✦

Med-surg travel nurse

Also posted as medical-surgical and med/surg.

Usually 1–2 years of recent acute care med-surg experience. Most contracts require BLS; many prefer ACLS and CMSRN. California, the only state with ratios in law, caps Med-Surg at 1 nurse to 5 patients.

Updated October 2026

Adult medical and post-surgical patients, and one of the most posted travel specialties. A good first contract, but ratios vary more than in any other unit.

What agencies ask for

Experience
Usually 1–2 years of recent acute care med-surg experience.
Required on most contracts
BLS
Often preferred
ACLS and CMSRN
Also expect
A skills checklist and references from your recent Med-Surg managers, and a license for the state (or a multistate license where it applies).

Ratios and floating

California minimum: 1 nurse to 5 patients. Title 22 §70217

Traveler reports on Med-Surg ratios and floating appear here once a hospital's Med-Surg has 3 reports. Report a unit you worked on.

What Med-Surg travelers were offered

No Med-Surg offers shared yet. Pay is published as medians once 3 travelers have shared.

Ask before you sign

  1. How many patients on days and on nights, and does it change when the unit is short?
  2. Is there a CNA or tech, and how many patients do they cover?
  3. How often do travelers float, and to which units? Is floating limited to units like this one?
  4. What's the usual ratio on days and on nights, and who covers breaks?
  5. How many orientation shifts do travelers get, and are they paid?
  6. Which charting system does the unit use?

Questions

What experience do you need to be a Med-surg travel nurse?
Usually 1–2 years of recent acute care med-surg experience. Requirements are set by each hospital, so check the job post.
What certifications do Med-Surg travel nurses need?
Most Med-Surg contracts require BLS, and many prefer ACLS and CMSRN. Bring current cards: agencies verify them before submitting you.
What is the nurse-to-patient ratio for Med-Surg?
Only California sets ratios in law: 1 nurse to 5 patients (Title 22 CCR §70217). Elsewhere it's hospital policy, so ask on the interview.

Other specialties: ICU · ER · Labor & Delivery · PCU / Stepdown · Telemetry · OR · Pediatrics · NICU · Psych

Experience and certifications are what travel job posts commonly ask for; each hospital sets its own. Ratios: California Code of Regulations Title 22 §70217, which applies only in California. Traveler numbers come from hospital units with 3+ reports and pay from 3+ shared offers, never from one person.