RN - 19510966

Monument Health Rapid City Hospital•Rapid City, SD

About The Position

This role is for a Registered Nurse in a Progressive Care Unit at a facility with 36–48 beds. The unit accommodates a mixed patient population, with approximately 90% Med/Surg and 10% Intermediate Care patients. Common diagnoses include DKA requiring insulin drips, pre- and post-surgical conditions, cellulitis, influenza, UTIs, pneumonia, COPD, CHF, renal and hepatic failure, gastrointestinal disorders, minor fractures, DVTs, and CVA overflow. The nurse administers oral, IV, IM, and subcutaneous medications; manages titratable vasoactive drips, TPN and tube feedings, blood transfusions, and various types of IV access; and provides skin and wound care. Patient ratios vary by assignment: 1:5–6 for long-length-stay MedSurg without telemetry, 1:5 for MedSurg/telemetry without IMC drips, and 1:4 for Intermediate Care. Nurses may float to adult inpatient units including Med Surg, Ortho/Neuro/Surgical, Heart and Vascular, Oncology, and Observation. The unit has CNA support at a 1:8 ratio, a charge nurse without a patient assignment, phlebotomy and IV/VAT support available 24/7, and an on-site hospitalist available 24/7. Orientation includes two days of unit/department orientation, online learning modules, and two clinical shifts with a preceptor. Schedules are created every six weeks; nurses may be scheduled for up to four weekends in that period. Scrubs are navy blue, and free parking is available. Nurses may have an opportunity to precept students. Compliance audits for pre/post pain scoring require at least 90% accuracy.

Requirements

At least 1 year of nursing experience.
Licensed Registered Nurse (RN) in accordance with state regulations.
Completion of a nursing education program approved by a board of nursing.
Current BLS, ACLS, and NIHSS certifications.
EPIC experience is required.
Comfort taking MedSurg assignments.
Experience with the patient populations and conditions described, including Intermediate Care/stepdown and neuro patients.
Ability to read and interpret cardiac strips.
Skills in wound care, line management, tube management, and medication drip titration.
Travelers must reside at least 100 miles from any local facility.
Permanently placed staff must wait one full year before applying as travelers.

Responsibilities

Provide nursing care to MedSurg and Intermediate Care patients with varying levels of acuity.
Administer oral, IV, IM, and subcutaneous medications.
Manage titratable vasoactive medication drips, including Heparin, Insulin, Cardizem, Amiodarone, and other antihypertensives.
Manage TPN, tube feedings, blood transfusions, and various types of IV access.
Provide skin and wound care, and perform line and tube management.
Read and interpret cardiac strips.
Float to adult inpatient units as needed.
Meet the 90% accuracy requirement for compliance audits of pre- and post-pain scoring.