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

Job Opportunity: Medsurg/Onc RN

Location: Bismarck, North Dakota
Contract Length: 13 weeks

Unit & Patient Population

• Department: Medsurg/Oncology (core staff to administer chemotherapy)
• No oncology provider on site during the day
• 31 beds
• Nurse-to-patient ratios:

  • Days: 1:4-5
  • Nights: 1:5-6
• 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-ICU MI, altered mental status/behavioral issues, some telemetry, surgical overflow (no joint or cranial cases), oncology patients receiving chemo

Experience & Skills Required

• Specialty: Medsurg/Oncology nursing
• Years of experience: Not explicitly stated; preference for experience with tracheostomy and BiPAP but not required
• Prior travel experience: Not required; first-time travelers are welcome
• RNs are required to titrate drips (e.g., Lasix, Heparin; Lasix experience preferred but not mandatory)
• RNs do not need to interpret EKG strips; telemetry techs handle strip reading
• Experience with stable BiPAP and established trachs with blow-by oxygen preferred

Certifications

• BLS required
• NIHSS certification mentioned

Shift & Scheduling

• Shifts:

  • Days: 7:00 AM – 7:30 PM
  • Nights: 7:00 PM – 7:30 AM
• Scheduling: Manager sets schedule; block scheduling may be considered if unit needs are met
• Weekend requirement: Every other weekend
• Holiday requirement: As needed
• No call or standby requirement

Orientation & Support

• Unit-specific orientation: 1-2 shifts on the floor
• Charge nurse available on each shift as a resource (usually no assignment unless staffing need)
• Nurse aides/patient care techs present with a ratio of 1:8
• Telemetry/monitor techs available on unit
• Floating: May float to other MedSurg units; telemetry strips handled by telemetry RN; occasional float to ER; no float to mother-baby unit
• Scrub color: No specific color required; scrubs not provided
• Culture: Family-oriented unit with strong teamwork; travelers are supported

Additional Notes

• Radius rule: Candidates must live within 50 miles and may not be currently employed full-time, part-time, or PRN with any facility associated with the same health system
• Return to office (RTO) needed within 7 days of contract start for this 13-week assignment
• Updated as of January 26, 2024