts (6:45 PM – 7:15 AM)
  • Scheduled for approximately 36 hours per week following orientation
  • Hours are based on facility needs and are not guaranteed
  • Holiday coverage required
Floating Requirements

The RN will be expected to float between multiple patient care units, including:

  • Medical‑Surgical Units
  • Surgical Acute Care Units
  • Cardiovascular/Step‑Down Units (as needed)

Unit assignments may vary based on census and staffing requirements.

Equipment & Technology

Experience with the following is preferred:

  • Electronic Medical Record (EMR) systems
  • Automated medication dispensing systems (e.g., Pyxis)
  • Wound Vacuum‑Assisted Closure (VAC) devices
  • Chest Tube Management
Orientation & Training

Comprehensive orientation will be provided, including unit‑specific training to ensure competency and familiarity with workflows, equipment, and patient care expectations.

Dress Code
  • Professional nursing attire
  • Clean scrubs required
Assignment Details
  • Contract Position
  • 13‑Week Assignment
Additional Requirements
  • Candidates must meet all state licensing requirements before the start of the assignment.
  • Documented proof of required immunizations and immunity status is required.
  • Medical or religious exemption requests will not be accepted in lieu of required immunity documentation.
  • References must be submitted according to assignment requirements.
Ideal Candidate

The ideal candidate is a versatile and dependable RN who thrives in a float pool environment, possesses strong Medical‑Surgical and Step‑Down experience, and can confidently adapt to varying patient care settings while maintaining exceptional standards of nursing practice.

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