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Shift: Nights, 4x12hrs
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Hours: 48 hrs/wk
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Start Date: May 4, 2026
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Length: 13 weeks
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Openings: 1
American Traveler is seeking an experienced RN for a mixed ICU position in Rapid City, SD, requiring a minimum of 1.5–2 years of ICU experience, Epic proficiency, and TNCC certification.
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Mixed ICU setting (MICU, SICU, CICU, TICU) divided into pods within a 39-bed unit
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Complex ICU patient population including surgical, medical, cardiac, neuro, and trauma cases
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Diagnoses include ARDS, MI, CVA/TIA, COVID, post-cardiac cath, post-surgical, and multiple system trauma with a heavy trauma volume
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Cardiac experience preferred but not required; CABG/TAVR post-op experience (24–48 hrs) is a plus
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Patient ratios are 1:1 or 1:2, with 1:3 occurring rarely based on acuity
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Charting via Epic (required) with Alaris pumps (transitioning to Baxter) and Omnicell
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12-hour night shifts, 48 hours per week
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Every other weekend rotation
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No on-call requirements
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Floating to adult floors (including Med/Surg/Tele at a 1:4 ratio) is uncommon and only occurs when overstaffed
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Active RN license — SD license or Compact RN license valid in South Dakota required
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Current certifications required: BLS, ACLS, NIHSS, and TNCC (must be obtained prior to start if not already held)
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Minimum 1.5–2 years of ICU experience, excluding travel experience
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Epic EMR experience required
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Proficiency with IV medications including vasopressors, sedation, and paralytics
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Experience with hemodynamic lines, ventilator management, proning, and telemetry monitoring
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Impella, IABP, and CRRT experience strongly preferred
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At least one prior travel assignment required; first-time travelers will not be considered
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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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Travelers must reside at least 100 miles from any Monument Health facility to be eligible
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Former permanent staff must wait one year before returning in a travel capacity
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Unit support includes 1–2 CNAs per unit, a mobility float aide, 2 charge RNs overseeing all ICUs, 24/7 respiratory therapy, a resource nurse (staffing dependent), phlebotomy for peripheral draws, and ICU charge RNs for midline placement
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Physician coverage includes 3 intensivists on days and 2 intensivists plus an APP on nights
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Orientation consists of a hospital orientation followed by one 12-hour shift and one 8-hour shift on the ICU
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No RTO is approved during holidays or the Sturgis Bike Rally (first three weeks of August)
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Up to 7 days of RTO may be approved, but the contract must be extended to accommodate the full 13-week duration
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Required scrub color is navy
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Free parking is available on-site
