Registered Nurse - Er - Rner23-09735

Title:Registered Nurse - ER
Location: Rapid City, SD
Duration: 3 Months

Required Credentials:

• 2023-24 Flu Documentation
• ACLS
• Annual Core Competencies
• Candidate Confirmation Form
• Clinical References (2)
• Color Vision Screening
• COVID Requirement
• CPR Certification: BLS
• Criminal Background Check Report
• Drug Screen
• Education Verification
• Hep B Titers / Vaccine / Declination
• HIPAA
• Job Description - Facility
• JPEG Photo
• License Verification
• Medication Exam
• MMR Titers or Immunizations
• NIH Stroke Scale
• NURSYS
• PALS
• Photo ID
• Physical
• Resume
• Skills Check List
• TB Testing
• TDAP
• TNCC
• Unit Competency
• Varicella Titer or Immunization

Additional Info:

• General Information
• 150-180 patients seen daily

Beds:

• Main ED: 33 beds
• 8 beds for Trauma/Resuscitation
• 1 pod has 4 Behavioral Health rooms (can covert to Medical)
• 5 pods are divided 4 rooms and a hall bed

Vertical care: area that we can use - has a waiting room/holding area to start cares, or we use it as Client 3 and Client 4 patients at times. We could also use it as our 6th and 7th pod (higher acuity) depending on the flow of the ED.

Minimum Experience:

• RN: 2 years of ED experience EXCLUDING travel experience is most preferred
• If they have 1.5 years of ED experience EXCLUDING travel and have 2 years of experience outside of ED, please have CRT send to management team for approval

Patient Types:

• Neonates - Geriatric
• Minor to critical patients seeking care in the ED, to include but not limited to: Sepsis, DKA, Respiratory Illness; GI bleeds requiring emergent blood products, and banding
• HEAVY Trauma population - Level 2 trauma center, we stay busy with trauma's particularly during the summer months. (Stab wounds, GSWs, MVC's, drownings and falls.)
• Complete Stroke center - can take a person with Stroke s/s up to 24 hours
• Travelers are expected to take Sexual Assault patients and are responsible for evidence collection, in rotation with permanent staff - they will not be doing pelvic exams.
• This would include buccal swabs, fingernail scraping, clothing collection, and interviewing of victims. There is a resource booklet they can use and they also have a SA Quality Coordinator, 24/7, who likes to be called at the beginning of each case and she will answer questions throughout the process. The CRN's and other staff can also assist. Please confirm traveler is comfortable with this during the interview.
• Pediatric Intensive Care Unit so we care for the critically ill child.
• We do care for multiple cardiac patients and have a cardiac catheter lab.
• Triage Nurse who must know sick from not sick and who to care for first. Know Client assessments.
• Prioritizing appropriately; critical thinking to know which patient needs are first.

Patient Ratios:

• RN: 1:4-5
• LPN: 1:4-5
• ED Tech: 1:10

Required Certifications:

RN: BLS, ACLS, NIHSS, TNCC and PALS - all required; CPI or MAB/MOAB (preferred)

Required Education:

Completion of a nursing education program that is approved by a board of nursing; Registered Nurse (RN) - South Dakota Board of Nursing

Skills required:

• Client assessments during Triage
• Able to care for all level of patients, using critical thinking, good communication and willing to ask questions, prioritization of care
• If traveler has experience outside of this specialty - please include this is your offer details

Support on the Unit:

• ED Tech (Ratio: 1:10)
• Lead Tech
• Charge nurse: Day shift and Night Shift cover floor 24/7
• Phlebotomy? Yes, 24/7
• IV/VAT Team? No
• RT are always available in the hospital in the ED.
• The ED has 24/7 physician coverage; the hospitalist is used for admitted patients also 24/7 coverage; NP coverage 24/7 as well
• Radiology/CAT Scan
• Pharm Tech
• Security in unit

Charting System/Equipment:

• EPIC - please let CRT know if traveler does not have EPIC experience
• Omnicell
• Alaris

Could float to inpatient Med/Surg, PCU or ICU areas only as a task nurse (not to take an assignment)
Could be floated within scope of practice and below

Orientation: (facility and unit)

• 8 hours - Facility NEO
• 4 hours of ED specific education and minimum (2) 12-hour shifts on the unit, if traveler is contracted for 48h/week, they will receive a minimum of (3) 12-hour shifts on the unit

Scheduling:

• The ED hires in variable shifts, we utilize travelers to fill in our holes.
• Shifts Times: 0630-1900,1000-2230,1200-0030, 1400-0200 and 1830-0700 - if working variable shifts, will not work both Days and Nights in the same week
• Traveler could potentially work every weekend, depends on staffing. They will be used to fill holes in the perm staff schedule