ER/MedSurg/Swing Bed RN
Turtle Lake, North Dakota
CHI St. Alexius Health Turtle Lake

Registered Nurse (RN) - ER/MedSurg/Swing Bed

Location: Turtle Lake, North Dakota
Contract Length: 13 weeks

Unit Overview

• Department: ER / MedSurg / Swing Bed Unit
• Trauma Level: Critical Access (Rural Location)
• Number of Beds: 25
• EMR System: EPIC
• Nurse:Patient Ratio: 1:8 (team nursing model)
• Shift Length: 12 hours (0645-1915, 1845-0715)
• Scheduling: Team scheduling with possible block scheduling upon request
• Weekend Requirement: Every other weekend
• Holiday Requirement: Alternating or as scheduled (usually every other holiday)
• Call/Standby: None
• Floating: Required to float between ER and MedSurg support
• Orientation: 3 shifts of unit/department specific orientation
• Dress Code: Scrubs provided, no specific color required

Patient Population & Care

• Common Diagnoses/Patients: Dementia, dependent older adults, diabetes, rehab/restorative care post-acute illness, IV medication, fluid and blood administration, COVID, wounds, initial trauma care in ER, exacerbation of chronic illnesses, geriatric population, general rehab post-surgery
• Experience/Skills Needed: Understanding of dementia, stroke, skin care, and geriatric patient care
• Nurse Responsibilities:

  • RNs required to titrate drips (electrolytes, hypertensive meds, IV antibiotics, blood transfusions)
  • RNs must read and interpret telemetry strips (no Telehealth)
  • Manage CPAP equipment troubleshooting only (no other respiratory equipment management)
• Support Staff: Nurse Aides/CNAs on each shift; Charge Nurse present with team assignment (no individual assignments)

Required Certifications & Experience

• Valid RN license in North Dakota
• Associate of Science in Nursing / Associate Degree in Nursing
• Minimum 2 years of Emergency Department (ED) experience, including experience within the last year
• Current certifications: ACLS, BLS, PALS, TNCC
• Experience working with geriatric patients, including understanding of dementia, stroke, and skin care related to geriatric patient care

Additional Information

• No clinical involvement outside of nursing scope
• Radius rule: Candidates must be located 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 additional RTO approvals after submission

This position offers a rural critical access hospital experience with a diverse patient population and a supportive team nursing environment.