RN (Registered Nurse)

First Connect Health • Bismarck, ND

10h

About The Position

The RN will provide care on a 31-bed MedSurg/Oncology unit serving adult and geriatric patients. Common patient diagnoses include stroke, hypertension, COPD, cellulitis, CHF, atrial fibrillation without RVR, chest pain, MI patients after ICU, altered mental status and behavioral conditions, and some telemetry and surgical overflow cases. The unit also cares for oncology patients; core staff are responsible for chemotherapy, and there is currently no oncology provider in-house during the day.

The nurse-to-patient ratios are 1:4–5 on days and 1:5–6 on nights. Nurses are required to titrate drips, including Lasix and heparin. A charge nurse is available on each shift as a resource, generally without an assignment unless staffing requires it. Nurse aides/patient care technicians are available at a 1:8 ratio. Telemetry packs and a monitor technician are used; RNs are not required to read or interpret strips. RNs may encounter stable BiPAP patients and established tracheostomies with blow-by oxygen.

Shifts are 0700–1930 and 1900–0730. The manager makes the schedule; block scheduling may be considered if unit needs are met. Weekend work is required every other weekend, and holidays are required as needed. There is no call or standby requirement. Nurses may float to other MedSurg units, occasionally to ER holds, and may float to telemetry, where a telemetry RN handles strips. Nurses do not float to mom-baby. Orientation consists of 1–2 shifts on the floor. The unit describes its culture as supportive, collaborative, and family-oriented.

The role requires profile review and a manager interview. The posting states a 50-mile radius rule and specifies that candidates may not be full-time, part-time, or PRN with any facility associated with CommonSpirit, including CHI and Dignity. Requested time off must be submitted upfront and is limited to 7 or fewer days per 13-week contract; additional time off will not be approved, including after submission.

Requirements

• BLS certification is required.
• Profile review and manager interview are required.
• RNs are required to titrate drips.
• Work every other weekend and holidays as needed.
• Candidates must meet the 50-mile radius rule stated in the posting.
• Candidates may not be full-time, part-time, or PRN with a facility associated with CommonSpirit, including CHI or Dignity.
• Requested time off must be submitted upfront and may not exceed 7 days per 13-week contract; additional requests will not be approved.

Nice To Haves

• Experience with tracheostomies and BiPAP is preferred but not required.
• Lasix experience is preferred but not required.
• First-time travelers are accepted.

Responsibilities

• Provide nursing care to adult and geriatric MedSurg/Oncology patients.
• Titrate drips, including Lasix and heparin.
• Care for oncology patients; core staff are responsible for chemotherapy.
• Work with telemetry packs and monitor technicians; RNs are not required to read or interpret strips.
• Support patients with stable BiPAP and established tracheostomies with blow-by oxygen.
• Float to other MedSurg units and occasionally to ER holds; when floating to telemetry, a telemetry RN handles strips.

What This Job Offers

• Education Level: No Education Listed