CNA: 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 required:Intermediate/Stepdown RN:Comfortability to take MedSurg assignments please decline if notEPIC ExperiencePrevious experience with our types of patients above, including IMC/stepdown acuity and NeuroAbility to read/interpret cardiac strips, chest tubes, trach care (no fresh traches), NGT tube placement and management, JP drains, line management PICC/Midline/CVL/PIV placement, wound vacs (Wound Care RN will change out the vac but RN must know how to assess and will need to change to wet/dry dressing in case of malfunction), wound care/dressing changes, medication administration, TPN/tube feeding, blood product transfusions, urinary and fecal collection devicesDrip titration of below medications:most commonly Heparin, Insulin, Cardizem, Amiodarone, occasionally esmolol drips (will train if traveler has not done these) or other Betablockers or other antihypertensivesSupport on the Unit:Pod 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-10pPhlebotomyIV/VAT TeamResource Nurse during Dayshift/varied hours Nurse Clinician support availableRT 24/7Hospitalist 24/7Charting System: EMR: Epic requiredIV Pumps: BaxterMed Dispensing: OmnicellFloating: Any Adult Inpatient Unit - Med Surg, Ortho/Neuro/Surgical, Heart and Vascular Unit, Oncology, ObservationCould be floated within scope of practice and belowWill float in rotation with other travelersOrientation: (facility and unit)2 days of unit/department orientation including policies, protocols, department information, online learnings. 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 Types:This is a mixed acuity unit meaning there will be Intermediate Care acuity as well as Tele and MedSurg please ensure traveler understandsSurgical: Urology, prostatectomy, bowel obstruction, mass removal, cholecystectomy, appendectomy, general abdominal surgeriesOrtho: Total joints (knees/hips/shoulders), Ortho Trauma External fixation, soft tissue injury and minor fracturesNeuro/Spine:CVA/TIA with Neuro Vascular Intervention coiling, clipping, potentially thrombectomy (may go to ICU but if they are stable could come back to ONS) modified ratios with this patient (CRN/flex RN will help to manage in immediate post-op time frame)Seizures/Epilepsy, brain tumor, hematoma, brain aneurysm, arteriovenous malformation, AV Fistula, craniotomies with burr holes and/or shunts, Halos, FlapsPlease note: post neuro-intervention is a preferred experience - education and resources are provided by the unit if they have not had this patient typeSpinal Surgical - Laminectomies, Fusions, DiscectomiesPlease note: post neuro-intervention is a preferred experience - education and resources are provided by the unit if they have not had this patient typeGeneral Medical: cellulitis, influenza, COVID, pneumonia, COPD, CHF, renal failure with or without the need for hemodialysis, hepatic failure, rib fracture, gastrointestinal disorders and infections, DVTs, UTIsWound care/Wound debridement, telemetry monitored patientsPatient Ratios:RN:PCU: 1:4 (even for MedSurg assignments) can be 3:1 depending on gtts and acuity.