Heart & Vascular PCU RN
Rapid City, SD
American Traveler
3x12 hrs, Days

Assignment Overview

• Shift: Days, 3x12hrs
• Hours: 36 hrs/wk
• Start Date: Jul 20, 2026
• Length: 14 weeks
• Openings: 1

Description

American Traveler is seeking an experienced RN for a Progressive Care Unit (PCU/HVU) position in Rapid City, SD, requiring cardiac stepdown experience and a SD or compact RN license.

Details

• Mixed acuity unit (Intermediate Care, Telemetry, and Med-Surg) within a 44-bed Heart & Vascular Unit (HVU)
• Patient population includes direct admits, ED admits, post-cath lab, MI/NSTEMI/STEMI, CHF, dysrhythmia management, pacemaker malfunction, epicardial pacers, backup stroke, and medical overflow
• Step-down level experience expected with 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, with the possibility of 1:3 depending on acuity
• 12-hour day shifts, 36 hours per week
• Every other weekend rotation required
• No on-call responsibilities
• Floating may occur to the sister General PCU unit, and less frequently to MS/Tele or ICU for PCU-level patients; floating is within or below scope of practice
• Charting system: Epic (experience preferred; notify if candidate lacks Epic experience)
• Equipment includes Alaris infusion pumps and Omnicell medication dispensing
• Tele techs oversee cardiac monitoring; RNs confirm rhythm strips at 6am and 6pm

Requirements

• Active RN license — South Dakota (SD) or compact state license required
• Current certifications: BLS, ACLS, and NIHSS
• Minimum 1.5 years of general nursing experience required
• PCU-level RN experience required
• Experience with cardiac procedural recovery (CABG, TAVR, post-cardiac cath) required
• Proficiency with MI pharmacology and titratable cardiac/vasoactive drips (Cardizem, Amiodarone, Nitro, Levophed, Dopamine) and Heparin drips required
• Cardiac rhythm interpretation and chest tube management experience required
• TNK administration experience preferred
• Completion of a board-of-nursing approved nursing education program required
• Two professional references dated within the past year required for consideration
• DOB and SSN required for consideration

Additional Information

• First-time travelers are considered with 2 or more years of experience
• Candidates must reside at least 100 miles from any Monument Health facility to be eligible
• Former permanent staff must wait 1 full year before returning as a traveler
• Unit support includes CNAs (1:5–8 ratio), an unassigned charge nurse, phlebotomy for peripheral blood draws, occasional resource nurse coverage, RT available 24/7, and a hospitalist in-facility 24/7
• Orientation includes 2 partial days of education followed by 3 12-hour shifts on the unit
• Holiday coverage required on a rotating basis (every other)
• RTO of up to 7 days may be approved; candidates taking a full week off must extend their contract accordingly
• No time off permitted during the first 3 weeks of August (Sturgis Motorcycle Rally period)
• Scrubs: Navy blue required
• Free parking available on-site