Medical-Surgical RN
Bottineau, ND
Host Healthcare
3x12 hrs, Days, Nights
Referral Bonus

Registered Nurse – Med Surg

Location: Bottineau, North Dakota
Contract Length: 13 weeks
Shift: Day/Night rotation
Hours: 12-hour shifts, approximately 36 hours per week

Unit and Patient Population

• Small Critical Access Hospital with 25 beds
• Unit: Medical-Surgical (Med Surg) and Swing Bed, with some ER floating
• Nurse-to-patient ratios:

  • Med Surg: 1:3-6
  • Swing bed: 1:10-13
• Patient diagnoses commonly include:

  • Diabetes Mellitus (DM)
  • Myocardial Infarction (MI)
  • Congestive Heart Failure (CHF)
  • Atrial Fibrillation (A. Fib)
  • Cellulitis
  • GI Bleeds
  • Urinary Tract Infections (UTI)
  • Pneumonia
  • COVID-19
  • Chest Pain
  • Gastroenteritis
  • Falls, Weakness
  • Electrolyte Imbalances
  • Chronic Obstructive Pulmonary Disease (COPD)
• Large elderly population with chronic conditions

Required Qualifications

• Valid RN license in North Dakota
• Minimum 1 year of Medical-Surgical nursing experience within the last year
• Associate of Science in Nursing (ASN) / Associate Degree in Nursing (ADN)
• Certifications required:

  • Basic Life Support (BLS) issued by the American Heart Association
  • Advanced Cardiovascular Life Support (ACLS)
  • Trauma Nursing Core Course (TNCC)
  • National Institutes of Health Stroke Scale (NIHSS)

Clinical Responsibilities and Skills

• RNs must titrate insulin, heparin, and most medications until patient transfer if warranted
• No telemetry/monitor techs on unit; RNs read and interpret their own cardiac strips (Phillips monitors)
• Respiratory therapy equipment not present; nursing staff perform ABGs, breathing treatments, and 12-lead EKGs
• Duties include:

  • Accessing/de-accessing ports
  • PICC line care
  • Wound care including wound vacs
  • Mixing and preparing medications

Scheduling and Work Environment

• Shift schedule: 3 shifts per week, 12 hours each, rotating day and night shifts
• Modified self-scheduling with final schedule balancing by leadership
• Weekend requirement: every other to every third weekend for RNs
• Holiday rotation participation may be required
• No call or standby requirements
• Floating between Med Surg, Swing bed, and ER units as needed
• Charge nurse typically has a light patient assignment
• Nurse aide support available; ratios vary by census and staffing
• Dress code: any color or print scrubs, closed-toe shoes required
• Orientation: 4-8 shifts depending on assigned roles and areas

Additional Notes

• All positions work across acute Med Surg, Swing bed, and ER units
• Flexibility and willingness to assist with scheduling gaps appreciated