RN MedSurg AdultStep Down

We are seeking an experienced Registered Nurse for a Flex Pool assignment supporting multiple medical and surgical units. The RN will provide high-quality patient care while floating between various departments based on staffing needs. The ideal candidate will possess strong clinical judgment adaptability and the ability to work effectively in fast-paced acute care environments.

This role requires flexibility to work across medical-surgical and step-down care settings while maintaining patient safety and delivering compassionate patient-centered care.

• Provide direct nursing care to adult medical-surgical and step-down patients
• Float between designated medical and surgical units as assigned
• Perform comprehensive patient assessments and develop individualized care plans
• Administer medications and treatments according to physician orders and facility protocols
• Monitor patient conditions and respond appropriately to changes in status
• Utilize clinical equipment including wound vacs chest tubes medication dispensing systems and electronic medical records
• Collaborate with physicians interdisciplinary teams patients and families to coordinate care
• Maintain accurate and timely documentation in the electronic medical record system
• Adhere to infection control patient safety and hospital policies and procedures
• Participate in orientation and unit-specific training programs

• Medical Unit
• Surgical Acute Unit
• Cardiovascular Unit (occasionally)

• 12-hour day shifts
• Shift hours:
• Scheduled 36 hours per week following orientation
• Holiday coverage required
• Hours are not guaranteed

• Medical Unit: typically 1:6 on days/evenings
• Surgical Acute Unit: typically 1:6
• Cardiovascular Unit: typically 1:4
• Ratios may vary based on census and staffing needs

• Active Hawaii Registered Nurse license required by assignment start date
• Minimum of 2 years of acute care nursing experience required
• Experience in Medical-Surgical and/or Step-Down nursing preferred
• Current BLS/BCLS certification required
• ACLS certification required
• Preferred certifications:
  • PALS
  • Procedural Sedation
  • TNCC
  • ENPC

• Strong adaptability and flexibility in floating between units
• Ability to manage multiple patient populations and changing priorities
• Experience with acute care equipment and clinical procedures
• Strong communication teamwork and critical thinking skills
• Familiarity with electronic medical record systems

• Professional nursing attire
• Clean scrubs required

• Orientation and unit-specific training will be provided
• Candidates must be available to complete required pre-employment health screening and onboarding prior to assignment start
• Documentation of required immunities must be provided according to facility requirements