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ICU Registered Nurse (RN)

General Information

We are seeking an experienced ICU Registered Nurse to join our dynamic team. This unit consists of 39 beds across mixed units including MICU, SICU, CICU, and TICU. Travelers should have ICU experience and will not float to the CVICU unless they possess the appropriate training and experience.

Patient Types

The ICU handles a diverse range of complex patients, including:

• Surgical and medical cases
• Cardiac patients (preferred)
• Neuro and trauma patients

Common diagnoses include ARDS, myocardial infarction (MI), CVA/TIA, COVID-19, post-cardiac catheterization, post-surgical cases, and multiple system trauma.

Patient Ratios

The nurse-to-patient ratios are typically:

• 1:1 for high acuity patients
• 1:2 for moderate acuity patients
• 1:3 (rarely) for lower acuity patients

Required Certifications

• BLS
• ACLS
• NIHSS
• TNCC (mandatory for all travelers)

Required Education

Candidates must have completed an approved nursing education program and be a Registered Nurse (RN) licensed in South Dakota.

Skills Required

The ideal candidate should have:

• Experience with the Epic electronic health record system
• Ability to work a 48-hour weekly contract (non-negotiable)
• Experience managing critically ill patients and administering IV medications, including vasopressors, sedation, and paralytics
• Experience with hemodynamic monitoring, proning, ventilator management, and telemetry
• Strong critical thinking and assessment skills
• Ability to work collaboratively in a fast-paced environment

Experience with Impella, IABP, and CRRT is preferred.

Support on the Unit

The unit offers support through:

• 1-2 Nurse Aides per unit, plus mobility float aides
• Resource Nurse (staffing dependent)
• Respiratory Therapists available 24/7
• Three Intensivists during the day and two at night, along with an Advanced Practice Provider at night

Charting System

Candidates should be proficient in using the following charting systems:

• Epic (required for ED & ICU)
• Alaris (transitioning to Baxter Pumps by October)
• Omnicell

Floating

While floating to other units is not common, nurses may be required to float to any adult floor (including Medsurg/Tele) with a 1:4 patient ratio. Comfortability in floating will be assessed during the interview.

Orientation

Orientation consists of:

• 1-day hospital orientation
• 1-day department orientation and online training
• 2 shifts of floor-specific orientation
• 1 additional independent shift for travelers with 48 GH experience to meet required hours

Scheduling

Contract expectations include:

• Weekend rotation (attempting every other weekend, though this is not guaranteed)
• No requests for time off during holidays
• Up to 7 consecutive days off may be approved; must extend to accommodate a full 13-week contract
• No time off during the Sturgis Bike Rally (first 3 weeks in August each year)

Other Notes

The role may require precepting nursing students. Scrubs will be navy color, and free parking is available.

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