Med Surg

Med/Surg – Stepdown & Progressive Care | Des Moines, IA

This 13-week day-shift contract is on a busy med/surg stepdown unit managing a diverse patient population including post-tPA (TNK), orthopedic, cranio-neurosurgical, laminectomy, and polytrauma cases. The unit requires the ability to float across multiple campuses within the health system.

Schedule

• 4x12-hour day shifts, 48 hours/week (3x12 schedule may be accommodated)
• No on-call required
• Weekends: typically every other or every third, including holiday rotation
• Holiday work (1–2 winter holidays) required unless unit is closed

Clinical Scope

• Drips & titrations: heparin infusions, PCAs, 3% sodium
• Equipment: telemetry monitoring, chest tubes, lift equipment, high-flow nasal cannula therapy
• Float requirement across multiple affiliated campuses

Required Qualifications

• 24+ months of Stepdown, Progressive Care, or Med/Surg RN experience in a hospital setting
• Neuro/neurology experience
• Ortho/orthopedic experience
• Hands-on experience with lift equipment, chest tubes, and high-flow nasal cannula devices
• Heparin drip and PCA administration experience
• Must have completed at least one prior travel contract within the last 12 months
• Active Iowa RN license or compact/multistate license at time of submission
• BLS (AHA or ARC) – required
• NIHSS certification – required (may be obtained during onboarding)

Preferred Qualifications

• Trauma care experience
• 3% sodium administration experience
• ACLS certification
• De-escalation certification

Start Date: December 7, 2026