Stepdown RN
Sioux Falls, South Dakota
Sanford USD Medical Center Sioux Falls

RN - Pulmonary

Location: Sioux Falls, South Dakota Contract Length: 13 weeks Shift: Days, 12-hour shifts, 36 hours per week Schedule: Straight weekends, every other holiday

Unit Overview

• Unit: Pulmonary Unit, within a 30-bed medical-surgical unit and 8-bed progressive care unit
• Beds: 30 med-surg beds, with capacity to expand to 41 beds depending on COVID volume

  • 10-bed med-surg non-COVID wing
  • 8-bed progressive care non-COVID wing (IMC trained)
  • 10-bed C wing and 10-bed D wing for COVID and non-COVID patients, with double-bed capacity
• IMC travelers: Work in both the IMC and Med-Surg units. Med-Surg travelers work in the Med-Surg unit only.
• Average length of stay: 4 days on the Wings and 9 days in Acute
• Patient population: Pneumonia, COPD, congestive heart failure, COVID-19, pulmonary embolism, and complex cases requiring oxygen therapy, IV medications, moderate sedation monitoring during bronchoscopies, chest tubes, tracheostomies, postoperative care, non-invasive ventilation, mechanical ventilation, and cardiac monitoring
• Nurse-to-patient ratios:

  • Pulmonary Acute for IMC RNs: 1:3
  • Day shifts: 1:4 or 1:5
  • Night shifts: 1:5 or 1:6

Required Qualifications

• ACLS (AHA)
• BLS (AHA)
• South Dakota or compact state RN license

Required Skills

• BiPAP
• CPAP
• Heated high flow
• Oxygen titration
• Moderate sedation
• Telemetry
• Medical-surgical patient care

Preferred Qualifications

• Specialty certification

Float Scope

• Med-Surg float units. Travelers are the first to be reassigned to another department.

Equipment

• Alaris pumps for IV fluids
• Acudose for medications

Onboarding and Orientation

• Day 1: Competency validation on arrival, with telemetry and mechanical ventilation validation by Nurse Educators. Online modules, self-assessment, and core competency validations from 0700 to 1930.
• Day 2: Shift on unit with a preceptor, including patient care, unit tour, POCT testing, remaining facility modules, and patient care from 0700 to 1930.
• Day 3: 12-hour shift on unit.

Other Requirements

• Badge in and out at the facility.
• Navy blue scrubs.
• Clinicians who have previously worked for this employer must note it in their submission. Any prior employment must have ended at least 6 months before the submission date.