Job description

LPN Duties

• Level II Trauma Center

Level III NICU
Level II Pediatric Trauma
On the Journey to Magnet Status Designation
Primary Stroke
Chest Pain Center
Teaching Hospital
417 Beds
Regional hospital - busiest ED in South Dakota; we cover 350–500-mile radius to include West of the Missouri River in SD, Nebraska, Wyoming, North Dakota, Montana, and Colorado. We receive transfers from Indian Health services (IHS) Pine Ridge, Rose Bud, and Eagle Butte. There are 3 main helicopter/fixed wing services that bring us patients depending on where they are coming from and multiple ambulance services in the surrounding area. Patients are sent to us for a higher level of care.

• General Information150-180 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 ESI 3 and ESI 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: 2+ years of ED experience EXCLUDING travel experience in a Level II or greater Trauma Center

Will you accept a first-time traveler?Yes
Travelers must live >100 miles away from any Monument facility
Permanent staff must wait 1 full year to return as a traveler

• Patient Types:Neonates – Geriatrics

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; Maternal Hypertension, Maternal Post-Partum Bleeding, precept deliveries as L&D is a distance away from the ED
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
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 ESI assessments.
Prioritizing appropriately; critical thinking to know which patient needs are first.

• Patient Ratios:RN: 1:4-5

ED Tech: 1:10

• Required Certifications:BLS, ACLS, NIHSS, CPI or MAB/MOAB, TNCC and PALS – all required

• Skills requiredExperience with all patient types above – seek manager approval if a candidate does not have these patient type experiences

ESI assessments during Triage
TPA administration
Able to care for all level of patients, using critical thinking, good communication and willing to ask questions, prioritization of care

• 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 (required)

Omnicell
Alaris

• Floating: If yes, where?Med/Surgical or ICU only as a task nurse (not to take an assignment)

• 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

• Will they be On Call?No

• Holiday Expectations:Only if needed

• Approval of time off? Manager Approval NeededReach out to Cat Miglionico for approval

• Other notes:

Scrub Color:Provided
Free Parking

Job Types: Contract, Temporary

Pay: $50.00 per hour

Standard shift:

• Evening shift

Weekly schedule:

• 3x12

Ability to commute/relocate:

• Rapid City, SD 57701: Reliably commute or planning to relocate before starting work (Required)

License/Certification:

• LPN (Required)
• BLS Certification (Required)
• NIHSS Certification (Required)
• TNCC Certification (Required)
• PALS Certification (Required)

Work Location: In person

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