PICU RN
Rapid City, SD
American Traveler
4x12 hrs, Flexible

Assignment Overview

• Shift: Variable, 4x12hrs
• Hours: 48 hrs/wk
• Start Date: Oct 25, 2026
• Length: 13 weeks
• Openings: 1

Description

American Traveler is hiring an RN for a PICU role requiring 2+ years of PICU experience and a South Dakota (SD) or compact RN license.

Details

• Combined 15-bed Pediatric Unit and 5-bed PICU setting
• Cares for patients 0-18 years and stable adult overflow across General Pediatrics and PICU
• General Pediatrics patients include respiratory illness, diabetes, septicemia, cellulitis, hyperbilirubinemia, neurology, mental health, trauma, and general surgical cases
• PICU patients require critical/intensive care for respiratory insufficiency, circulatory failure, infectious disease, endocrine/metabolic disorders, neurologic disease, toxic ingestions, trauma, and hematologic/oncologic disease
• Patient ratios: 1:5 General Pediatrics; 1:1 for mechanically ventilated/titratable drip PICU patients; 1:2-3 for stable PICU patients
• CNA support available at a 1:8 ratio
• 12-hour variable shifts totaling 48 hours per week
• Every other weekend rotation required
• All holidays required
• May be placed on low census/on-call status
• Floating required to NICU (30-bed, feeder/growers, 1:3 ratio) and General Pediatrics (up to 1:5 ratio)
• Uses Epic charting system and Omnicell
• Uses Drager ventilators

Requirements

• Active RN license (SD or compact) currently in hand
• Minimum 2 years of PICU RN experience required
• Required certifications: BLS, PALS, NIHSS
• Completion of an approved nursing education program
• Proficient in physical assessment of patients ages 0 through adult
• Skilled in evaluating patient symptoms and vital signs
• Experience administering medications and educating patients/families on plan of care
• Proficient with Epic charting system
• Ability to titrate drips and care for mechanically ventilated patients
• RNs must be comfortable starting their own IVs (ultrasound available for difficult IVs) and drawing labs

Additional Information

• Charge nurse coverage is shared across both units on a free-floating basis
• 24/7 in-house hospitalist coverage; intensivist in-house during daytime with home call and 20-minute response time overnight
• Additional support includes pediatric pharmacy, pediatric social work, case management, and respiratory therapy
• Resource support includes a Nurse Clinician/Nurse Educator
• Orientation includes 1 day of facility orientation and 2-3 days of unit orientation with a preceptor across PICU, Peds, and NICU
• Time off requests only approved if submitted in advance
• Navy scrub color required
• Free parking available in the parking garage
• Traveler-friendly culture described as an at-home, learn-and-grow environment
• First-time travelers welcome if they have more than 2 years of relevant experience
• Must reside outside a 100-mile radius to be eligible for this position