You usually sign a 13-week contract, most often three 12-hour shifts, on a medical-surgical unit caring for a full mix of adult patients. Expect a short orientation, then a full patient assignment fast. Ratios, charting systems and support staff differ a lot between hospitals, so the unit matters more than the title.
Med-surg is the broadest door into travel. You may see post-op patients, infections, heart failure, diabetes and new admissions on the same shift. Ask about typical ratios, whether you will float to other units and how admissions and discharges are handled.
Most facilities want an active RN credential and about one to two years of recent acute care experience, plus BLS in most cases. Facilities also run license verification, background checks and health clearance, so organized records and current immunizations help you start sooner.
Because med-surg hospitals hire often, there are more openings than in narrow specialties. Be specific about your experience, such as the patient populations you have managed, your comfort with telemetry or step-down patients and the charting systems you have used.
Posted med-surg packages vary by region, facility, shift and how urgent the need is. Compare the taxable hourly rate, stipends, overtime and guaranteed hours on each offer in writing, because two similar headline numbers can hide very different packages.
Our guide to how a weekly travel package is built explains each piece. Night shift, short-notice starts and high-need regions tend to raise an offer, while very large pools of med-surg candidates in popular cities can hold it down.
Registered nurse employment is projected to grow about 5% from 2024 to 2034, faster than average, with around 189,100 openings each year. Medical-surgical units make up a large share of hospital beds, so they are among the most common places hospitals turn to contract nurses when staffing runs short.
Breadth and flexibility get you placed faster. Nurses who handle heavy patient loads well, are comfortable with telemetry and can float to related units have the widest choice of contracts.
Tell a recruiter plainly what units you have worked and your ratios. Keep your certifications and immunization records ready and stay flexible on start date and region. Browse the specialties, read our travel ICU nurse guide if you want to step up in acuity, see what to ask before accepting an assignment, and visit the full jobs overview.
Most are 13 weeks, with some shorter or longer. Facilities often offer extensions if the unit is still short and you want to stay.
Most facilities ask for about one to two years of recent acute care experience. Tell your recruiter exactly where you have worked.
Some hospitals float contract nurses and some do not. Ask in advance which units you may be sent to and whether orientation covers them.
Ratios vary by hospital, unit and shift. Ask for the typical ratio in writing before you accept.
No. Placement is free to you. The facility pays our fee.
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