ICU Registered Nurse
Rapid City, SD
Olaro
3x12 hrs, Days

ICU Nurse Opportunity - Rapid City Hospital, South Dakota

Facility: Rapid City Hospital
Hospital System: Monument Health
Unit: Mixed ICU (MICU, SICU, CICU, TICU) - 39 beds divided into pods
Contract Length: 13 weeks

Job Overview

• Care for complex ICU patients including surgical, medical, cardiac, neuro, and trauma cases.
• Patient diagnoses include ARDS, MI, CVA/TIA, COVID, post-cardiac cath, post-surgical, and multiple system trauma.
• Cardiac experience preferred but not required; fresh open heart cases reserved for experienced permanent staff.
• Patient ratios vary from 1:1 to 1:3 depending on acuity.

Experience Requirements

• Minimum 2 years of ICU experience (excluding travel assignments) preferred.
• Candidates with 1.5 years ICU experience plus significant RN experience outside ICU may be considered with approval.
• Must have completed at least one prior travel assignment; first-time travelers not accepted.
• Travelers must live at least 100 miles from any Monument Health facility.
• Permanent staff must wait 1 year before returning as travelers.

Certifications & Education

• Registered Nurse (RN) license approved by South Dakota Board of Nursing.
• Required certifications:

  • BLS
  • ACLS
  • NIH Stroke Scale (NIHSS)
  • Trauma Nursing Core Course (TNCC) – mandatory before arrival.

Skills & Competencies

• Experience with Epic electronic health record system (required).
• Comfortable working a 48-hour workweek (non-negotiable).
• Experience with IV medications including vasopressors, sedation, paralytics.
• Skilled in hemodynamic line management, proning, ventilator management, telemetry.
• Strong critical thinking, assessment skills, and ability to work in a fast-paced, team-oriented environment.
• Experience with Impella, IABP, and CRRT strongly preferred.
• Ability to float to Emergency Department (ICU RN) or to ICU (PCU RN) is a plus.
• Candidates should be prepared to share examples of exceeding leadership expectations.

Unit Support

• CNA support: 1-2 nurse aides per unit plus mobility float aide.
• Charge nurses: 2 CRNs oversee all ICUs.
• Phlebotomy: peripheral blood draws only.
• IV/VAT Team: ICU CRNs place all midlines.
• Resource nurse available depending on staffing.
• Respiratory therapists available 24/7.
• Physician coverage: 3 intensivists on days, 2 on nights, plus APP on nights.

Charting & Equipment

• Epic (required for ED & ICU).
• Alaris pumps (switching to Baxter pumps by October).
• Omnicell medication system.

Floating

• Floating is uncommon unless unit is overstaffed.
• Possible float to adult MedSurg/Telemetry floors with 1:4 ratio.
• Traveler comfort with floating must be confirmed during interview.

Orientation

• Hospital orientation plus:

  • One 12-hour shift and one 8-hour shift in the ICU.

Scheduling

• Weekend rotation every other weekend (not guaranteed).
• No on-call requirements.
• No holiday time off (RTO) allowed.
• Time off approval up to 7 days, must extend contract to full 13 weeks.
• No time off during Sturgis Bike Rally (first 3 weeks of August).

Additional Information

• Scrub color: Navy.
• Free parking available.

This position is ideal for experienced ICU nurses comfortable with high-acuity patients and a fast-paced environment, who meet the certification and experience requirements and are willing to commit to a 13-week contract with a 48-hour workweek.