Job Description

Registered Nurse - PCU

Location: Rapid City, SD
Duration: 13 weeks with possible extension

Description:
Hospital Information
Level II Trauma Center
Level III NICU
Level II Pediatric Trauma
On the Journey to Magnet Status Designation
Primary Stroke and Chest Pain Center
Teaching Hospital
417 Beds

General Information
Beds: 56
PCU RN: 2-years of experience minimum - 1 year must be in PCU level of care or greater
Tele RN: 2-years of experience- minimum - 1 year in a Telemetry level of care or greater

Patient 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, ACLS
CNA: 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 Nursing

Skills required:
PCU RN: Cardiac rhythm interpretation, IV starts, Blood product administration, CIWA, drain/tube management, indwelling and straight catheter insertion/management, vasoactive drips, insulin drips - both DKA and non-DKA, cardiac drips (titrating and non-titrating), 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, adaptability
Tele 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, adaptability
CNA: 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, 24/7, does not take patients
Phlebotomy Yes, 24/7 for peripheral blood draws only; RN will pull of Central lines
Resource Nurse: Yes, Flex RN as staffing allows - assists with admissions, d/c, transfers, task items
RT: Yes, 24/7
Hospitalist: Yes, 24/7 - most patients are followed by a hospitalist
Centralized Tele Monitoring: 24/7 to assist with Tele reading and alarm notifications

Charting System/Equipment:
Epic - please let CRT know if traveler does not have EPIC experience so they can ask approval
Alaris
Omnicell

Floating: If yes, where
Adult Inpatient Units - Med Surg, Ortho/Neuro/Surgical, Heart and Vascular Unit, Oncology, ICU (depending on experience), Observation

ICONMA