ICU Registered Nurse (Mixed Medical, Surgical & Cardiac)
Rapid City, SD
Olaro
3x12 hrs, Days

ICU Nurse Opportunity - Rapid City, South Dakota

Unit & Patient Information

• Unit Type: Mixed ICU (MICU, SICU, CICU, TICU) divided into pods
• Beds: 39 total
• Patient Types: Complex ICU patients including surgical, medical, cardiac (preferred), neuro, and trauma cases
• Common Diagnoses: ARDS, MI, CVA/TIA, COVID, post-cardiac cath, post-surgical, multiple system trauma (heavy trauma population)
• Cardiac Experience: Preferred but not required; experience with CABG/TAVR (24-48 hrs post-op) preferred for travelers
• Fresh open heart cases: Only for experienced staff, typically permanent staff

Experience & Qualifications

• Minimum ICU Experience:

  • Preferred: 2 years ICU experience (excluding travel assignments)
  • Consideration for 1.5 years ICU experience plus significant RN experience outside ICU (requires management approval)
• Travel Experience: Minimum one prior travel assignment required; first-time travelers not accepted
• Geographic Requirement: Travelers must live at least 100 miles from any facility in the system
• Permanent Staff: Must wait 1 year before returning as a traveler

Patient Ratios

• RN to patient ratios vary by acuity: 1:1, 1:2, or rarely 1:3

Required Certifications

• BLS
• ACLS
• NIH Stroke Scale (NIHSS)
• TNCC (Trauma Nursing Core Course) – mandatory; travelers unwilling to obtain TNCC prior to arrival will be declined

Education

• Completion of an approved nursing education program
• Registered Nurse (RN) license valid in South Dakota

Skills & Experience

• Epic electronic health record experience required
• Experience with ICU patient types listed above
• Experience with IV medications including vasopressors, sedation, paralytics
• Skilled in hemodynamic monitoring, proning, ventilator management, telemetry
• Strong critical thinking and assessment skills
• Comfortable working in a fast-paced, team-oriented critical care environment
• Experience with Impella, IABP, and CRRT strongly preferred
• ICU RNs may float to Emergency Department (ED)
• PCU RNs may float to ICU
• If experience outside ICU specialty, include details in offer

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 Therapy: 24/7 coverage
• Physicians: 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 confirmed during interview

Orientation

• Hospital orientation plus (1) 12-hour shift and (1) 8-hour shift in ICU

Scheduling

• Weekend rotation every other weekend (not guaranteed)
• No on-call responsibilities
• No RTO (request time off) during holidays or during Sturgis Bike Rally (first 3 weeks of August)
• Time off approval up to 7 days, must extend contract to full 13 weeks if time off taken

Additional Notes

• Scrub color: Navy
• Free parking available

Contract Length

• 13 weeks (approximately 3 months)

Required Documentation & Compliance

• Flu documentation for 2025-26 season
• ACLS, BLS, CPR certifications
• Annual core competencies
• Criminal background check
• Drug screen
• Education and license verification
• Immunizations and titers (Hep B, MMR, Varicella, TDAP)
• COVID requirements
• Physical exam
• Resume and clinical references
• Skills checklist and unit competency verification
• HIPAA compliance
• NURSYS verification
• Photo ID and JPEG photo
• Medication exam
• TB testing
• NIH Stroke Scale certification
• Candidate confirmation form