Ortho-Neuro Surgical Stepdown RN
Rapid City, SD
American Traveler
3x12 hrs, Nights

Job Description

American Traveler is seeking an experienced RN for a Night Shift PCU position in an Ortho Neuro Surgical mixed acuity unit, requiring at least one year of stepdown experience and Epic proficiency.

Responsibilities

• Work in a 64-bed Ortho Neuro Surgical unit covering intermediate, telemetry, and MedSurg levels
• Patients include surgical (urology, abdominal surgeries), ortho trauma, total joints, neuro/spine, and general medical cases such as CHF, renal failure, pneumonia, and more
• Shift is 12-hour nights with a 36-hour workweek
• RN to patient ratio is 1:4; CNA to patient ratio is 1:8
• Uses Epic for charting, Alaris, and Omnicell
• May float to any adult inpatient unit within scope, including Med Surg, Heart/Vascular, Oncology, Observation
• Weekend rotation required, up to 4 out of every 6 weekends; must specify if open to working every weekend
• No mandatory on-call requirement
• Two charge nurses per shift who do not take a patient load, resource and flex nurses, and CNA/RT/hospitalist support
• Orientation consists of unit/department instruction and two precepted shifts
• Care for a diverse adult patient population, including post-surgical, ortho/neuro trauma, and complex medical cases
• Must be comfortable accepting MedSurg assignments in addition to PCU-level cases
• Pod-based team structure with 2 RNs and 1 nurse aide per pod
• Education and resources are provided for post neuro-intervention patient types if needed
• Navy blue scrubs required
• Free parking is available
• Holiday time-off requests must be submitted prior to offer; currently, holiday RTO is not approved
• Blackout dates for time off from August 1-18 due to local events; up to 1.5 weeks off approved with contract extension
• Monthly audits for pain scoring compliance; 90% compliance required
• First-time travelers considered if meeting all experience and EMR requirements

Requirements

• Active RN license from the South Dakota Board of Nursing or Compact RN license
• Completion of an approved nursing education program
• Current BLS, ACLS, and NIHSS certifications required
• Minimum one year of IMC/stepdown nursing experience
• Epic charting experience required; first-time travelers must have prior Epic experience
• Ability to interpret cardiac strips, manage chest tubes, trach care (no fresh traches), NGT tubes, JP drains, line management, wound care, and perform medication administration and transfusions
• Experience with drip titration for heparin, insulin, Cardizem, amiodarone, Levophed, and related medications (willing to train on less common drips)
• Must live at least 100 miles outside of any Monument Health facility; local travelers not accepted
• Permanent staff must wait one full year before returning as a traveler

Benefits

• High Pay and Bonuses
• Medical, Dental and Vision Insurance with Day 1 Options
• 401(k) Plan
• Weekly Payroll Deposit
• Free Online CEUs
• Generous Housing Allowance
• Travel and Licensure Reimbursements
• Non-taxed Per Diem and Subsidy
• Traveler Rewards and Discounts