Progressive Care RN (Med/Surg & Intermediate Care)
Rapid City, SD
Olaro
3x12 hrs, Days

PCU RN Opportunity – Rapid City, South Dakota

Facility Overview

• Unit size: 36-48 beds (flexible with semi-private rooms)
• Mixed patient population: Med/Surg to Intermediate Care (IMC) level, including long length of stay patients
• Patient acuity: 90% Med/Surg, 10% Intermediate Care

Experience & Requirements

• Minimum 1 year nursing experience required
• First-time travelers accepted if >1 year experience and must have EPIC experience
• Must live at least 100 miles from any local facility to qualify as a traveler
• Permanent staff must wait 1 year before returning as a traveler

Patient Types & Care

• Common diagnoses: DKA (insulin drips), pre/post-surgical, cellulitis, influenza, UTIs, pneumonia, COPD, CHF, renal failure (with/without hemodialysis), hepatic failure, GI disorders/infections, soft tissue injuries, minor fractures, DVTs, CVA overflow
• Treatments and procedures include:

  • Oral, IV, IM, SQ medications
  • Titration of vasoactive drips (Heparin, Insulin, Cardizem, Amiodarone, Levophed up to 5 mcg, occasionally esmolol or other beta blockers/antihypertensives)
  • TPN/tube feeding, blood transfusions
  • Management of peripheral IVs, midlines, PICCs, central lines, chest tubes, NG tubes, drains, urinary/fecal devices
  • Preventative and restorative skin and wound care
  • Telemetry monitoring and interpretation

Patient Ratios

• Long length of stay (MedSurg, no telemetry): 1:5-6 (1 pod, 10-12 patients)
• Med Surg/Telemetry (no IMC drips): 1:5 (2 pods, 10-12 patients each)
• Intermediate Care: 1:4 (1 pod, 8 patients; mix of Med/Tele or IMC)

Certifications & Education

• Required certifications: BLS, ACLS, NIH Stroke Scale (NIHSS)
• Education: Completion of an approved nursing education program; RN license from South Dakota Board of Nursing

Skills & Competencies

• Comfort with MedSurg assignments (decline if not comfortable)
• EPIC electronic health record experience required
• Experience with IMC/stepdown and neuro patients; ability to read/interpret cardiac strips
• Proficient in wound care, line and drain/tube management, drip titration as listed above

Unit Support

• CNA ratio: 1 CNA per 8 patients
• Charge nurse present (does not take patient load)
• Phlebotomy available
• Respiratory Therapist (RT) available
• Hospitalist coverage
• No IV/VAT team or resource nurse on unit

Charting & Equipment

• Epic electronic health record system (required)
• Omnicell medication dispensing system
• Alaris infusion pumps

Floating

• May float to any adult inpatient unit including Med Surg, Ortho/Neuro/Surgical, Heart and Vascular, Oncology, Observation
• Floating within scope of practice and in rotation with other travelers

Orientation

• 2 days classroom/unit orientation including policies, protocols, and online learning
• 2 orientation shifts with a preceptor on the unit

Scheduling

• 6-week scheduling blocks
• Weekend rotation: up to 4 out of 6 weekends (Friday-Sunday); possibility of working every weekend if open
• No mandatory on-call; optional extra shifts may require on-call if staffing allows
• Holiday time off requests require manager approval; blackout dates in early August due to local event
• Time off approval: up to 1.5 weeks generally approved; longer time off requires extension

Additional Information

• Scrub color: Navy Blue
• Free parking available

Contract Length

• 13 weeks (approximately 3 months)

This position is ideal for PCU RNs comfortable with MedSurg and intermediate care patients, who have EPIC experience and are looking for a flexible travel assignment in South Dakota.