Travel Nurse RN
1 month ago
Location: Rapid City, SD
Duration: 13 Weeks
Description:
General Information:
Beds: 64 - spread across 2 floors
Required experience
Intermediate/Stepdown Level RN: 1 year of nursing experience required
Patient Types:
This is a mixed acuity unit meaning there will be Intermediate Care acuity as well as Tele and MedSurg - please ensure traveler understands
Surgical: Urology, prostatectomy, bowel obstruction, mass removal, cholecystectomy, appendectomy, general abdominal surgeries
Ortho: Total joints (knees/hips/shoulders), Ortho Trauma - External fixation, soft tissue injury and minor fractures
Neuro/Spine:
CVA/TIA with Neuro Vascular Intervention - coiling, clipping, potentially thrombectomy (may go to ICU but if they are stable could come back to ONS) - modified ratios with this patient (CRN/flex RN will help to manage in immediate post-op)
Seizures/Epilepsy, brain tumor, hematoma, brain aneurysm, arteriovenous malformation, AV Fistula, craniotomies with burr holes and/or shunts, Halos, Flaps
Please note: post neuro-intervention is a preferred experience - education and resources are provided by the unit if they have not had this patient type
Spinal Surgical -Laminectomies, Fusions, Discectomies
Please note: post neuro-intervention is a preferred experience - education and resources are provided by the unit if they have not had this patient type
General Medical: cellulitis, influenza, COVID, pneumonia, COPD, CHF, renal failure with or without the need for hemodialysis, hepatic failure, rib fracture, gastrointestinal disorders and infections, DVTs, UTIs
Wound care/Wound debridement, telemetry monitored patients
Patient Ratios:
RN:
PCU: 1:4 (even for MedSurg assignments)
CNA: 1:8
Required Certifications:
RN: BLS, ACLS, NIHSS
Required Education:
RN: Completion of a nursing education program that is approved by a board of nursing; Registered Nurse (RN) - South Dakota Board of Nursing
Skills required:
Intermediate/Stepdown RN:
Comfortability to take MedSurg assignments - please decline if not
Previous experience with our types of patients above, including IMC/stepdown acuity and Neuro
Ability to read/interpret cardiac strips, chest tubes, trach care (no fresh traches), NGT tube placement and management, JP drains, line management - PICC/Midline/CVL/PIV placement, wound vacs (Wound Care RN will change out the vac but RN must know how to assess and will need to change to wet/dry dressing in case of malfunction), wound care/dressing changes, medication administration, TPN/tube feeding, blood product transfusions, urinary and fecal collection devices
Drip titration of below medications:
most commonly - Heparin, Insulin, Cardizem, Amiodarone, Levophed (up to 5 mcg), occasionally esmolol drips (will train if traveler has not done these) or other Betablockers or other antihypertensives
Support on the Unit:
Pod structure for the unit - 8 patients per pod; staffed with 2 RNs and 1 Nurse Aide
CNA: 1:8
Charge nurse:
Two charge nurses for ONS that do not take a patient load (1 dedicated to each floor)
Flex Nurse - staffed daily 10a-10p
Phlebotomy Yes
Resource Nurse during Dayshift/varied hours - Nurse Clinician support available
RT: Yes
Hospitalist: Yes
Charting System:
Epic strongly preferred; must get approval from Manager prior to offer
Alaris
Omnicell
Floating:
Any Adult Inpatient Unit - Med Surg, Ortho/Neuro/Surgical, Heart and Vascular Unit, Oncology, Observation
Could be floated within scope of practice and below
As an equal opportunity employer, ICONMA provides an employment environment that supports and encourages the abilities of all persons without regard to race, color, religion, gender, sexual orientation, gender identity or express, ethnicity, national origin, age, disability status, political affiliation, genetics, marital status, protected veteran status, or any other characteristic protected by federal, state, or local laws.
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