Progressive Care Unit RN
Rapid City, SD
American Traveler
4x12 hrs, Nights

Assignment Overview

• Shift: Nights, 4x12hrs
• Hours: 48 hrs/wk
• Start Date: Jul 13, 2026
• Length: 13 weeks
• Openings: 1

Description

American Traveler is seeking an experienced RN for a Progressive Care Unit (PCU/HVU) position in Rapid City, SD, requiring a minimum of 1 year of PCU-specific experience and strong cardiac procedural skills.

Details

• 44-bed mixed acuity unit serving Intermediate Care, Telemetry, and Med/Surg patient populations
• Patient types include direct admits, ED admits, post-cath lab, MI/NSTEMI/STEMI, CHF, dysrhythmia management, pacemaker malfunction, epicardial pacers, as well as backup stroke and medical overflow cases
• Step-down level care provided for post-cardiac/vascular, post-cardiac cath, post-open heart surgery, post-TAVR, post-EP studies, and post-pacemaker insertion patients
• RN-to-patient ratio is typically 1:4, adjustable to 1:3 based on acuity
• 12-hour night shifts, 48 hours per week
• Every-other-weekend rotation required
• No on-call responsibilities
• Floating required primarily to the sister General PCU unit, with potential float to MS/Tele or ICU to care for PCU-level patients, always within or below scope of practice
• Charting via Epic; experience preferred but not required — notify your recruiter if you lack Epic experience so manager approval can be sought
• Alaris pumps and Omnicell medication dispensing system used on the unit

Requirements

• Active RN license — South Dakota (SD) state or Compact license required
• Current certifications: BLS, ACLS, and NIHSS
• Minimum of 1.5 years of general nursing experience, with at least 1 year specific to PCU
• Experience with cardiac procedural recovery including CABG, TAVR, and post-cardiac cath
• Proficiency with MI pharmacology and titratable cardiac/vasoactive drips (e.g., Cardizem, Amiodarone, Nitroglycerin, Levophed, Dopamine) and Heparin drips
• Cardiac rhythm interpretation skills required
• Chest tube management experience required
• TNK administration experience preferred
• Two 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 overseeing cardiac monitoring (RN confirms strips at 6am and 6pm), RT available 24/7, and a hospitalist in-facility 24/7
• Orientation consists of 2 partial days of education followed by 3 supervised 12-hour shifts on the unit
• Holiday coverage expected on a rotating basis (every other)
• RTO of up to 7 days allowed; a full week off requires an extension; no time off approved during the first 3 weeks of August due to the Sturgis Bike Rally
• May be expected to precept nursing students
• Navy blue scrubs required
• Free parking available on-site
• First-time travelers are welcome to apply with 2 or more years of nursing experience
• Candidates must reside at least 100 miles from any facility within the health system to be eligible
• Former permanent staff must wait at least 1 full year before returning as a traveler