ER – RN

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Job ID: 891981

Estimated Weekly Gross: $2,179.09

Job Title

Registered Nurse – Emergency Room

Location

Rapid City, SD | Acute Care / Emergency Department

Schedule / Job Type

Contract | 12-Hour Variable/Rotating Shifts | Onsite

Key Responsibilities

• Provide direct patient care across a broad acuity range — neonates through geriatric — in a high-volume Emergency Department seeing 150–180 patients daily
• Perform ESI triage assessments, prioritizing care using critical thinking and strong clinical judgment to distinguish sick from not sick
• Care for a heavy trauma population at a Level 2 Trauma Center, including patients presenting with stab wounds, GSWs, MVCs, drownings, and falls
• Manage complex patient presentations including Sepsis, DKA, respiratory illness, GI bleeds requiring emergent blood products, and stroke (Complete Stroke Center — up to 24-hour symptom window)
• Participate in sexual assault evidence collection in rotation with permanent staff, including buccal swabs, fingernail scrapings, clothing collection, and victim interviewing (pelvic exams not required); support resources and a 24/7 SA Quality Coordinator are available
• May be asked to float as a task nurse to inpatient Med/Surg, PCU, or ICU areas, and may occasionally precept nursing students

Required Qualifications

• Active Registered Nurse (RN) license; South Dakota Board of Nursing licensure required
• Minimum 2 years of Emergency Department experience, excluding travel experience (candidates with 1.5 years of ED experience excluding travel plus 2 or more years outside the ED may be considered with manager approval)
• First-time travelers are not eligible for this position
• Required certifications: BLS, ACLS, NIHSS, TNCC, and PALS
• Proficiency with ESI assessments and ability to manage all patient acuity levels using critical thinking, effective communication, and sound prioritization
• Must reside more than 100 miles from any facility in the health system network to be eligible

Preferred Experience / Skills

• CPI, MAB, or MOAB certification preferred
• Experience with EPIC electronic health records; candidates without EPIC experience should be noted at submission
• ICU or PCU background (ICU RNs may be considered for ED float; PCU RNs may be considered for ICU float)
• Comfort and familiarity with sexual assault evidence collection protocols

Why Join Us

• Work in a well-supported ED environment with 24/7 physician, NP, and hospitalist coverage, along with on-unit charge nurses, ED techs, phlebotomy, respiratory therapy, pharmacy, radiology, and security
• Free parking available on-site

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