RN - 19319684

Monument Health Rapid City Hospital • Rapid City, SD

29d • Onsite

About The Position

This position is for an ICU Registered Nurse in a mixed unit comprising of MICU, SICU, CICU, and TICU. The unit consists of 39 beds. Nurses would not float into the CVICU side unless they possess experience in that specialty. Candidates will work with complex ICU patients, including but not limited to Surgical, Medical, Cardiac (preferred), Neuro, and Trauma. Common diagnoses include ARDS, MI, CVA/TIA, COVID, post-cardiac catheterization, post-surgical recovery, and a heavy trauma population. Cardiac experience is preferred, particularly with CABG/TAVR, specifically within 24 to 48 hours post-op, though travelers may not take fresh open-heart cases unless experienced and deemed competent by facility staff. The nurse-to-patient ratios are dynamic based on acuity levels, typically ranging from 1:1, 1:2, and rarely 1:3.

Requirements

• Minimum of 2 years of ICU experience, excluding travel experience, is preferred.
• If candidates have 1.5 years of ICU experience (excluding travel) and possess significant RN experience outside of ICU, management approval is required.
• First-time travelers will not be accepted; candidates must have completed at least one prior travel assignment.
• Travelers must reside at least 100 miles away from any facility location.
• BLS certification required.
• ACLS certification required.
• NIHSS certification required.
• TNCC certification required (mandatory; travelers must obtain prior to arrival).
• Completed a nursing education program approved by a board of nursing.
• Licensed Registered Nurse (RN) in South Dakota.
• Epic experience is required.
• Comfortable working a 48-hour/week contract.
• Experience in managing the specified patient types is essential.
• Experience with IV medications (vasopressors, sedatives, paralytics), hemodynamic lines, proning, ventilator management, telemetry, strong critical thinking and assessment skills are important.
• Candidates should be prepared to describe instances where they exceeded a leader's expectations during the interview process.

Nice To Haves

• Cardiac experience is preferred.
• Experience with Impella, IABP, and CRRT is strongly preferred.

Responsibilities

• Work with complex ICU patients including Surgical, Medical, Cardiac, Neuro, and Trauma.
• Manage patients with diagnoses such as ARDS, MI, CVA/TIA, COVID, post-cardiac catheterization, post-surgical recovery.
• Provide care for patients within 24 to 48 hours post-CABG/TAVR (travelers may not take fresh open-heart cases unless experienced).
• Manage patient care with ratios typically ranging from 1:1 to 1:2, rarely 1:3.
• Utilize Epic charting system.
• Manage patients requiring vasopressor and sedative IV medications.
• Manage hemodynamic lines.
• Perform proning.
• Manage ventilators.
• Monitor telemetry.
• Utilize critical thinking and assessment skills.
• Place all midlines.
• Float to any adult floor, including Medsurg/Tele, with a 1:4 ratio if needed.

Benefits

• CNA support: 1-2 Nurse Aides per unit plus a mobility float aide.
• Charge nurse: 2 Clinical Registered Nurses oversee all ICUs.
• Phlebotomy services: peripheral blood draws only.
• IV/VAT Team: ICU CRNs place all midlines.
• Resource Nurse: available based on staffing needs.
• Respiratory Therapy: available 24/7.
• Physicians: 3 Intensivists during the day and 2 at night, along with Advanced Practice Providers during night shifts.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree