PCU/HVU RN
Rapid City, SD
American Traveler
4x12 hrs, Nights

Assignment Overview

• Shift: Nights, 4x12hrs
• Hours: 48 hrs/wk
• Start Date: Jun 21, 2026
• Length: 14 weeks
• Openings: 1

Description

American Traveler is seeking an experienced RN for a PCU/HVU position in Rapid City, SD, requiring cardiac step-down experience and a valid SD or compact RN license.

Details

• 12-hour night shifts, 48 hours per week
• Progressive Care / Heart and Vascular Unit (HVU) in a hospital setting
• 44-bed mixed acuity unit covering Intermediate Care, Telemetry, and Med-Surg levels
• Patient population includes direct admits, ED admits, and post-cath lab patients with diagnoses such as MI, NSTEMI/STEMI, CHF, dysrhythmias, pacemaker malfunction, and epicardial pacers
• Also serves as a backup Stroke unit and Medical Overflow unit
• RN-to-patient ratio is typically 1:4, may be 1:3 depending on acuity
• Epic EMR used; candidates without Epic experience may require manager approval
• Equipment includes Alaris pumps and Omnicell medication dispensing
• Tele tech oversees cardiac monitoring; RN confirms strips at 6a and 6p
• Every other weekend rotation required
• Holiday coverage required on a rotating basis
• Floating primarily to the sister General PCU unit; may also float to MS/Tele or ICU to care for PCU-level patients, within scope of practice

Requirements

• Active RN license issued by or valid in South Dakota (SD state license or compact license) required
• Required certifications: BLS, ACLS, and NIHSS
• Minimum 1.5 years of general nursing experience required
• PCU or step-down level experience required, including post-cardiac/vascular, post-cardiac cath, post-open heart surgery, post-TAVR, post-EP studies, and post-pacemaker insertion
• Experience with cardiac procedural recovery (CABG/TAVR/post cardiac cath) required
• Proficiency with MI pharmacology and titratable cardiac/vasoactive drips (Cardizem, Amiodarone, Nitro, Levo, Dopamine) and Heparin drips required; manager approval needed if this experience is lacking
• Cardiac rhythm interpretation and chest tube management skills required
• TNK administration experience preferred
• 2 professional references dated within the past year required for consideration
• DOB and SSN required for consideration

Additional Information

• Unit support includes CNAs (ratio 1:5-8 depending on shift), an unassigned charge nurse, phlebotomy for peripheral blood draws, a tele tech, RT available 24/7, and a hospitalist in-facility 24/7
• Orientation consists of 2 partial days of education followed by 3 12-hour shifts on the unit
• Navy blue scrubs required
• Free parking available on-site
• Candidates must reside at least 100 miles from any Monument Health facility to be eligible
• First-time travelers are considered only with 2 or more years of nursing experience
• Former permanent staff must wait 1 full year before returning as a traveler
• Up to 7 days of RTO may be approved; a full week off requires an extension, and no time off is permitted during the first 3 weeks of August (Sturgis Bike Rally period)
• No on-call requirements