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ICU Registered Nurse (RN)

We are seeking a skilled ICU Registered Nurse (RN) to join our team in a mixed unit environment that includes MICU, SICU, CICU, and TICU. This position requires a compassionate and experienced nursing professional capable of providing high-quality care to a diverse patient demographic.

General Information

• Beds: 39
• Minimum Experience: At least 2 years of ICU experience preferred; 1.5 years of ICU experience may be considered with significant RN experience outside of ICU.
• Travelers: Must have at least one prior travel assignment; candidates must reside 100 miles away from any facility.
• Permanent Staff: Must wait 1 year before returning as a traveler.

Patient Care Responsibilities

The ICU Registered Nurse will care for complex patients, including but not limited to:

• ARDS
• MI (Myocardial Infarction)
• CVA/TIA (Cerebrovascular Accident/Transient Ischemic Attack)
• COVID-19
• Post-cardiac catheterization
• Post-surgical patients
• Multiple system trauma cases, with a focus on a heavy trauma population.

Cardiac experience is preferred, particularly with CABG/TAVR up to 48 hours post-op.

Patient Ratios

• RN: 1:1, 1:2, 1:3 (occasional) based on acuity.

Required Certifications

• BLS (Basic Life Support)
• ACLS (Advanced Cardiovascular Life Support)
• NIHSS (National Institutes of Health Stroke Scale)
• TNCC (Trauma Nursing Core Course): Required before arrival.

Required Education

Completion of a nursing education program approved by a Board of Nursing; must be a Registered Nurse (RN) in South Dakota.

Necessary Skills

• Epic experience preferred.
• Ability to work a 48-hour work week, non-negotiable.
• Experience with critical care patients.
• Proficiency with IV medications (vasopressors, sedation, paralytics), hemodynamic lines, proning, ventilator management, and telemetry.
• Strong critical thinking and assessment skills; ability to work effectively in a team environment.
• Experience with Impella, IABP, and CRRT is strongly preferred.

Candidates should be prepared to discuss a past experience where they exceeded expectations set by their leaders.

Unit Support

• CNA: 1-2 Nurse Aides per unit with a mobility float aide.
• Charge Nurse: 2 CRNs overseeing all ICUs.
• Phlebotomy: Available for peripheral blood draws only.
• IV/VAT Team: ICU CRNs will place all midlines.
• Resource Nurse: Yes, staffing dependent.
• Respiratory Therapy: Available 24/7.
• Physicians: 3 Intensivists on day shifts, 2 on night shifts, plus an APP (Advanced Practice Provider) on nights.

Charting System

Charting is performed using Epic. Other systems include Alaris (transitioning to Baxter Pumps by October) and Omnicell.

Floating Policy

Floating is uncommon unless the unit is overstaffed. Travelers may float to any adult floor, including Medsurg/Tele at a 1:4 ratio. Comfortability with this policy should be confirmed during the interview.

Orientation

• Hospital Orientation: 1 x 12-hour shift and 1 x 8-hour shift in the ICU.

Scheduling Expectations

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