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

Job Description

American Traveler is seeking a skilled RN for a Progressive Care Unit position in an Ortho Neuro Surgical setting, requiring at least one year of stepdown/intermediate care experience and an active SD or compact RN license.

Responsibilities

• Work in the Ortho Neuro Surgical (ONS) Progressive Care Unit with mixed acuity across two floors
• Care for a diverse patient population including neuro, ortho, surgical, and general medical cases with telemetry monitoring
• Unit includes 64 beds with RN patient ratios of 1:4 and CNA ratios of 1:8
• Common procedures include post-operative care, neuro interventions, orthopedic trauma, wound care, and telemetry
• Use of Epic EMR system is strongly preferred
• Night shift position with 12-hour shifts
• Weekend rotation required, up to 4 out of 6 weekends
• Float as needed to other adult inpatient units within scope of practice, including Med Surg, Heart and Vascular, Oncology, and Observation
• No mandatory call requirements
• Scrub color is navy blue
• Unit uses a pod structure supported by RNs and nurse aides, with separate charge nurses for each floor
• Orientation includes 2 days department-specific and 2 unit shifts with a preceptor
• Support available from phlebotomy, respiratory therapy, hospitalist, and nurse clinician
• Monthly audits require at least 90% compliance with pre/post pain scoring
• Holiday time-off requests must be made prior to offer; current holiday RTO not accepted
• No time off is approved during the Sturgis Motorcycle Rally blackout dates each year
• First-time travelers will be considered with required experience and Epic EMR proficiency
• Free parking is provided

Requirements

• Active RN license in South Dakota or a compact state
• Minimum of 1 year recent intermediate/stepdown (PCU) experience required
• BLS, ACLS, and NIHSS certifications required
• Completion of a nursing education program approved by a board of nursing
• Experience with telemetry monitoring, neuro, ortho, and surgical patient care preferred
• Ability to manage cardiac strips, chest tubes, trach care (excluding fresh traches), NGT tube placement, JP drains, PICC/Midline/CVL/PIV lines, wound vacs, medication administration, TPN/tube feedings, blood transfusions, and collection devices
• Experience with drip titration of medications such as Heparin, Insulin, Cardizem, Amiodarone, Levophed, and beta blockers preferred (training provided as needed)
• Epic EMR experience required for first-time travelers
• Must reside at least 100 miles from any Monument Health facility for eligibility
• Permanent staff must wait 1 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