RN - 19319685

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 that includes 39 beds across the MICU, SICU, CICU, and TICU. The role requires a minimum of 2 years of ICU experience, excluding travel assignments, with particular preference for candidates who have significant RN experience outside of ICU. Those with 1.5 years of ICU experience may be considered with additional management approval. Travelers must live at least 100 miles away from any health facility. Permanent staff must wait one year before returning as travelers. The ICU handles complex patients including surgical, medical, cardiac (preferred), neuro, and trauma cases. Common diagnoses include: ARDS, Myocardial Infarction (MI), Cerebrovascular Accident/Transient Ischemic Attack (CVA/TIA), COVID-19, Post-cardiac catheterization, Post-surgical patients, and Multiple system trauma. Cardiac experience is preferred, especially with CABG/TAVR, but is not required. Fresh open-heart cases are not accepted unless the traveler has sufficient experience and the facility is comfortable assigning them. Nurse-to-patient ratios vary from 1:1 to 1:3 depending on patient acuity. Support personnel includes: 1-2 Certified Nursing Assistants (CNAs) per unit, Resource Nurses (staffing dependent), Respiratory Therapy (available 24/7), and Physician support including Intensivists and Advanced Practice Providers. Floating is not common unless overstaffed; potential floating includes any adult floor with a usual ratio of 1:4. Comfortability with floating will be confirmed during the interview process. Orientation includes hospital-wide training as well as a combination of one 12-hour and one 8-hour shift in the ICU. Weekend rotation is every other week, but not guaranteed. There is no on-call requirement. No requested time off during major holidays. Time off for a maximum of 7 days is allowed, with extensions needed to accommodate a full contract. No time off will be approved during the Sturgis Bike Rally (first three weeks of August each year). Free parking is available.

Requirements

Minimum of 2 years of ICU experience (excluding travel assignments).
Registered Nurse (RN) licensure from the appropriate state board.
Completion of a nursing education program approved by a board of nursing.
BLS certification.
ACLS certification.
NIHSS certification.
TNCC certification (travelers must obtain prior to arrival).
Experience with Epic charting system.
Ability to work a 48-hour/week contract (non-negotiable).
Experience with critically ill patients.
Proficiency with IV medications, hemodynamic lines, proning, ventilator management, and telemetry.
Strong critical thinking and assessment skills.
Teamwork capabilities.
Ability to work in a fast-paced environment.
Travelers must live at least 100 miles away from any health facility.
Comfortability with floating will be confirmed during the interview process.

Nice To Haves

Significant RN experience outside of ICU.
Cardiac experience, especially with CABG/TAVR.
Experience with Impella, IABP, and CRRT.
Experience where they exceeded a leader's expectations (for travelers to discuss).

Responsibilities

Provide care for patients in a mixed ICU unit (MICU, SICU, CICU, TICU).
Manage complex patients including surgical, medical, cardiac, neuro, and trauma cases.
Administer care for patients with diagnoses such as ARDS, MI, CVA/TIA, COVID-19, post-cardiac catheterization, post-surgical conditions, and multiple system trauma.
Utilize advanced ICU interventions.
Manage IV medications, hemodynamic lines, proning, ventilator management, and telemetry.
Work in a fast-paced environment.
Float to other adult floors if needed (typically 1:4 ratio) when overstaffed.
Participate in orientation including hospital-wide training and unit-specific shifts.