Ortho Neuro Surgical RN
Rapid City, South Dakota
Rapid City Regional Hospital

Job Overview: Ortho Neuro Surgical (ONS) RN Position

Location

• City: Rapid City, South Dakota
• Facility: Rapid City Hospital, Monument Health

General Information

• Beds: 64 (spread across 2 floors)
• Contract Length: 13 weeks

Required Experience

• Position: Intermediate/Stepdown Level RN
• Experience: 1 year of nursing experience required
• First-Time Travelers: Accepted if they have more than 1 year of experience and EPIC experience
• Travelers: Must live 100 miles away from any Monument Health facility
• Permanent Staff: Must wait 1 full year before returning as a traveler

Patient Types

• Mixed Acuity Unit: Intermediate Care, Telemetry, and MedSurg
• Surgical Patients: Urology, prostatectomy, bowel obstruction, mass removal, cholecystectomy, appendectomy, general abdominal surgeries
• Ortho Patients: Total joints (knees/hips/shoulders), Ortho Trauma
• Neuro/Spine Patients: CVA/TIA, seizures, brain tumors, hematomas, aneurysms, craniotomies, spinal surgeries (laminectomies, fusions, discectomies)
• General Medical Patients: Cellulitis, influenza, COVID, pneumonia, COPD, CHF, renal failure, gastrointestinal disorders, DVTs, UTIs
• Wound Care: Wound debridement, telemetry monitored patients

Patient Ratios

• RN: 1:4 (even for MedSurg assignments)
• CNA: 1:8

Required Certifications

• RN: BLS, ACLS, NIHSS

Required Education and Experience

• Valid RN license in South Dakota
• Associate of Science in Nursing / Associate Degree in Nursing
• Minimum 1 year of Progressive Care Unit (PCU) experience within the last year

Skills Required

• Comfortability with MedSurg assignments
• Previous experience with IMC/stepdown acuity and Neuro patients
• Ability to read/interpret cardiac strips, manage chest tubes, trach care, NGT tube placement, JP drains, and wound care
• Drip titration of medications (Heparin, Insulin, Cardizem, Amiodarone, Levophed)

Support on the Unit

• Pod structure: 8 patients per pod; staffed with 2 RNs and 1 Nurse Aide
• Charge nurses: Two charge nurses for ONS without patient load
• Flex Nurse: Staffed daily 10a-10p
• Resource Nurse and RT support available

Charting System

• Preferred: Epic
• Other systems: Alaris, Omnicell

Floating

• May float to any Adult Inpatient Unit (Med Surg, Ortho/Neuro/Surgical, Heart and Vascular Unit, Oncology, Observation)

Orientation

• 2 days of unit/department orientation
• 2 orientation shifts on the unit with a preceptor

Scheduling

• 6-week schedules
• Weekend rotation: Up to 4 out of 6 weekends
• No mandatory call time; potential for extra shifts
• Holiday expectations: Must request time off prior to offer; no time off during blackout dates (August 1-18)

Additional Notes

• Scrub Color: Navy Blue
• Parking: Free
• Compliance Audits: Monthly for Pre/Post pain scoring (90% compliance required)

Additional Documentation Required

• Various certifications and verifications including BLS, ACLS, education verification, and background checks.