Medical-Surgical Float RN
Bismarck, North Dakota
CHI Saint Alexius Health

Registered Nurse (MedSurg Float) - North Dakota

Location: Bismarck, North Dakota
Contract Length: 13 weeks

Unit Information

• Unit Type: Medical-Surgical Float
• Unit Size: 61 beds combined
• Nurse-to-Patient Ratios:

  • Day shift: 1:5
  • Night shift: 1:6
• Nurse Aide Ratio: 1:15
• Floating Required: Yes
• Shifts: 12-hour shifts
• Weekend Requirement: Every other weekend
• Holiday Requirement: Every other holiday
• Call or Standby Requirement: Yes, with LCD (likely limited call duty)
• Dress Code: Any scrub color
• Orientation: Travel Clinical Based Orientation (CBO) with unit-specific float checklist; orientation includes every other week and night shifts, first to float

Patient Population & Common Diagnoses

• Surgical patients including:

  • Total joint replacements
  • Fractures
  • Bariatric surgery
  • Urology
  • General surgery
• Medical patients including:

  • Congestive Heart Failure (CHF)
  • Cerebrovascular Accident (CVA)
  • Shortness of Breath (SOB)
  • Diabetic issues

Equipment & Monitoring

• Respiratory Therapy Equipment: CPAP, BiPAP, High-flow oxygen
• Telemetry: Yes

  • Monitor Techs read telemetry strips
  • RNs confirm telemetry readings

Clinical Practice

• RNs are not required to titrate drips
• No charge nurse or house supervisor role on this unit

Required Certifications & Qualifications

• BLS Certification required
• Specialty Experience: MedSurg Float (experience matching current med/surg unit expectations)

Summary

This is a 13-week Medical-Surgical Float RN assignment in Bismarck, ND, requiring 12-hour shifts with every other weekend and holiday coverage. The unit cares for a mixed surgical and medical patient population with telemetry monitoring and respiratory support equipment. Floating between units is required, and prior med/surg experience is expected. BLS certification is mandatory.