Travel Nurse RN - Med Surg - $2,328 per week

TotalMed RN is seeking a travel nurse RN Med Surg for a travel nursing job in Billings, Montana.

Job Description & Requirements

• Specialty: Med Surg
• Discipline: RN
• Start Date: 11/09/2026
• Duration: 13 weeks
• 36 hours per week
• Shift: 12 hours, days
• Employment Type: Travel

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Unit Overview

• 35-bed Med/Surg Ortho-Neuro unit
• Average daily census: 32-35 patients
• Minimum 2 years of acute care experience required
• First-time travelers accepted
• Manager interview required

Required Certifications

• BLS
• NIH Stroke Scale (NIHSS)
  • AHA NIHSS certification is not accepted

Technology & Equipment

• EMR: Cerner
• IV Pumps: Alaris
• Medication Dispensing: Omnicell

Patient PopulationOrthopedic Patients

• Total joint replacements (hip, knee, shoulder)
• Fractures
• Ankle repairs
• Spinal surgeries
  • Laminectomies
  • Discectomies
  • Spinal fusions (including multi-level fusions)
• Trauma patients
• External fixation devices

Neurological Patients

• Stroke
• TIA (Transient Ischemic Attack)
• Stroke rule-outs
• Seizure monitoring
• Head injuries
• Altered mental status
• ALS
• Multiple Sclerosis (MS)
• Post-operative craniotomies (not fresh post-op)
• Encephalitis

Medical Overflow

• CHF
• COPD
• CIWA patients
• Respiratory disorders
• GI disorders
• Renal conditions
• Liver disease

Patient RatiosDays

• 1:4-5

Nights

• 1:5-6

Required Skills

Candidates must be proficient in:

• NIHSS assessments
• Neuro assessments and stroke monitoring
• Orthopedic patient mobilization with precautions
• NG tube insertion and maintenance
• PEG tube feeding and management
• Dysphagia screening
• Peripheral IV insertion and maintenance
• Foley catheter insertion and care
• Dressing changes and wound care
• Wound VAC management
• Drain management
• PCA pump management
• Cardiac rhythm interpretation
• Blood product administration
• IVIG administration
• External fixation care and pin-site management

Unit Support

The unit is supported by:

• CNAs (ratios approximately 1:6-12, depending on shift)
• Health Unit Coordinator (0630-1900)
• Charge Nurse (typically without patient assignments)
• Admit/Discharge RN (weekdays)
• Phlebotomy Team
• PICC Team
• Respiratory Therapy (24/7)
• Hospitalists (24/7)
• Intensivists (24/7)
• Nursing Students
• Telemetry Monitoring Technicians

Floating

• Travelers may float to any inpatient unit caring for Med/Surg patients.
• Travelers are the first staff members floated when needed.

I'm Darin with TotalMed, highly experienced travel nurse recruiter. I believe successful recruiting starts with understanding the individual behind the resume. My goal is to partner with you and build a trusted relationship, understand your priorities, and provide the guidance and support you need to make confident decisions about your next assignment

About TotalMed RN

TotalMed is a Top Ten, travel nursing and healthcare staffing agency with the mission of igniting purpose in healthcare. The organization staffs nurses, therapists, pharmacists, and other clinicians of all specialties in all 50 states. They offer local and travel jobs and match caregivers with the right organization to assist both facilities and patients. As an organization, they focus on putting highly-skilled staff into facilities to ensure adequate staffing for a better patient experience.

TotalMed specializes in recruiting and placing healthcare professionals in travel, PRN, and permanent positions across the country in Nursing and Allied Health. Throughout 2020, the organization filled roles at even the most short-staffed facilities during the most challenging time in healthcare. By matching the right travel healthcare professional with the right organization, TotalMed continues to offer a lifeline to facilities and their patients.

Benefits

• Weekly pay
• Guaranteed Hours
• Continuing Education
• 401k retirement plan
• Sick pay
• Wellness and fitness programs
• Referral bonus
• Employee assistance programs
• Medical benefits
• Dental benefits
• Vision benefits
• Benefits start day 1