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Pediatric Intensive Care Unit (PICU) Registered Nurse (RN)

General Information

This position is within a 15-bed Pediatric Unit and a 5-bed Pediatric Intensive Care Unit (PICU). Candidates must have a minimum of 1.5 years of PICU RN experience to be considered for this role. First-time travelers are welcome, provided they have more than 2 years of experience.

Patient Types

Nurses will work across both General Pediatrics and the PICU, caring for patients aged 0-18 years as well as stable adult overflow cases. Patient diagnoses include:

• Respiratory illnesses
• Diabetes
• Septicemia
• Cellulitis
• Hyperbilirubinemia
• Neglect/Abuse
• Mental health issues
• Trauma
• Neurological conditions
• General surgeries, including ear/nose/throat, gastrointestinal, urological, orthopedic, neurosurgery, and trauma

In the PICU, nurses will care for patients requiring critical or intensive care services, including but not limited to:

• Acute and chronic respiratory insufficiency
• Circulatory failure
• Infectious diseases leading to major organ system dysfunction
• Endocrine and metabolic disorders
• Neurologic diseases
• Toxic ingestions/exposures
• Trauma
• Hematologic and oncologic diseases

Patient Ratios

• General Pediatrics: 1 nurse to 5 patients
• PICU: 1 nurse to 1-2 patients

Required Certifications

• Basic Life Support (BLS)
• Pediatric Advanced Life Support (PALS)
• National Institutes of Health Stroke Scale (NIHSS)

Education Requirements

Candidates must have completed a nursing education program approved by a board of nursing and hold a Registered Nurse (RN) licensure from the South Dakota Board of Nursing.

Skills Required

• Physical assessment of patients aged 0 to adult
• Evaluate patient symptoms and associated vital signs
• Medication administration as prescribed
• Patient and family education regarding the plan of care
• Proficiency in the EPIC charting system
• Experience in PICU, including the ability to titrate drips and manage mechanically ventilated patients

Support on the Unit

• CNA: Ratio of 1:5
• Charge nurse: One charge nurse covering both units
• Phlebotomy: RNs and Nurse Aides draw their own labs
• IV/VAT Team: RNs start their own IVs with ultrasound support for difficult IV placements
• Resource Nurse: Nurse Clinician/Nurse Educator available
• Case Management and Social Work support
• Respiratory Therapy: Yes
• Hospitalist with Pediatric Advanced Practice Provider support
• Pediatric Pharmacy, Social Work, and Case Management available

Orientation

Orientation includes one day of facility training (online and in-person) followed by two days of unit orientation with a preceptor.

Scheduling

• Weekend rotation: Every other weekend
• All holiday coverage is expected
• Time off must be pre-approved

Additional Information

The unit promotes a culture that feels like home, is traveler-friendly, and encourages learning and growth. Scrub color is navy. Free parking is available in the parking garage.

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