Progressive Care Unit RN
Rapid City, SD
Slate Healthcare
3x12 hrs, Nights

Registered Nurse - PCU - 
POSITION DETAILS - 
Required experience? Intermediate/Stepdown Level RN: 1 year of nursing experience required
Will you accept a first-time traveler? Yes, if greater than 1 year of experience
1st time traveler 
MUST have EPIC experience
Travelers must live 100 miles away from any Monument Health facility
Permanent staff must wait 1 full year before returning as a traveler
Required Certifications: RN: BLS, ACLS, NIHSS
Required Education: RN: Completion of a nursing education program that is approved by a board of nursing; Registered Nurse (RN) - South Dakota Board of Nursing

UNIT HIGHLIGHTS -
Beds: 64 spread across 2 floors
Patient Types: This is a mixed acuity unit meaning there will be Intermediate Care acuity as well as Tele and MedSurg. Surgical: Urology, prostatectomy, bowel obstruction, mass removal, cholecystectomy, appendectomy, general abdominal surgeries
Ortho: Total joints (knees/hips/shoulders), Ortho Trauma External fixation, soft tissue injury and minor fractures
Neuro/Spine: CVA/TIA with Neuro Vascular Intervention coiling, clipping, potentially thrombectomy (may go to ICU but if they are stable could come back to ONS) modified ratios with this patient (CRN/flex RN will help to manage in immediate post-op time frame). Seizures/Epilepsy, brain tumor, hematoma, brain aneurysm, arteriovenous malformation, AV Fistula, craniotomies with burr holes and/or shunts, Halos, Flaps
Please note: post neuro-intervention is a preferred experience - education and resources are provided by the unit if they have not had this patient type. Spinal Surgical - Laminectomies, Fusions, Discectomies
Please note: post neuro-intervention is a preferred experience - education and resources are provided by the unit if they have not had this patient type. General Medical: cellulitis, influenza, COVID, pneumonia, COPD, CHF, renal failure with or without the need for hemodialysis, hepatic failure, rib fracture, gastrointestinal disorders and infections, DVTs, UTIs. Wound care/Wound debridement, telemetry monitored patients
Patient Ratios: RN: PCU: 1:4 (even for MedSurg assignments), CNA: 1:8
Support on the Unit: Pod structure for the unit 8 patients per pod; staffed with 2 RNs and 1 Nurse Aide, CNA: 1:8, Charge nurse: Two charge nurses for ONS that do not take a patient load (1 dedicated to each floor) Flex Nurse staffed daily 10a-10p, Phlebotomy? Yes, IV/VAT Team? No, Resource Nurse during Dayshift/varied hours Nurse Clinician support available, RT: Yes, Hospitalist: Yes
Charting System: Epic required, Alaris, Omnicell.

REQUIRED SKILLS - 
Skills required: Intermediate/Stepdown RN: Comfortability to take MedSurg assignments please decline if not. EPIC Experience. 
Previous experience with our types of patients above, including IMC/stepdown acuity and Neuro
Ability to read/interpret cardiac strips, chest tubes, trach care (no fresh traches), NGT tube placement and management, JP drains, line management PICC/Midline/CVL/PIV placement, wound vacs (Wound Care RN will change out the vac but RN must know how to assess and will need to change to wet/dry dressing in case of malfunction), wound care/dressing changes, medication administration, TPN/tube feeding, blood product transfusions, urinary and fecal collection devices. Drip titration of below medications: most commonly Heparin, Insulin, Cardizem, Amiodarone, Levophed (up to 5 mcg), occasionally esmolol drips (will train if traveler has not done these) or other Betablockers or other antihypertensives.