Intermediate/Stepdown Registered Nurse (RN) General Information: We are seeking a dedicated Intermediate/Stepdown Registered Nurse (RN) to join our clinical team. This unit features 64 beds spread across two floors. Experience Requirements: • Minimum of 1 year of nursing experience required. • First-time travelers are welcome, provided they have more than 1 year of experience. • First-time travelers must possess EPIC experience. Patient Care Types: This is a mixed acuity unit, handling Intermediate Care, Telemetry, and MedSurg cases. Key patient types include: • Surgical: Urology procedures, general abdominal surgeries (e.g., cholecystectomy, appendectomy). • Orthopedic: Total joints (knees, hips, shoulders), trauma cases. • Neuro/Spine: Care for post-operative patients, including those who have undergone coiling, clipping, and potentially thrombectomy. • General Medical: Treatment of conditions such as cellulitis, pneumonia, CHF, and gastrointestinal disorders. Patient Ratios: • RN: 1:4 in Intermediate Care, adjustable to 3:1 based on acuity. • CNA: 1:8 Required Certifications: • BLS • ACLS • NIHSS Education Requirements: Completion of an approved nursing education program is required, alongside licensure as a Registered Nurse in South Dakota. Skills Required: • Comfort with MedSurg assignments. • EPIC experience. • Ability to read and interpret cardiac strips. • Experience with chest tubes, trach care, NGT placement, and line management. • Competence in wound care and medication administration (including TPN and blood product transfusions). • Experience in drip titration for medications such as Heparin and Insulin. Unit Support: The unit is organized into pods, consisting of 8 patients per pod, staffed with 2 RNs and 1 Nurse Aide. Additional support includes: • Two charge nurses who do not take a patient load. • A flex nurse available daily. • Access to nursing clinical support, RT, phlebotomy, and an IV/VAT team 24/7. Charting System: • EMR: Epic (required) • IV Pumps: Baxter • Med Dispensing: Omnicell Floating: Staff may be required to float to any adult inpatient unit within scope of practice, including Med Surg, Ortho/Neuro/Surgical, and others, and will rotate with other travelers. Orientation: New staff will complete a 2-day orientation covering unit-specific policies and protocols, followed by 2 shifts with a preceptor on the unit. Scheduling: • 6-week schedules are utilized. • Weekend rotation may require travel nurses to work up to 4 out of 6 weekends. • No mandatory on-call shifts required. • Holiday requests must be made prior to offer. Blackout dates apply during the Sturgis Motorcycle Rally. Employee Expectations: Travelers are encouraged to be open to working every weekend (WOW) and should indicate any preferences for block scheduling. Additional Notes: • Travelers may be expected to precept students. • Uniforms required: Navy Blue scrubs. • Complimentary parking available for all staff.