Progressive Care Unit (PCU) RN
Rapid City, SD
American Traveler
3x12 hrs, Nights

Assignment Overview

• Shift: Nights, 3x12hrs
• Hours: 36 hrs/wk
• Start Date: Jul 20, 2026
• Length: 13 weeks
• Openings: 1

Description

American Traveler is seeking an experienced RN for a Progressive Care Unit (PCU) position in Rapid City, SD, requiring at least 1 year of PCU or telemetry experience and proficiency in cardiac monitoring and vasoactive drip titration.

Details

• 56-bed Progressive Care Unit (PCU) within an acute care hospital setting
• Adult patient population presenting with a wide variety of diagnoses including CHF, ARF, hepatitis, ESLD, DM/DKA, pneumonia, sepsis, GI bleed, syncope, chest pain, pulmonary emboli, respiratory failure, COPD, arrhythmias, seizure disorders, overdose, and delirium tremens
• RN patient ratio: 1:4 on PCU/Telemetry (days and nights)
• Performs cardiac rhythm interpretation, vasoactive and cardiac drip titration (Heparin, Insulin, Cardizem, Amiodarone, Levophed up to 5 mcg, and occasionally Esmolol or other beta-blockers/antihypertensives), IV starts, blood product administration, CIWA protocol, drain and tube management, catheter insertion and management, insulin drips (DKA and non-DKA), continuous bladder irrigation, and chest tube maintenance
• Primary charting system is Epic (experience preferred); also uses Alaris and Omnicell
• 12-hour night shifts, 36 hours per week
• Weekend rotation required: every other weekend (Friday, Saturday, and Sunday)
• Floating required to adult inpatient units including Med/Surg, Ortho/Neuro/Surgical, Heart and Vascular, Oncology, ICU (based on experience), and Observation; float in rotation with other travelers
• No scheduled on-call hours; may be placed on low census call if hours exceed the weekly contracted amount or upon traveler request

Requirements

• Active SD or Compact RN license required
• Current BLS and ACLS certifications required
• Minimum 1 year of PCU or telemetry RN experience required
• Cardiac rhythm interpretation experience required
• Proficiency in vasoactive and cardiac drip titration required; candidates without this experience must receive prior facility approval
• Epic EMR experience preferred; candidates without Epic experience require facility approval
• Candidates must reside more than 100 miles from any Monument Health facility
• 2 professional references dated within the past year required for consideration
• DOB and SSN required for consideration

Additional Information

• Orientation includes 2 days of in-class/online education followed by two 12-hour precepted shifts
• Unit support includes CNAs (1:8 ratio), two free-floating charge nurses (24/7), 24/7 phlebotomy for peripheral draws, a flex resource nurse, respiratory therapy (24/7), 24/7 in-house hospitalist coverage, centralized telemetry monitoring, and a violent incident response team
• Attendance at pre-shift huddle is required at 0625 (nights) in the 7th floor conference room
• Every other holiday minimum coverage is expected during the contracted timeframe
• Up to 7 days of RTO may be approved; no RTO approved during the Sturgis Bike Rally (first 3 weeks of August)
• Monthly audits for pre/post pain scoring compliance — 90% compliance required
• May be expected to precept nursing students
• Required scrub color for RNs: Navy Blue
• Free parking available on site
• First-time travelers are considered with greater than 2 years of RN experience
• Previous permanent staff must wait 1 year before returning in a travel capacity
• Candidates without Epic experience should disclose this upfront for facility approval consideration