About This Position
Shift: Days, 4x12hrs
Hours: 48 hrs/wk
Start Date: Nov 9, 2026
Length: 15 weeks
Openings: 1
American Traveler is hiring a Registered Nurse for a PCU/Ortho Neuro Surgical position requiring 1 year of intermediate/stepdown RN experience and EPIC proficiency.
Works on a mixed-acuity Ortho Neuro Surgical (ONS) unit spanning 64 beds across 2 floors
Patient population includes surgical (urology, general abdominal), ortho (total joints, ortho trauma), neuro/spine (CVA/TIA, seizures, craniotomies, spinal fusions), and general medical patients
Cares for telemetry-monitored patients as well as wound care and wound debridement cases
RN to patient ratio of 1:4 (including MedSurg assignments), CNA ratio of 1:8
Pod structure with 8 patients per pod staffed by 2 RNs and 1 Nurse Aide
Unit supported by dedicated charge nurses per floor, a Flex Nurse (10a-10p), Resource/Clinician support, phlebotomy, RT, and hospitalist coverage
No IV/VAT team on the unit
Uses Epic for charting, along with Alaris and Omnicell systems
Scheduled in 12-hour day shifts on a 6-week schedule with potential rotation for up to 4 of 6 weekends (Fri/Sat/Sun)
May be required to work every weekend (WOW) based on scheduling needs
No mandatory on-call requirement
Floating required to any adult inpatient unit including Med Surg, Ortho/Neuro/Surgical, Heart and Vascular, Oncology, and Observation, in rotation with other travelers
Active RN license (South Dakota or Compact) required
Current certifications: BLS, ACLS, and NIHSS
Minimum 1 year of Intermediate/Stepdown Level RN experience required
Previous experience with IMC/stepdown acuity and neuro patient populations preferred
EPIC charting experience required
Skilled in reading/interpreting cardiac strips, chest tube and trach care (no fresh traches), NGT and JP drain management, line management (PICC/Midline/CVL/PIV), wound vac assessment and dressing changes, TPN/tube feeding, and blood product transfusions
Experience with drip titration including Heparin, Insulin, Cardizem, Amiodarone, and Levophed required; esmolol and other antihypertensive drips trained if needed
Must be comfortable taking MedSurg assignments
Works in a Level II Trauma Center with Magnet Status, Level III NICU, Level II Pediatric Trauma, and designation as a Primary Stroke and Chest Pain Center
Teaching hospital environment with 417 total beds
Post neuro-intervention experience preferred but not required, with unit-provided education and resources for those new to this patient type
May be expected to precept nursing students
Orientation includes 2 days of unit/department orientation plus 2 shifts with a preceptor
Monthly audits conducted for pre/post pain scoring with a 90% compliance requirement
Navy blue scrubs required
Free parking provided
First-time travelers considered if they have more than 1 year of experience
Must reside at least 100 miles from any Monument Health facility
Permanent staff must wait 1 full year before returning as a traveler
Holiday RTO requests must be submitted prior to offer; holiday RTO is not currently being accepted
Up to 1.5 weeks of time off may be approved, requiring contract extension to a full 13 weeks
Blackout dates apply from approximately August 1-18 due to the Sturgis Motorcycle Rally, during which no time off is approved
Experience
Experience working with individuals requiring tube feeding, Insulin administration, Telemetry, Wound VAC, RN License, Tube feeding, Patient assessment, Tracheostomy care, BLS Certification, ACLS Certification, Monitoring and managing IVs, Central Line Care, Working with individuals in post-surgery recovery, PCU experience, Medical-surgical, NIHSS Certification, Wound care supplies, Blood transfusion, Cardiac event monitoring, Patient charting, Epic, Wound dressing, Working with individuals requiring parenteral nutrition, Antidiabetic agents, Cardiovascular patient monitoring
