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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 seeking an experienced RN for an ICU position in Rapid City, SD, requiring a minimum of 1.5–2 years of ICU experience, Epic proficiency, and active TNCC certification.
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Mixed ICU setting divided into pods, encompassing MICU, SICU, CICU, and TICU across 39 beds
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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 population
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Cardiac experience is preferred, particularly with CABG/TAVR patients 24–48 hours post-op
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Patient ratios are 1:1, 1:2, or occasionally 1:3, based on acuity
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Charting via Epic (required); Alaris pumps currently in use with a transition to Baxter Pumps anticipated
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Omnicell medication dispensing system in use
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12-hour night shifts, 48 hours per week
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Every other weekend rotation (not guaranteed)
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No on-call responsibilities
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Floating is uncommon but possible to adult floors including Med/Surg/Tele at a 1:4 ratio when overstaffed
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Active RN license — SD license or compact license valid in South Dakota required
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Current certifications required: BLS, ACLS, NIHSS, and TNCC (must be obtained prior to start)
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Minimum 1.5–2 years of ICU experience, excluding travel assignments; candidates with 1.5 years of ICU experience plus significant RN experience in other settings may be considered
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Epic EMR experience required
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Experience with IV medications including vasopressors, sedation, and paralytics
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Experience with hemodynamic lines, ventilator management, proning, and telemetry
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Experience with Impella, IABP, and CRRT strongly preferred
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Strong critical thinking, assessment skills, and ability to thrive in a fast-paced, all-critical-care environment
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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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Candidates must reside at least 100 miles from any Monument Health facility to be eligible
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First-time travelers are not eligible; a minimum of one prior travel assignment is required
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Former permanent staff must wait one year before returning as a traveler
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Orientation includes hospital orientation, one 8-hour department orientation, one 4-hour iLearns session, and two 12-hour floor orientation shifts
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Unit support includes 1–2 CNAs per unit, a mobility float aide, 2 charge RNs overseeing all ICUs, a resource nurse (staffing dependent), 24/7 RT coverage, and robust physician coverage with 3 intensivists on days and 2 on nights plus an APP
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Phlebotomy support available for peripheral blood draws; ICU charge RNs place all midlines
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May be expected to precept nursing students
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No RTO approved during holidays or the Sturgis Bike Rally (first 3 weeks of August)
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RTO of up to 7 days may be approved, but the contract must be extended to accommodate a full 13-week assignment
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Navy scrubs required
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Free parking available on site
