Cardiac Stepdown Registered Nurse (RN) – Travel Nursing Contract in Hilo, Hawaii

Apply for a Cardiac Stepdown RN travel nursing job in Hilo, Hawaii, and join an acute-care team caring for adult medical-surgical and stepdown patients. This Hawaii travel nurse assignment offers valuable experience across inpatient units in a welcoming tropical community near the Big Island’s beaches, waterfalls, and outdoor adventures.

Travel RN Job Details

• Assignment Type: Travel nursing contract
• Registered Nurse Specialty: Cardiac stepdown and acute care nursing
• Location: Hilo, Hawaii
• Estimated Weekly Pay: $1,910-$2,010
• Start Date: December 7, 2026
• Contract Duration: Approximately 15 weeks, ending March 22, 2027
• Shift Duration: 12-hour night shifts, 6:45 p.m. to 7:15 a.m.
• Shifts per Week: 3 shifts, totaling 36 scheduled hours per week after the first week of orientation; hours are not guaranteed
• Orientation: Unit-specific orientation is provided. The selected nurse must arrive on the Thursday before the assignment start date for a required employee health appointment on Friday.
• Clinical Environment: Adult medical-surgical, surgical acute, stepdown, and cardiovascular units
• Floating: May float to medical, surgical acute, and, on rare occasions, cardiovascular units
• Typical Staffing Ratios: Medical unit: 1:6 on days and evenings and 1:8 on nights; surgical acute unit: 1:6; cardiovascular unit: 1:4. Ratios may vary based on staffing and patient needs.
• Documentation and Equipment: Meditech EMR, Pyxis, wound vacs, and chest tubes
• Dress Code: Professional nursing attire and clean scrubs

Cardiac Stepdown RN Job Requirements

• Active Hawaii Registered Nurse license by the first day of the assignment; nurses without an active Hawaii license must apply upon acceptance
• At least 2 years of recent acute-care RN experience, including medical-surgical or cardiac stepdown nursing
• Current Basic Life Support (BLS) certification
• Current Advanced Cardiovascular Life Support (ACLS) certification
• Ability to work scheduled 12-hour night shifts and float between designated units as needed
• Preferred: Pediatric Advanced Life Support (PALS), Procedural Sedation, Trauma Nursing Core Course (TNCC), or Emergency Nurse Pediatric Course (ENPC) certification
• Strong assessment, prioritization, communication, and patient-safety skills

Travel Nurse Responsibilities

• Provide comprehensive registered nursing care to adult patients in cardiac stepdown, medical-surgical, and surgical acute settings
• Monitor patients for changes in cardiac, respiratory, and overall clinical status and promptly escalate concerns
• Administer medications and treatments, complete assessments, and evaluate patient responses to care
• Care for patients with complex medical and postoperative needs, including wound vacs and chest tubes
• Collaborate with providers, therapists, nursing colleagues, and support services to coordinate individualized care plans
• Safely float to assigned medical, surgical, and cardiovascular units while maintaining quality and continuity of care
• Document assessments, interventions, and outcomes accurately in the Meditech EMR
• Educate patients and families regarding treatment plans, medications, recovery, and discharge needs
• Promote infection prevention, patient safety, and adherence to professional nursing standards

Apply now to join this Hawaii travel nursing team as a Cardiac Stepdown Registered Nurse in Hilo.

Benefits

401K with Matching, Healthcare, Dental and Vision

Equal Opportunity

We are an equal opportunity employer and value diversity across our organization. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.