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Shift: Nights, 4x12hrs
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Hours: 48 hrs/wk
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Start Date: Jul 13, 2026
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Length: 13 weeks
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Openings: 1
American Traveler is hiring a travel RN for an ICU position in Rapid City, SD, requiring a minimum of 2 years of ICU experience, Epic proficiency, and TNCC certification for 12-hour night shifts.
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Mixed ICU setting with 39 beds divided into pods: MICU, SICU, CICU, and TICU — travelers will not float into the CVICU side unless experienced in that specialty
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Complex patient population including surgical, medical, cardiac, neuro, and trauma cases — diagnoses include ARDS, MI, CVA/TIA, COVID, post-cardiac cath, post-surgical, and multi-system trauma
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Heavy trauma population with a preferred (not required) background in cardiac care, including CABG/TAVR post-op (24–48 hrs); fresh open heart cases are reserved for permanent staff
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Patient ratios are acuity-dependent: 1:1, 1:2, or rarely 1:3
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Utilizes Epic (required), Alaris pumps (transitioning to Baxter pumps), and Omnicell
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12-hour night shifts at 48 hours per week — this schedule is non-negotiable for this unit
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Every other weekend rotation is the goal, though not guaranteed
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No on-call requirements
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Floating is uncommon but possible to any adult floor, including Med/Surg or Tele at a 1:4 ratio, if overstaffed
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Active RN license in South Dakota or a compact state license currently in hand
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Minimum 2 years of ICU experience, excluding travel experience (candidates with 1.5 years of ICU experience plus significant RN experience outside the ICU may be considered with management approval)
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Required certifications: BLS, ACLS, NIHSS, and TNCC — candidates unwilling to obtain TNCC prior to start will not be considered
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Epic EMR experience required
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Proficiency with IV medications including vasopressors, sedation, and paralytics; hemodynamic line management; proning; ventilator management; and telemetry
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Strong critical thinking, assessment skills, and ability to work effectively in a fast-paced, high-acuity team environment
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Experience with Impella, IABP, and CRRT strongly preferred
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Cardiac experience (CABG/TAVR post-op) preferred but not required
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Two professional references dated within the past year required for consideration
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DOB and SSN required for consideration
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First-time travelers are not eligible — a minimum of one prior travel assignment is required
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Candidates must reside at least 100 miles from any Monument Health facility to be eligible
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Former permanent staff must wait 1 year before returning in a travel capacity
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Orientation consists of a hospital orientation, one 12-hour shift, and one 8-hour shift in the ICU
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Unit support includes 1–2 CNAs per unit plus a mobility float aide, 2 charge RNs overseeing all ICUs, respiratory therapy available 24/7, phlebotomy for peripheral draws, and ICU charge RNs placing all midlines
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Physician coverage includes 3 intensivists on days, 2 on nights, plus an APP on nights
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No RTO will be approved during holidays or the Sturgis Bike Rally (first 3 weeks of August)
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Up to 7 days of RTO may be approved, provided the contract is extended to cover a full 13-week duration
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May be expected to precept students
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Scrubs: Navy
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Free parking available on-site
