Medical-Surgical Oncology Registered Nurse
Bismarck, North Dakota
CHI Saint Alexius Health

Job Opportunity: Medsurg/Oncology RN

Location: Bismarck, North Dakota
Contract Length: 13 weeks

Unit & Patient Population

• Department: Medsurg/Oncology (core staff to administer chemotherapy)
• Beds: 31
• Patient Types: Adults and geriatrics with diagnoses including strokes (stroke unit, some acute but no thrombectomies), hypertension, COPD, cellulitis, CHF, atrial fibrillation (non-RVR), chest pain, post-MI ICU transfers, altered mental status/behavioral issues, some telemetry, surgical overflow (no joint or cranial surgeries), oncology patients receiving chemo (no oncology provider on site during the day)

Staffing & Ratios

• Nurse-to-Patient Ratios:

  • Days: 1:4-5
  • Nights: 1:5-6
• Charge Nurse present on each shift as a resource, usually no patient assignment unless staffing requires
• Nurse Aids/Patient Care Techs: Yes, ratio approximately 1:8
• Telemetry/Monitor Techs: Yes, monitor techs handle strip reading; RNs are not required to interpret EKG strips

Experience & Skills Required

• Specialty: Medsurg/Oncology RN
• Years of Experience: Not explicitly stated, but open to first-time travel nurses
• Preferred Experience: Trach and BiPAP experience preferred but not required
• RNs are required to titrate drips (common drips include Lasix and Heparin; Lasix experience preferred but not mandatory)
• RNs troubleshoot BiPAP and manage stable trachs with blow-by oxygen

Scheduling & Work Environment

• Shifts:

  • Days: 07:00 - 19:30
  • Nights: 19:00 - 07:30
• Scheduling: Manager creates schedule; block scheduling may be considered if unit needs are met
• Weekend Requirement: Every other weekend
• Holiday Requirement: As needed
• Call/Standby: None
• Floating: May float to other MedSurg units; telemetry strips handled by telemetry RNs; occasional float to ER; no float to mom/baby unit
• Orientation: 1-2 shifts of unit-specific orientation on the floor
• Dress Code: No specific scrub color required; scrubs not provided
• Unit Culture: Family-oriented, supportive of travelers, strong teamwork

Certifications

• BLS required
• NIHSS certification mentioned

Additional Notes

• Radius rule: Candidates must live within 50 miles and cannot be currently employed full-time, part-time, or PRN with any facility associated with CommonSpirit (including CHI and Dignity)
• Return to Office (RTO) required within 7 days of contract start for this 13-week assignment
• Great unit culture and teamwork emphasized

This position is suitable for Medsurg/Oncology RNs looking for a supportive environment with a diverse patient population and a manageable nurse-to-patient ratio. Prior travel experience is not required.