Demo

RN Medical-Surgical / Step Down – Days & Nights

Legacy Personnel, Inc.
Hilo, HI Full Time | Contractor
POSTED ON 9/30/2026
AVAILABLE BEFORE 1/27/2027

RN Medical-Surgical / Step Down – Days & Nights

Legacy Personnel, Inc. is currently seeking experienced Registered Nurses (RNs) for a 13-week contract assignment in Hilo, Hawaii. This is a great opportunity for an experienced Med-Surg or Step-Down RN looking for a new contract assignment with competitive pay.

Position Details

  • Position: RN – Medical / Step Down
  • Location: Hilo, HI 96720
  • Contract: 13 weeks
  • Pay Rate: $57/hour
  • Schedule: 36 hours/week
  • Shift: 12-hour shifts
  • Day Shift: 6:45 AM – 7:15 PM
  • Night Shift: 6:45 PM – 7:15 AM
  • EMR: EPIC and Meditech

Job Responsibilities

  • Provide direct nursing care to medical and surgical patients
  • Serve as a Flex RN, floating between various medical and surgical units as needed
  • Perform patient assessments and monitor changes in condition
  • Administer medications and treatments according to orders
  • Assist with wound care and management of complex medical conditions
  • Care for patients requiring equipment such as wound vacs and chest tubes
  • Maintain accurate and timely patient documentation
  • Collaborate with physicians and the interdisciplinary healthcare team

Units You May Float To

Depending on facility needs, the RN may float to:

  • Medical Unit: 77 beds
  • Laulima Unit (Surgical Acute): 18 beds
  • Cardiovascular Unit: 15 beds — on rare occasions

Nurse-to-Patient Ratios

  • Medical Unit: 1:6 days/evenings; 1:8 nights
  • Laulima Unit: 1:6
  • Cardiovascular Unit: 1:4

Ratios may vary due to unexpected staff leaves or changing patient-care needs.

Equipment & Technology

  • EPIC EMR
  • Meditech EMR
  • Pyxis medication dispensing system
  • Wound vacs
  • Chest tubes

Requirements

  • 2 years of RN experience
  • Recent acute-care experience
  • Med-Surg and/or Step-Down experience preferred
  • Ability and willingness to float between assigned acute-care units

Required Certifications

  • BLS – Required
  • ACLS – Preferred

Additional preferred certifications:

  • PALS
  • Procedural Sedation
  • TNCC
  • ENPC

Orientation & Training

Unit-specific orientation will be provided for each unit the RN is assigned to or floats to. Orientation is designed to familiarize you with the facility, unit workflows, equipment, and clinical expectations.

Dress Code

Clean, professional nursing scrubs

Why Work With Legacy Personnel?

At Legacy Personnel, Inc., we connect qualified healthcare professionals with contract opportunities that fit their skills, experience, and career goals. Our team provides support throughout the recruitment, credentialing, onboarding, and assignment process so you have a reliable partner every step of the way.

Ready for your next nursing assignment? Apply today and let Legacy Personnel help you take the next step in your healthcare career!

IND3

Pay: $57.00 per hour

Work Location: In person

Salary : $57

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