Travel Nurse RN
2 months 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
Will you accept a first-time traveler? Yes, if greater than 1 year of experience
1st time traveler MUST have EPIC experience
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
IV/VAT Team? No
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
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