PCU / Ortho Neuro Surgical RN
Rapid City, SD
American Traveler
4x12 hrs, Days

Assignment Overview

• Shift: Days, 4x12hrs
• Hours: 48 hrs/wk
• Start Date: Nov 9, 2026
• Length: 15 weeks
• Openings: 1

Description

American Traveler is hiring a Registered Nurse for a PCU/Ortho Neuro Surgical position requiring 1 year of intermediate/stepdown RN experience and EPIC proficiency.

Details

• Works on a mixed-acuity Ortho Neuro Surgical (ONS) unit spanning 64 beds across 2 floors
• Patient population includes surgical (urology, general abdominal), ortho (total joints, ortho trauma), neuro/spine (CVA/TIA, seizures, craniotomies, spinal fusions), and general medical patients
• Cares for telemetry-monitored patients as well as wound care and wound debridement cases
• RN to patient ratio of 1:4 (including MedSurg assignments), CNA ratio of 1:8
• Pod structure with 8 patients per pod staffed by 2 RNs and 1 Nurse Aide
• Unit supported by dedicated charge nurses per floor, a Flex Nurse (10a-10p), Resource/Clinician support, phlebotomy, RT, and hospitalist coverage
• No IV/VAT team on the unit
• Uses Epic for charting, along with Alaris and Omnicell systems
• Scheduled in 12-hour day shifts on a 6-week schedule with potential rotation for up to 4 of 6 weekends (Fri/Sat/Sun)
• May be required to work every weekend (WOW) based on scheduling needs
• No mandatory on-call requirement
• Floating required to any adult inpatient unit including Med Surg, Ortho/Neuro/Surgical, Heart and Vascular, Oncology, and Observation, in rotation with other travelers

Requirements

• Active RN license (South Dakota or Compact) required
• Current certifications: BLS, ACLS, and NIHSS
• Minimum 1 year of Intermediate/Stepdown Level RN experience required
• Previous experience with IMC/stepdown acuity and neuro patient populations preferred
• EPIC charting experience required
• Skilled in reading/interpreting cardiac strips, chest tube and trach care (no fresh traches), NGT and JP drain management, line management (PICC/Midline/CVL/PIV), wound vac assessment and dressing changes, TPN/tube feeding, and blood product transfusions
• Experience with drip titration including Heparin, Insulin, Cardizem, Amiodarone, and Levophed required; esmolol and other antihypertensive drips trained if needed
• Must be comfortable taking MedSurg assignments

Additional Information

• Works in a Level II Trauma Center with Magnet Status, Level III NICU, Level II Pediatric Trauma, and designation as a Primary Stroke and Chest Pain Center
• Teaching hospital environment with 417 total beds
• Post neuro-intervention experience preferred but not required, with unit-provided education and resources for those new to this patient type
• May be expected to precept nursing students
• Orientation includes 2 days of unit/department orientation plus 2 shifts with a preceptor
• Monthly audits conducted for pre/post pain scoring with a 90% compliance requirement
• Navy blue scrubs required
• Free parking provided
• First-time travelers considered if they have more than 1 year of experience
• Must reside at least 100 miles from any Monument Health facility
• Permanent staff must wait 1 full year before returning as a traveler
• Holiday RTO requests must be submitted prior to offer; holiday RTO is not currently being accepted
• Up to 1.5 weeks of time off may be approved, requiring contract extension to a full 13 weeks
• Blackout dates apply from approximately August 1-18 due to the Sturgis Motorcycle Rally, during which no time off is approved