Travel Nurse RN - Psychiatric
Rapid City, SD
TotalMed RN
3x12 hrs, Nights
Referral Bonus

UNIT: Behavioral Health- Inpatient
Minimum Experience: 1 year

Required Certifications: RN & LPN: BLS and CPI (preferred to have prior to start but can obtain on assignment)

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

* Will you accept a first-time traveler? Yes, only if greater than 2 years of experience
* Travelers must live 100 miles away
 

Patient Types:
* Psychiatric - Child/adolescents ages 5-17 & Adults 
        * Please make sure travelers understand they will work with peds
* No dementia, severe autistic or forensic patients, no inmates
* Diagnoses include, but are not limited to: Depression, Anxiety, Schizophrenia, Psychosis, Adjustment Disorder
* Facility does occasionally have violent/aggressive patients
* No ECT

Patient Ratios:
* RN: 1:8-9 with a tech
* LPN: 1:8-9 with a tech
* Psych Tech: 1:10

Skills required:
RN: Be able to do a take down and physical restraint on an agitated patient if necessary – forms of restraint include: Time out/seclusion rooms, restraint rooms, holding patient down to administer shot, the facility has but is not currently using a restraint chair; verbal de-escalation, group didactic skills, good communication skills; Team Nursing approach – RN will administer their own meds (injectable and PO) pass meds, evaluate care plans and note progress and documentation, admission screens, Assessments, minor wound care, EKGS (we train), glucometer, take telephone or verbal orders, acknowledge orders, vital signs, the Columbia suicide risk screen, end of shift report, log in patient belongings, screenings and discharge planning, patient safety rounds after 15 minutes

Support on the Unit:
* Security 24/7 (with tasers)
* Panic alarms for all caregivers (worn by staff while on shift)
* Cameras in hallways, nurses station, common areas and med room
* MD availability (on call 24/7)
* BERT – Behavioral Emergency Response Team (available 24/7)
* Psych Techs (Ratio: 1:10)
* Charge nurse (CRN-Clinical Resource Nurse) on shift 24/7 to support the (3) units
* Lab comes every day and will draw routine labs – Behavioral Health staff will draw STAT labs
* IV/VAT Team? No
* Resource Nurse: We have 1 on nights 2300-0930, recruiting for a second one

Charting System/Equipment:
EPIC – REQUIRED
Med Dispensing: Omnicell

Floating:
RN’s/LPN’s could float between the (3) floors at this off site Behavioral Health facility
Could be floated within scope of practice and below

Orientation:
(2) 12hr shifts orienting to the facility
(1) shift of I-Learns
(2) shifts Departmental Orientation

Scheduling:
No Block Schedule Requests
Weekend rotation: every other weekend; 12 hours on the weekend and also could be a combo on Fri, Sat or Sun; Combo shifts are 2 12’s and 2 8’s in a week;
8 hr Days: 0800-1600
8 hr Eves: 1600-0030
8 hr Nights: 0000-0830
12 hr Days: 0800-2030
12 hr Nights: 2000-0830
Holiday Expectations: If you work one major holiday of Thanksgiving or Christmas, you get the other one off each year. Other holidays are first request or as the schedule allows. 2/4 holidays are required.

Could be expected to precept students

Scrub Color:
RN/LPN: Navy

Free Parking