RN - 19435890

Monument Health Rapid City Hospital•Rapid City, SD

About The Position

We are seeking experienced ICU Registered Nurses to join a 39-bed mixed Intensive Care Unit comprising MICU, SICU, CICU, and TICU. Staff will not float to the CVICU side unless they have specific experience in that specialty. The role involves caring for complex surgical, medical, cardiac, neuro, and trauma patients. Cardiac experience, particularly with CABG and TAVR cases, is preferred, though candidates without it may still be considered. Patient assignments are acuity-dependent, typically ranging from 1:1 to 1:2, with 1:3 assignments occurring rarely. Unit support includes 1–2 Nurse Aides per unit, a mobility float aide, two Charge Nurses overseeing all ICUs, 24/7 Respiratory Therapy support, intensivists, and a night-shift Advanced Practice Provider (APP). Orientation includes hospital-wide orientation, one 8-hour department orientation session, and one 4-hour session. Candidates must be able to commit to a 48-hour work week. Travelers must live at least 100 miles from local facilities, and first-time travelers are not accepted. Permanent staff must wait one year before transitioning to traveler roles.

Requirements

  • At least 2 years of ICU experience is preferred; travel experience does not count toward this requirement. Candidates with 1.5 years of ICU experience and substantial RN experience outside the ICU may be considered with management approval.
  • At least one prior travel assignment is required for travelers; first-time travelers will not be accepted.
  • Travelers must reside at least 100 miles from local facilities.
  • Permanent staff must wait one year before transitioning to traveler roles.
  • Hold a valid RN license and have completed a nursing education program accredited by a board of nursing.
  • Hold BLS, ACLS, NIHSS, and TNCC certifications; TNCC is mandatory and must be obtained before arrival.
  • Proficiency with the Epic charting system.
  • Experience with ICU patient care, including IV medications, hemodynamic monitoring, proning, ventilator management, and telemetry.
  • Ability to work effectively in a fast-paced, team-oriented environment.
  • Ability to commit to a 48-hour work week.

Nice To Haves

  • Cardiac patient-care experience, especially with CABG and TAVR cases.
  • Experience with Impella, IABP, and CRRT is strongly preferred.
  • Applicants without cardiac experience may still be considered.

Responsibilities

  • Provide nursing care to complex ICU patients, including surgical, medical, cardiac, neuro, and trauma cases.
  • Administer and manage IV medications, including vasopressors, sedation, and paralytics.
  • Perform hemodynamic monitoring, proning, ventilator management, and telemetry.
  • Apply critical thinking and assessment skills in a fast-paced, team-oriented ICU environment.
  • Commit to a 48-hour work week.
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