Medication administration, titratable vasoactive drips, TPN/tube feeding, and blood product transfusionsPeripheral IV, Midline, PICC and central line access, chest tubes, nasogastric tubes, drains, and urinary and fecal collection devicesWound care, telemetry monitored patientsPost neuro-intervention (preferred experience but education and resources are provided per unit if they have not had this patient type)Patient : 1:4 even for MedSurg assignmentsCNA: 1:8Required Certifications:RN: BLS, ACLS, NIHSSRequired Education:RN: Completion of a nursing education program that is approved by a board of nursing; Registered Nurse (RN) - South Dakota Board of NursingSkills to take MedSurg assignments please decline if notPrevious experience with our types of patients above, including IMC/stepdown and neuro; ability to read/interpret cardiac strips, wound care, line management, drain/tube management, drip titration of below medicationsDrip Titration: most commonly Heparin, Insulin, Cardizem, Amiodarone, Levophed (up to 5 mcg), occasionally esmolol drips (will train if traveler has not done these) or other Betablockers or other antihypertensivesSupport on the structure for the unit 8 patients per pod; staffed with 2 RNs and 1 Nurse AideCNA: 1:8Charge nurse: Two charge nurses for ONS that do not take a patient load (1 dedicated to each floor)Flex Nurse staffed daily 10a-10pPhlebotomy? Yes, if greater than 1 year of experience1st time traveler MUST have EPIC experienceTravelers must live 100 miles away from any Monument Health facilityPermanent staff must wait 1 full year before returning as a travelerPatient is a mixed acuity unit meaning there will be Intermediate Care acuity as well as Tele and MedSurg please ensure traveler understandsPre/post-surgical patients, CVA, seizures, cellulitis, influenza, UTIs, pneumonia, COPD, CHF, renal failure with or without the need for hemodialysis, hepatic failure, gastrointestinal disorders and infections, soft tissue injury and minor fractures, and DVTs.