RN - 19492789

Monument Health Rapid City Hospital•Rapid City, SD

About The Position

This Registered Nurse position is in a unit with 24 Pre-Op/Phase 2 beds and 19 PACU beds. The unit cares for patients from infancy through geriatrics; training is provided for infant recovery. Patient populations include ambulatory/elective, acute care, and trauma patients. Nurses may also assist with Endoscopy preparation and discharge; intraoperative responsibilities are not included. Patient ratios vary by area and patient needs: Pre-Op is 1:2–3, PACU is 1:1 or 1:2, and Phase 2 is 1:2–4. Ratios depend on acuity, airway presence, age, comorbidities, and monitoring requirements. Staff may float among Pre-Op, PACU, Endoscopy prep and discharge, and Phase 2 according to unit needs and role requirements. Nurses must be able to care for boarded patients when hospital census is at capacity. Orientation begins with general facility instruction, followed by one week of training across Pre-Op, PACU, Phase II, and Endoscopy. Depending on the role, nurses may learn competencies such as IV insertion, ventilator training, epidural/PCA setup and initiation, and blood product transfusion management. Precepting students may be required. The posting describes potential schedules including three 12-hour day/variable shifts (0500–2300) and four consecutive 10-hour night shifts (2030–0700). Weekend rotation occurs every four weeks and includes on-call responsibilities. Holiday coverage is required, with shifts assigned among the team. Time-off requests are managed by the unit manager, with some blackout periods. The standard scrub color is navy blue, and free parking is available.

Requirements

At least 1.5 years of nursing experience.
Completion of a nursing education program approved by a board of nursing.
Registered Nurse certification from the appropriate nursing board.
Current BLS (Basic Life Support) certification.
Current ACLS (Advanced Cardiovascular Life Support) certification.
Current PALS (Pediatric Advanced Life Support) certification.
Critical thinking and patient assessment skills.
Comfort with preoperative, recovery, and discharge processes.
For night-shift RN positions, critical care experience and competencies with ICU cases, including hemodynamic drips and ventilated patients.

Nice To Haves

EPIC experience.
First-time travelers are welcome to apply.

Responsibilities

Provide nursing care to patients in Pre-Op, PACU, Phase 2, and, as assigned, Endoscopy preparation and discharge.
Care for patients across the lifespan, including infants through geriatric patients.
Support preoperative, recovery, and patient discharge processes.
Care for boarded patients when hospital census is at capacity.
Perform laboratory draws or request laboratory assistance when needed.
Float among Pre-Op, PACU, Endoscopy prep and discharge, and Phase 2 based on unit needs and role requirements.
Participate in weekend rotation, on-call responsibilities, and assigned holiday coverage.
Precept students when required.