Take your next assignment in the Black Hills and put your full acute care skill set to work. Axis Medical Staffing is seeking experienced ER RNs for a 13 week travel assignment at a 35 bed acute care hospital in Spearfish, South Dakota. This role is built for a versatile nurse who can move confidently between the ER, ICU, and MedSurg based on patient needs. You will work with patients across all ages and need to be comfortable with both emergency and critical care.

Assignment Details Specialty:

Emergency Room RN Location:

Spearfish, SD Shift:

12 hour variable Guaranteed hours: 36 per week Contract length: 13 weeks Start date: October 5, 2026

Experience:

Minimum 1.5 years

Setting:

35 bed acute care hospital

Floating:

Required between

ER, ICU, and MedSurg Weekends:

Every other

Holidays:

Every other

Call:

None Orientation:

2 days First time travelers: Accepted with 2 or more years of experience What to Expect This is not an ER only assignment. Travelers are utilized across the ER, ICU, and MedSurg areas, so flexibility is a core part of the role. The ER has 9 treatment spaces, the ICU has 4 beds, and MedSurg has 15 beds. Patient populations include sepsis, DKA, ETOH, ARDS, MI, trauma, and stroke. Typical ratios are 1:3 to 4 in the ER, 1:1 to 2 in ICU depending on acuity and age, and 1:5 in MedSurg depending on acuity and age. Experience & Requirements BLS required ACLS required TNCC required PALS required Epic experience required South Dakota RN license required General ER experience required Critical care experience for ICU holds required Trauma experience required Must be comfortable working across ER, ICU, and MedSurg NIHSS preferred CPI preferred Travelers must live more than 100 miles from the facility Why Spearfish? Spearfish puts you in the Black Hills for a fall and winter contract, with access to outdoor recreation and small town living between shifts. Explore Spearfish Canyon and the surrounding Black Hills Spend days off hiking and exploring nearby trails Experience the Black Hills as the fall season moves into winter Visit nearby Deadwood Take advantage of skiing and other winter recreation in the region Enjoy a smaller community while working in a hospital where your broad acute care experience gets used Why Travel with Axis Medical Staffing? For more than 20 years, Axis Medical Staffing has helped healthcare professionals find rewarding travel assignments across the country. We believe great recruiters make all the difference, which is why we're committed to providing personalized support from your first conversation through the end of your assignment. When you travel with Axis, you'll enjoy: Competitive weekly pay Medical, dental, and vision insurance 401(k) with company match Weekly direct deposit Dedicated recruiter support every step of the way Opportunities at leading hospitals nationwid Axis is proud to be one of the highest-rated travel healthcare staffing agencies in the country, earning countless five-star reviews from nurses and allied health professionals who trust us with their careers. We're committed to making your next travel assignment as smooth and rewarding as possible.

Job Type:

Contract Pay:

$2,400.00 - $2,500.00 per week

Benefits:

401(k) Dental insurance Health insurance Health savings account Life insurance Relocation assistance Retirement plan People with a criminal record are encouraged to apply Application Question(s): Do you have at least 1.5 years of applicable acute care RN experience? Do you hold an active South Dakota RN license or qualifying multistate compact license? Are you comfortable working and floating between ER, ICU, and MedSurg? Do you currently hold BLS, ACLS, TNCC, and PALS certifications? Are you available to start a 13 week assignment on October 5, 2026?

Work Location:

In person