RN – Step-Down

Specialty: Step-Down
Facility: Rapid City Hospital
State License: SD
Certs/Licenses:
Years of Experience:
Shift: 12 Hour Nights
Guaranteed Hours: 36
Description: Specialty: PCUFacility: Rapid City HospitalState License: SDCerts/Licenses: Years of Experience: Shift: 12 Hour NightsGuaranteed Hours: 36Description: CLINICAL INTERVIEW UNITGeneral InformationBeds: 56PCU RN: Minimum Experience: 1 year Please let CRT know if offer details if candidate has less than 1.5 years of experience they will need to send profile to manager for approvalTele RN: Minimum Experience: 1 year Please let CRT know if offer details if candidate has less than 1.5 years of experience they will need to send profile to manager for approvalLPN: 1 year Please let CRT know if offer details if candidate has less than 1.5 years of experience they will need to send profile to manager for approval experience must include some Telemetry experienceWill you accept a first-time traveler?RN: Yes, if greater than 2 years experienceLPN: No no exceptionsTravelers must live 100 miles away from any Monument Health facilityPrevious permanent staff must wait 1 year before returning as a travelerPatient Types:Adults with a variety of diagnoses including CHF, ARF, hepatitis, ESLD, DM, DKA, pneumonia, sepsis, GI bleed, syncope, chest pain, pulmonary emboli, respiratory failure, COPD, arrhythmias, seizure disorders, overdose, and delirium tremors.Patient Ratios:RN: PCU/Tele – 1:4 (Days Nights)Med/Surg 1:5 (Days Nights)CNA: 1:8 (Days Nights)Required Certifications:RN:(PCU Tele): BLS, ACLSLPN: BLS required; ACLS preferredCNA: certified CNA, BLS is not required (per NM)Required Education:Completion of a nursing education program that is approved by a board of nursing; Registered Nurse (RN) – South Dakota Board of NursingSkills required:If traveler has experience outside of this specialty please include this is your offer detailsICU RN qualified to float to EDPCU RN qualified to float to ICUPCU RN: cardiac and vasoactive drip titration please request approval to offer without this experience, Cardiac rhythm interpretation, IV starts, Blood product administration,CIWA,drain/tube management, indwelling and straight catheter insertion/management, insulin drips – both DKA and non-DKA, continuous bladder irrigation,chest tube maintenance; Effective verbal and written communication, thorough physical assessments, strong clinical judgement, professional bedside manner, strong team player, positive attitude, adaptabilityDrip 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 antihypertensivesTele RN: Cardiac rhythm interpretation, IV starts, Blood product administration,CIWA,drain/tube management, indwelling and straight catheter insertion/management, insulin drips – non-DKA only, continuous bladder irrigation,chest tube maintenance; Effective verbal and written communication, thorough physical assessments, strong clinical judgement, professional bedside manner, strong team player, positive attitude, adaptabilityComfortability working alongside an LPN/Team Nursing: Our staffing model on our 6thfloor where we cohort all of our med-surg pts is moving toward an RN paired with an LPN. Both would take their own patient loads, however, there may be some task swapping that occurs due to scope. We felt it was important that there is awareness to this so it is not a surprise, and hopefully can remain a positive experience for both LPNs RNsLPN: Must have acute care Telemetry experience; Cardiac rhythm interpretation, IV starts, Blood product administration,CIWA,drain/tube management, indwelling and straight catheter insertion/management, continuous bladder irrigation,chest tube maintenance, versed in wound care; Effective verbal and written communication, thorough physical assessments, strong clinical judgement, professional bedside manner, strong team player, positive attitude, adaptability; understanding of South Dakota LPN Scope of PracticeComfortability working alongside an RN/Team Nursing: Our staffing model on our 6thfloor where we cohort all of our med-surg pts is moving toward an RN paired with an LPN. Both would take their own patient loads, however, there may be some task swapping that occurs due to scope. We felt it was important that there is awareness to this so it is not a surprise, and hopefully can remain a positive experience for both LPNs RNsCNA: professional bedside manner, strong team player, positive attitude, adaptability, we prefer CNAs with acute care experience?Support on the Unit:CNA (Ratio: 1:8 both Days Nights)Charge nurse: Yes 2 for the unit (free-floating), 24/7Phlebotomy? Yes, 24/7 for peripheral blood draws only; RN will pull of Central linesIV/VAT Team: NoResource Nurse: Yes, Flex RN as staffing allows assists with admissions, d/c, transfers, task itemsRT: Yes, 24/7Hospitalist: Yes, 24/7 in house – most patients are followed by a hospitalistPaging system to communicate with providersSecure chat to communicate with providersCentralized Tele Monitoring: 24/7 to assist with Tele reading and alarm notificationsViolent Incident Response teamCharting System/Equipment: Epic (preferred) please let CRT know if traveler does not have EPIC experience so they can ask approvalAlarisOmnicellFloating: If yes, where?Adult Inpatient Units – Med Surg, Ortho/Neuro/Surgical, Heart and Vascular Unit, Oncology, ICU (depending on experience), ObservationCould be floated within scope of practice and belowWill float in rotation with other travelersOrientation: (facility and unit)2 days of in class/online education(2) 12-hour shifts with a preceptorScheduling:Weekend rotation Every other or 50% weekends per 4-week schedule. Weekends are Friday, Saturday, and Sunday.Will they be on call? If so, what is that schedule? Travelers are not scheduled On Call hours, but may be placed On Call related to Low Census if hours are over guaranteed weekly hours OR traveler requests to be low censused On CallHoliday Expectations: Every other holiday minimum during contracted timeframeApproval of time off? Up to 7 days. Must extend contract if unable to work a full week to accommodate a 13-week contract. No RTO during Sturgis Bike Rally (first 3 weeks every August).Huddles are required: all travelers must attend huddle prior to shift start at 0625 1825 in our 7thfloor conference room.Other notes:Could be expected to precept studentsAudits are done monthly for Pre/Post Pain Scoring must meet 90% complianceScrub Color:RN: Navy BlueCNA: Cement/Light GreyFree Parking? Yes Program name:SimpliFi Travel