MedSurg/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: Days (07:00 - 19:30)
• 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, occasional ER holds; no mom/baby float
• Orientation: 1-2 shifts of unit-specific orientation on the floor
• Dress Code: No specific scrub color required; scrubs not provided

Patient Population & Common Diagnoses

• Adults and geriatrics
• Stroke patients (stroke unit, some acute, excluding thrombectomies)
• Hypertension (HTN)
• Chronic Obstructive Pulmonary Disease (COPD)
• Cellulitis
• Congestive Heart Failure (CHF)
• Atrial Fibrillation (non-RVR)
• Chest pain and post-MI care (after ICU)
• Altered mental status/behavioral health
• Some telemetry patients
• Surgical overflow (excluding joint or cranial surgeries)
• Oncology patients requiring chemotherapy administration (no oncology provider on site during the day)

Clinical Responsibilities

• Administer chemotherapy as core staff
• Titrate drips (e.g., Lasix, Heparin); Lasix experience preferred but not required
• Manage stable BiPAP and established tracheostomies with blow-by oxygen
• Use telemetry packs; monitor techs handle strip reading and interpretation
• Charge Nurse available on each shift as a resource; usually no assignment unless staffing need arises
• Work alongside nurse aides/patient care techs (ratio 1:8)

Required Qualifications

• Current RN license appropriate for North Dakota
• BLS Certification required
• NIH Stroke Scale (NIHSS) certification required
• Experience with tracheostomy and BiPAP preferred but not mandatory
• First-time travel nurses are welcome; prior travel experience is not required
• Ability to titrate drips is required

Additional Information

• Scheduling is managed by the unit manager; block scheduling may be considered if unit needs are met
• Strong unit culture focused on teamwork and family-oriented support for travelers
• 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 additional RTO approvals after submission