Description

American Traveler is hiring a travel RN for a PCU/Medical Unit position in Rapid City, SD, requiring at least 1 year of PCU experience and Epic proficiency.

Details

• 36-48 bed medical unit (flex with semi-private rooms) in a hospital setting
• Mixed acuity unit serving Med/Surg to Intermediate Care (IMC) level patients, as well as long-length-of-stay patients — approximately 90% Med/Surg and 10% IMC
• Common diagnoses include DKA, pre/post-surgical care, cellulitis, influenza, UTIs, pneumonia, COPD, CHF, renal failure (with or without hemodialysis), hepatic failure, GI disorders, soft tissue injury, minor fractures, DVTs, and CVA overflow
• Nurses administer oral, IV, IM, and SQ medications, titratable vasoactive drips, TPN/tube feeding, and blood product transfusions
• Line management includes peripheral IV, midline, PICC, and central line access; tube/drain management includes chest tubes, NGTs, drains, and urinary/fecal collection devices
• Telemetry monitoring is performed — nurses read and interpret cardiac strips
• Patient ratios vary by acuity: Long-length-of-stay Med/Surg (no tele) 1:5–6; Med/Surg Telemetry (no IMC drips) 1:5; Intermediate Care 1:4
• 12-hour day shifts, 36 hours per week
• 6-week scheduling cycles; weekend rotation of up to 4 out of 6 weekends, which may include Friday, Saturday, and Sunday
• No mandatory on-call requirement
• Charting system: Epic (required); medication dispensing: Omnicell; IV pump: Alaris
• Floating required in rotation with other travelers to adult inpatient units including Med/Surg, Ortho/Neuro/Surgical, Heart and Vascular, Oncology, and Observation — within scope of practice

Requirements

• Active RN license — SD state or compact license required
• Current certifications: BLS, ACLS, and NIH Stroke Scale (NIHSS)
• Minimum 1 year of PCU RN experience required
• Epic EMR experience required (mandatory for first-time travelers)
• Proficiency with drip titration, including Heparin, Insulin, Cardizem, Amiodarone, Levophed (up to 5 mcg), and occasionally Esmolol or other beta-blockers/antihypertensives
• Experience with IMC/stepdown and neuro patients; ability to read and interpret cardiac strips
• Comfort with Med/Surg assignments required — candidates who are not comfortable should not apply
• Must reside at least 100 miles from any Monument Health facility
• Two references dated within the past year required for consideration
• DOB and SSN required for consideration

Additional Information

• Unit support includes CNAs (1:8 ratio), a non-patient-carrying charge nurse, phlebotomy, respiratory therapy, and hospitalist coverage
• Orientation consists of two days of facility/unit onboarding (policies, protocols, online learning, and classroom time with the Nursing Professional Development Team) followed by two precepted shifts on the unit
• May be expected to precept nursing students
• Monthly audits for pre/post pain scoring — must maintain 90% compliance
• Navy blue scrubs required
• Free parking available on-site
• RTO requests during winter holidays require manager approval; no RTO is approved during the Sturgis Motorcycle Rally blackout period (approximately August 1–18)
• First-time travelers are welcome to apply, provided they have at least 1 year of experience and Epic proficiency
• Former permanent staff must wait 1 full year before returning as a traveler