Emergency Department RN
Rapid City, SD
American Traveler
3x12 hrs, Flexible

Assignment Overview

• Shift: Variable, 3x12hrs
• Hours: 36 hrs/wk
• Start Date: Sep 8, 2026
• Length: 20 weeks
• Openings: 1

Description

American Traveler is seeking an RN for a high-acuity Level 2 Trauma Emergency Department position requiring 2 years of ED experience and multiple advanced certifications.

Details

• Work in a busy Emergency Department seeing 150-180 patients daily
• Main ED has 33 beds including 8 Trauma/Resuscitation beds and a 4-room Behavioral Health pod convertible to medical use
• Additional vertical care area used for ESI 3/4 patients or as overflow pods during high-acuity periods
• Level 2 Trauma Center treating heavy trauma volumes including stab wounds, GSWs, MVCs, drownings, and falls
• Complete Stroke Center caring for stroke patients up to 24 hours
• Care for neonatal through geriatric patients with conditions including sepsis, DKA, respiratory illness, and GI bleeds requiring blood products
• Pediatric Intensive Care Unit for critically ill children and a cardiac catheter lab for cardiac patients
• RNs responsible for Sexual Assault patient evidence collection in rotation with staff, including swabs, evidence collection, and interviewing (excludes pelvic exams)
• RN to patient ratio is 1:4-5
• Uses Epic EMR, Omnicell, and Alaris equipment
• 12-hour variable shifts with start times including 0630-1900, 1000-2230, 1200-0030, 1400-0200, and 1830-0700
• Scheduled for 36 hours per week with potential for every weekend depending on staffing needs
• Variable shift staff will not work both days and nights in the same week
• May float to inpatient Med/Surg, PCU, or ICU as a task nurse within scope of practice
• No on-call requirements
• ICU RNs may float to ED and PCU RNs may float to ICU based on experience

Requirements

• Active RN license (South Dakota or Compact) required
• Required certifications: BLS, ACLS, NIHSS, TNCC, and PALS
• CPI or MAB/MOAB certification preferred
• Minimum 2 years of ED experience required, excluding travel experience
• Completion of an accredited nursing education program
• Experience with all patient types listed, including trauma, stroke, cardiac, pediatric, and behavioral health
• Strong triage skills with ESI assessment competency
• Critical thinking and prioritization skills for high-acuity patient care
• Epic EMR experience preferred
• Must be comfortable performing sexual assault evidence collection duties

Additional Information

• Provide direct patient care across all ED acuity levels, from minor complaints to critical trauma and stroke cases
• Perform triage duties, accurately distinguishing critical from non-critical patients
• Participate in sexual assault case rotation, with 24/7 support from a SA Quality Coordinator and resource materials available
• Support from ED Techs (1:10 ratio), Lead Tech, Charge Nurses, 24/7 physician and NP coverage, hospitalists, phlebotomy, radiology, and security
• May be expected to precept nursing students
• Orientation includes 8 hours of facility NEO plus 4 hours of ED-specific education and a minimum of two 12-hour shifts on the unit
• Navy scrub color required
• Free parking provided
• Holiday coverage only required if needed
• Time off requests require manager approval, and no time off will be granted during the first three weeks of August due to the Sturgis Bike Rally
• First-time travelers will not be considered for this position
• Travelers must live more than 100 miles from any facility location
• Permanent staff must wait one full year before returning as a traveler
• Facility is known for renewing traveler contracts