RN - Ambulatory

RN - Ambulatory

Must have MICU and/or SICU experience - This is not a novice/entry level RN position. Independent, competent ability to work with complex, high acuity medical and trauma/neuro/surgical ICU patients is required. Will consider block schedule for day/night shifts. Floating: Primarily within Critical Care Division. Will, however, float as needed to other units as census needs. Weekends: Weekend needs will vary based on the needs of the unit.

Shift: Night 3x12-Hour (19:00 - 07:30)

Shifts Per Week: 3

Scheduled Hours: 36

Start Date: 08/31/2026

End Date: 11/30/2026

Duration: 13 Week(s)

Account Manager: Jessica Falvy

COVID-19 Vaccine: Required - Medical/Religious Exemptions Only

Flu Vaccine: Unknown

Previous Charge Experience: Preferred

Years of Experience: Patient Ratio Experience: 2

Charting System Experience: Preferred (Cerner)

Community Hospital Experience: - LTAC Experience: - Trauma Level I Experience: Required Trauma Level II Experience: Preferred

Travel Experience Required: - Certifications: ACLS, BLS, NIHSS, PALS

Skills: Accessing/Managing Ports, Activated Clotting Time (ACT), Acute Kidney Injury, Arterial line management, Assist with Chest Tube Insertion/Removal, BiPAP/CPAP management, Blood Product Administration, Care of Ventilated Patient, Central line care/management, Central Venous Pressure Monitoring (CVP), Chronic/Acute Renal failure, Continuous IV paralytics/Neuromuscular blockade, Continuous IV sedation, CVA/Acute Stroke management, CVVHD/CRRT, Emergency Medications, External ventricular drain (EVD), Fibrinogen, Fresh tracheostomy, GI surgery, ICP monitoring, Infection Prevention, Intake and Output monitoring, Interpretation of Arterial Blood Gases (ABGs), Interpretation of dysrhythmias, Intra-Aortic Balloon Pump (IABP), Isolation Precautions/PPE, IV insulin protocols, Liver failure, Lumbar drains, Management of dysrhythmias, Management of patient with multisystem organ dysfunction/failure, Massive transfusion protocol, Medical Intensive Care Unit, Monitoring for abdominal compartment syndrome, Neuro Intensive Care Unit, Phlebotomy, PICC line management, Post Cardiac Surgery (Not directly from the OR), Post Craniotomy, Post Neurosurgery management, Pre/Post Cardiac Cath/intervention, Procedural Sedation Administration/Monitoring, Respiratory failure, Spinal cord injury, Starting and maintaining IVs, Suctioning (ETT, NT), Surgical Intensive Care Unit, Titrate Cardiac drips, Titrate Vasoactive drips, TPN/Lipids, Trauma Intensive Care Unit, Traumatic Brain injury, Urine output assessment, Ventilator Management

Patient Age Groups: Adolescents, Adults, Pediatrics, Geriatrics

Daily Census: 26

Number of Rooms: 38

Number of Beds: 38

Interdisciplinary Support: IV Teams, Physical Therapy, Respiratory Services, Interpretation Services, Phlebotomy, Radiology, Social Services, Rapid Response Teams, Pharmacy, Unit Secretary

Patient Diagnoses: Comprehensive medical (MICU) including ARDS, AHRF, COPD, sepsis, cardiac surgery, ECMO. Surgical/Trauma/Neurosurgical SICU: head injury, trauma, stroke, TBI, general surgery-some pediatrics

Special Procedures/Unit Details: ICU Department includes a medical ICU (28 bed) and a Level 1 surgical/trauma/neurosurgical SICU (10) bed department with assignments to both units as census and needs dictate

Special Equipment: CRRTECMOImpellaIABPCamino ICPVENTs

Requires specific amount of Experience: 1+ year in specialty

Local Radius: 75 miles

Local Rule: not accepted

References: Required

Background Policy to be noted prior to submission: Will accept License/BG Hits: approval on case-by-case basis

Return Staff Policy: perm employees must take 2 year break

Modules: Modules are non-billable for the first 8 hours, any time spent on modules after 8 hours is billable Modules are completed pre-start, and vary based on specialty

Guaranteed Hours: Contract Weeks: 91

Client Details Address: 2800 10th Ave N City: Billings State: MT Zip Code: 59101