Registered Nurse – PCU Location: Rapid City, SD Duration: 13 weeks Description: General Information: Beds: 64 – spread across 2 floors Required experience? Intermediate/Stepdown Level RN: 1 year of nursing experience required Will you accept a first-time traveler? Yes, if greater than 1 year of experience 1st time traveler MUST have EPIC experience Patient Types: This is a mixed acuity unit meaning there will be Intermediate Care acuity as well as Tele and MedSurg – please ensure traveler understands Surgical: Urology, prostatectomy, bowel obstruction, mass removal, cholecystectomy, appendectomy, general abdominal surgeries Ortho: Total joints (knees/hips/shoulders), Ortho Trauma – External fixation, soft tissue injury and minor fractures Neuro/Spine: CVA/TIA with Neuro Vascular Intervention – coiling, clipping, potentially thrombectomy (may go to ICU but if they are stable could come back to ONS) – modified ratios with this patient (CRN/flex RN will help to manage in immediate post-op) Seizures/Epilepsy, brain tumor, hematoma, brain aneurysm, arteriovenous malformation, AV Fistula, craniotomies with burr holes and/or shunts, Halos, Flaps Please note: post neuro-intervention is a preferred experience - education and resources are provided by the unit if they have not had this patient type Spinal Surgical - Laminectomies, Fusions, Discectomies Please note: post neuro-intervention is a preferred experience - education and resources are provided by the unit if they have not had this patient type General Medical: cellulitis, influenza, COVID, pneumonia, COPD, CHF, renal failure with or without the need for hemodialysis, hepatic failure, rib fracture, gastrointestinal disorders and infections, DVTs, UTIs Wound care/Wound debridement, telemetry monitored patients Patient Ratios: RN: PCU: 1:4 (even for MedSurg assignments) CNA: 1:8 Required Certifications: RN: BLS, ACLS, NIHSS Required Education: RN: Completion of a nursing education program that is approved by a board of nursing; Registered Nurse (RN) - South Dakota Board of Nursing Skills required: Intermediate/Stepdown RN: Comfortability to take MedSurg assignments – please decline if not Previous experience with our types of patients above, including IMC/stepdown acuity and Neuro Ability to read/interpret cardiac strips, chest tubes, trach care (no fresh traches), NGT tube placement and management, JP drains, line management – PICC/Midline/CVL/PIV placement, wound vacs (Wound Care RN will change out the vac but RN must know how to assess and will need to change to wet/dry dressing in case of malfunction), wound care/dressing changes, medication administration, TPN/tube feeding, blood product transfusions, urinary and fecal collection devices Drip titration of below medications: most commonly – Heparin, Insulin, Cardizem, Amiodarone, Levophed (up to 5 mcg), occasionally esmolol drips (will train if traveler has not done these) or other Betablockers or other antihypertensives Support on the Unit: Pod structure for the unit – 8 patients per pod; staffed with 2 RNs and 1 Nurse Aide CNA: 1:8 Charge nurse: Two charge nurses for ONS that do not take a patient load (1 dedicated to each floor) Flex Nurse – staffed daily 10a-10p Phlebotomy? Yes IV/VAT Team? No Resource Nurse during Dayshift/varied hours – Nurse Clinician support available RT: Yes Hospitalist: Yes Charting System: Epic – strongly preferred; must get approval from Manager prior to offer Alaris Omnicell Floating: Any Adult Inpatient Unit - Med Surg, Ortho/Neuro/Surgical, Heart and Vascular Unit, Oncology, Observation Could be floated within scope of practice and below