ICU Registered Nurse (RN)

General Information

This position requires a skilled ICU Registered Nurse to join a mixed unit with 39 beds, encompassing MICU, SICU, CICU, and TICU. Floating to CVICU is only permissible for those with specialized experience in that unit.

Minimum Experience

• 2 years of ICU experience (excluding travel experience) preferred.
• 1.5 years of ICU experience may be considered with significant RN experience outside of ICU upon management approval.
• First-time travelers will not be accepted.
• Travelers must reside 100 miles away from any facility.
• Permanent staff must wait one year before returning as a traveler.

Patient Types

The ideal candidate will manage a variety of complex ICU patients, including:

• Surgical cases
• Medical conditions
• Cardiac issues (preferred)
• Neuro and trauma patients

Common diagnoses include:

• ARDS
• MI
• CVA/TIA
• COVID-19
• Post-cardiac catheterization
• Post-surgical care
• Multiple system trauma

Patient Ratios

Ratios may vary based on acuity, typically ranging from 1:1 to occasionally 1:3.

Required Certifications

• BLS
• ACLS
• NIHSS
• TNCC (required; travelers must obtain this certification prior to arrival)

Required Education

The candidate must have completed a nursing education program approved by a board of nursing and hold a Registered Nurse (RN) license in South Dakota.

Skills and Qualifications

• Experience with Epic charting system is required.
• Must be comfortable working a 48-hour work week. Candidates not interested in this commitment must seek manager approval.
• Experience with specified patient types is required.
• Ability to administer IV medications (including vasopressors, sedation, and paralytics), manage hemodynamic lines, carry out proning, and conduct ventilator management.
• Strong critical thinking and assessment skills.
• Ability to work effectively in a team in a fast-paced environment.
• Experience with Impella, IABP, and CRRT is strongly preferred.

Candidates should be prepared to discuss instances where they exceeded leadership expectations.

Support on the Unit

• CNA support includes 1-2 Nurse Aides per unit, along with a mobility float aide.
• Charge nurse coverage consists of 2 CRNs overseeing all ICUs.
• Phlebotomy services are available for peripheral blood draws only.
• ICU CRNs place all midlines.
• Resource nurses are available as staffing allows.
• Respiratory Therapy services are available 24/7.
• There are 3 Intensivists on day shifts and 2 on night shifts, along with APP support at night.

Orientation and Scheduling

• Orientation includes 1 day for hospital orientation, 1 day for department-specific orientation and iLearns, and 2-3 shifts for floor orientation depending on experience.
• Weekend rotation is typically every other weekend but is not guaranteed.
• No time off is permitted during the holiday season or during special events like the Sturgis Bike Rally.
• Time off requests are allowed for up to 7 days, but must align with full 13-week contracts.

Additional Notes

• Opportunities to precept nursing students may arise.
• Scrub color is navy.
• Free parking is available on-site.

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