ICU RN
Rapid City, SD
Thrive Staffing
4x12 hrs, Days

General Information

We are seeking an experienced ICU Registered Nurse to join our dynamic team. This role is based in a mixed Critical Care Unit comprising Medical, Surgical, Cardiac, Neurology, and Trauma care.

Qualifications

• Minimum of 2 years of ICU experience, excluding travel assignments. Candidates with 1.5 years of ICU experience and significant RN experience outside of the ICU may be considered for management approval.
• First-time travelers will not be accepted; a minimum of one prior travel assignment is required.
• Travelers must reside at least 100 miles away from any local facility.
• Permanent staff must wait one year before returning as travelers.

Patient Types

The unit manages a diverse range of complex ICU patients. The following are commonly seen:

• ARDS
• Myocardial Infarction (MI)
• Stroke and Transient Ischemic Attack (CVA/TIA)
• COVID-19 patients
• Post-surgical cases, including CABG/TAVR (24 to 48 hours post-op experience preferred)
• Multiple system trauma, particularly heavy trauma cases

Patient Ratios

The patient-to-nurse ratios can vary based on acuity:

• 1:1, 1:2, or occasionally 1:3 (rare)

Required Certifications

• BLS
• ACLS
• NIHSS
• TNCC (Required prior to arrival)

Required Education

Completion of a nursing education program approved by a board of nursing; Registered Nurse (RN) licensure in South Dakota is required.

Skills

• Experience with the patient population listed above.
• Epic experience is necessary for charting.
• Ability to work a 48-hour weekly contract; this is a non-negotiable requirement.
• Competency in administering IV medications (including vasopressors, sedation, and paralytics), managing hemodynamic lines, proning, ventilator management, and telemetry.
• Strong critical thinking and assessment skills.
• Ability to work well in a fast-paced team environment.
• Experience with Impella, IABP, and CRRT is strongly preferred.

Support on the Unit

• 1-2 Nurse Aides per unit, along with a mobility float aide.
• Charge nurses and resource nurses available, dependent on staffing.
• Respiratory Therapy support available 24/7.
• Three intensivists on days and two on nights, with an APP present at night.

Orientation

New hires will undergo:

• Hospital orientation consisting of one 8-hour session and completion of iLearns.
• Unit orientation comprising two 12-hour shifts, with an additional independent 12-hour shift required for travelers with prior experience.

Scheduling Requirements

• Weekend rotation: Efforts will be made for every other weekend, although this is not guaranteed.
• No requests for time off (RTO) during holidays.
• Approval of time off is limited to up to 7 consecutive days, extending to accommodate a full 13-week contract. RTO is not permitted during the Sturgis Bike Rally (first three weeks of August annually).

Additional Notes

Travelers may be expected to precept students as part of their responsibilities. Scrub colors are navy, and free parking is available.