Med Surg/Oncology RN
Bismarck, North Dakota
CHI Saint Alexius Health

Registered Nurse (Medsurg/Oncology) - Bismarck, North Dakota

Job Details

• Specialty: Medsurg/Oncology RN
• Location: Bismarck, North Dakota
• Contract Length: 13 weeks
• Shift: Nights (1900-0730)
• Hours per Day: 12
• Hours per Week: 48
• Unit Beds: 31
• Nurse-to-Patient Ratios:

  • Days: 1:4-5
  • Nights: 1:5-6
• Weekend Requirement: Every other weekend
• Holiday Requirement: As needed
• Call/Standby: None
• Floating: May float to other MedSurg units and occasionally ER; no mom/baby float; Telemetry strips handled by Tele RN when floated to Tele unit
• Orientation: 1-2 shifts of unit-specific orientation on the floor
• Dress Code: No specific scrub color required

Patient Population & Unit Information

• Adults and geriatrics
• Common diagnoses include stroke (acute and stroke unit, no thrombectomies), hypertension, COPD, cellulitis, congestive heart failure, atrial fibrillation (non-RVR), chest pain, post-MI (after ICU), altered mental status/behavioral health, some telemetry, surgical overflow (excluding joint or cranial surgeries)
• Oncology core staff responsible for chemotherapy administration; no oncology provider on site during the day
• Unit culture described as family-oriented with strong teamwork; supportive environment for travelers

Clinical Responsibilities

• RNs are required to titrate drips (e.g., Lasix preferred but not mandatory, Heparin)
• Experience with tracheostomy care and BiPAP preferred but not required
• RNs troubleshoot BiPAP and stable trachs with blow-by oxygen
• RNs do not interpret telemetry strips; monitor techs handle strip reading
• Charge Nurse present on each shift as a resource, usually without patient assignment unless staffing requires

Staffing Support

• Nurse aides/patient care technicians present with a ratio of 1:8
• Telemetry/monitor techs available on unit

Required Qualifications

• Current RN license appropriate for North Dakota
• BLS Certification required
• NIH Stroke Scale (NIHSS) certification required
• Must have Medsurg/Oncology nursing experience; first-time travel nurses are welcome
• Prior travel experience is not required

Additional Notes

• Scheduling is managed by the unit manager; block scheduling may be considered if unit needs are met
• No call or standby requirements
• Radius rule: Candidates must live within 50 miles and cannot be currently employed full-time, part-time, or PRN with any related facilities within the health system
• Return to Office (RTO) required within 7 days of contract start; no extensions allowed