Travel Nurse RN - PCU - Progressive Care Unit
Rapid City, SD
TotalMed RN
3x12 hrs, Days
Referral Bonus

UNIT: PCU
CLINICAL INTERVIEW

Experience required: 1 Year. Travelers must live 100 miles away from any Monument Health facility.  Previous permanent staff must wait 1 year before returning as a traveler.  

Patient Types:  Adults with a variety of diagnoses including CHF, ARF, hepatitis, ESLD, DM, DKA, pneumonia, sepsis, GI bleed, syncope, chest pain, pulmonary emboli, respiratory failure, COPD, arrhythmias, seizure disorders, overdose, and delirium tremors.

Patient Ratios:  PCU/Tele - 1:4 (Days & Nights)
Med/Surg – 1:5 (Days & Nights)

Certs required:   BLS, ACLS

Required Education:  Completion of a nursing education program that is approved by a board of nursing;  Registered Nurse (RN) - South Dakota Board of Nursing

Charting System/Equipment: Epic – (preferred) please let CRT know if traveler does not have EPIC experience so they can ask approval.  Alaris, Omnicell

Skills required:  cardiac and vasoactive drip titration – please request approval to offer without this experience, Cardiac rhythm interpretation, IV starts, Blood product administration, CIWA, drain/tube management, indwelling and straight catheter insertion/management, insulin drips - both DKA and non-DKA, continuous bladder irrigation, chest tube maintenance; Effective verbal and written communication, thorough physical assessments, strong clinical judgement, professional bedside manner, strong team player, positive attitude, adaptability.  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

Floating: Adult Inpatient Units - Med Surg, Ortho/Neuro/Surgical, Heart and Vascular Unit, Oncology, ICU (depending on experience), Observation. Will float in rotation with other travelers.

Scheduling:
Weekend rotation – Every other or 50% weekends per 4-week schedule. Weekends are Friday, Saturday, and Sunday.
Will they be on call? If so, what is that schedule? Travelers are not scheduled On Call hours, but may be placed On Call related to Low Census if hours are over guaranteed weekly hours OR traveler requests to be low censused On Call
Holiday Expectations: Every other holiday minimum during contracted timeframe
Huddles are required: all travelers must attend huddle prior to shift start at 0625 & 1825 in our 7th floor conference room.

Other notes:
Could be expected to precept students
Audits are done monthly for Pre/Post Pain Scoring – must meet 90% compliance
Scrub Color:
RN: Navy Blue
CNA: Cement/Light Grey
Free Parking? Yes