Mixed ICU Registered Nurse
Rapid City, SD
American Traveler
4x12 hrs, Nights

Assignment Overview

• Shift: Nights, 4x12hrs
• Hours: 48 hrs/wk
• Start Date: Aug 10, 2026
• Length: 13 weeks
• Openings: 1

Description

American Traveler is seeking an experienced RN for a mixed ICU position requiring at least 1.5–2 years of ICU experience, Epic proficiency, and TNCC certification, working 12-hour night shifts at 48 hours per week.

Details

• Mixed ICU setting divided into pods: MICU, SICU, CICU, and TICU across a 39-bed unit
• Complex patient population including surgical, medical, cardiac, neuro, and trauma cases; diagnoses include ARDS, MI, CVA/TIA, COVID, post-cardiac cath, post-surgical, and multi-system trauma
• Heavy trauma population with a strong cardiac component; CABG/TAVR post-op experience (24–48 hrs) is preferred but not required
• Patient ratios are acuity-dependent: 1:1, 1:2, or 1:3 (rare)
• 12-hour night shifts at 48 hours per week
• Every other weekend rotation is the goal, though not guaranteed
• No on-call responsibilities
• Floating is uncommon but possible to adult floors including Med/Surg or Tele at a 1:4 ratio when overstaffed
• EMR: Epic (required); Alaris pumps (transitioning to Baxter by October); Omnicell

Requirements

• Active RN license — South Dakota (SD) or Compact license required
• Required certifications: BLS, ACLS, NIHSS, and TNCC (must be obtained prior to start if not already held)
• Minimum 1.5–2 years of ICU experience, excluding travel experience; candidates with 1.5 years of ICU experience plus significant RN experience outside of ICU may be considered
• Epic EMR experience required
• Proficiency with IV medications including vasopressors, sedation, and paralytics; hemodynamic lines; proning; ventilator management; and telemetry monitoring
• Impella, IABP, and CRRT experience strongly preferred
• Comfort working a 48-hour/week schedule is required — this is non-negotiable for this unit
• Graduation from a board-of-nursing approved nursing education program
• Two professional references dated within the past year required for consideration
• DOB and SSN required for consideration

Additional Information

• First-time travelers will not be considered — a minimum of one prior travel assignment is required
• Candidates must reside at least 100 miles from any Monument Health facility to be eligible
• Former permanent staff must wait one year before returning as a traveler
• Travelers will not be floated to the CVICU side unless they have specific experience in that specialty
• Fresh open-heart cases are not assigned to travelers unless the facility has established comfort with the individual's skill level
• Unit support includes 1–2 CNAs per unit plus a mobility float aide, 2 charge RNs overseeing all ICUs, a resource nurse (staffing dependent), 24/7 respiratory therapy, and intensivist and APP coverage around the clock
• Orientation consists of hospital orientation, one 8-hour department orientation session, one 4-hour iLearns completion session, and two 12-hour floor orientation shifts
• RTO of up to 7 days may be approved, but the contract must be extended to accommodate a full 13-week assignment
• No RTO will be approved during holidays or the Sturgis Bike Rally (first 3 weeks of August)
• Travelers may be expected to precept nursing students
• Required scrub color: Navy
• Free parking is available on site