ICU RN
Rapid City, SD
American Traveler
4x12 hrs, Nights

Assignment Overview

• Shift: Nights, 4x12hrs
• Hours: 48 hrs/wk
• Start Date: Sep 21, 2026
• Length: 15 weeks
• Openings: 1

Description

American Traveler is hiring an experienced ICU RN for a 12-hour night shift assignment, requiring at least one prior travel contract and a SD or compact RN license.

Details

• 39-bed mixed ICU (MICU, SICU, CICU, TICU) divided into pods; no floating to CVICU side without prior experience
• Complex ICU patient population including surgical, medical, cardiac, neuro, and heavy trauma cases
• Common diagnoses include ARDS, MI, CVA/TIA, COVID, post cardiac cath, and multiple system trauma
• Cardiac experience preferred, including CABG/TAVR patients 24-48 hrs post-op
• RN to patient ratios of 1:1, 1:2, and occasionally 1:3 based on acuity
• 12-hour night shift schedule totaling 48 hours per week
• Weekend rotation targeted for every other weekend, though not guaranteed
• No on-call requirements
• Floating uncommon, reserved for overstaffed situations; could float to any adult floor including Medsurg/Tele with 1:4 ratio
• ICU RNs may float to ED and PCU RNs may float into ICU depending on experience
• Support staff includes 1-2 CNAs per unit plus a mobility float aide, charge nurses overseeing all ICUs, 24/7 respiratory therapy, and onsite intensivists/APPs
• Peripheral blood draws performed by phlebotomy; ICU RNs place all midlines
• Uses Epic EMR, Alaris (transitioning to Baxter) pumps, and Omnicell

Requirements

• Active RN license (SD or compact) required
• BLS, ACLS, NIHSS certifications required
• TNCC certification required, or willingness to obtain prior to arrival
• Minimum 2 years ICU experience preferred, excluding travel experience
• Candidates with 1.5 years ICU experience and significant non-ICU RN experience may be considered pending management approval
• At least one prior travel assignment required; first-time travelers not accepted
• Epic EMR experience required
• Experience with IV medications including vasopressors, sedation, and paralytics required
• Experience with hemodynamic lines, proning, ventilator management, and telemetry required
• Impella, IABP, and CRRT experience strongly preferred
• Strong critical thinking, assessment skills, and comfort in a fast-paced, high-acuity team environment required
• Must be comfortable working a 48-hour per week contract

Additional Information

• Provide direct critical care to complex ICU patients across multiple specialties
• May be expected to precept nursing students
• Facility orientation includes hospital orientation, department orientation with iLearns, and floor orientation shifts
• Navy scrub color required
• Free parking available
• No RTO permitted during holidays or during the Sturgis Bike Rally (first 3 weeks of August)
• Time off requests up to 7 days may be approved, but contract must be extended to complete a full 13-week assignment
• Travelers must reside at least 100 miles from any Monument Health facility; local candidates not accepted
• Former permanent staff must wait 1 year before returning as a traveler
• Facility is known for being traveler-friendly with high renewal rates