PCU/HVU RN - Cardiac Step-Down
Rapid City, SD
American Traveler
3x12 hrs, Nights

Assignment Overview

• Shift: Nights, 3x12hrs
• Hours: 36 hrs/wk
• Start Date: Aug 16, 2026
• Length: 13 weeks
• Openings: 1

Description

American Traveler is seeking an experienced RN for a PCU/HVU position in Rapid City, SD, requiring a minimum of 1 year of PCU-specific experience and proficiency with cardiac procedural recovery and titratable drips on 12-hour night shifts.

Details

• 44-bed mixed acuity unit (Intermediate Care, Telemetry, and Med/Surg) within a hospital setting
• 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
• Unit also serves as backup Stroke unit and Medical Overflow
• 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 1:4, with the possibility of 1:3 based on acuity
• 12-hour night shifts, 36 hours per week
• Every other weekend rotation required
• No on-call responsibilities
• Every other holiday coverage required
• 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
• EMR: Epic; Alaris infusion pumps and Omnicell medication dispensing system in use
• Tele techs oversee cardiac monitoring; RN confirms strips at 6am and 6pm

Requirements

• Active RN license — SD license or a Compact RN license currently in hand is required
• Current certifications: BLS, ACLS, and NIHSS
• Minimum 1.5 years of general nursing experience, with at least 1 year specific to PCU
• 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
• Cardiac rhythm interpretation and chest tube management required
• TNK administration experience preferred
• Epic EMR experience preferred; candidates without Epic experience may require manager approval
• 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, respiratory therapy available 24/7, and a hospitalist in-facility 24/7
• Tele techs manage cardiac monitoring oversight; RNs confirm rhythm strips at shift change
• Orientation consists of 2 partial days of education followed by 3 supervised 12-hour shifts on the unit
• Travelers may be expected to precept nursing students
• Navy blue scrubs required
• Free parking available on-site
• RTO of up to 7 days is allowed; a full week off requires contract extension — no time off permitted during the first 3 weeks of August (Sturgis Bike Rally period)
• First-time travelers are considered with 2 or more years of total nursing experience
• Candidates must reside at least 100 miles from any Monument Health facility to be eligible
• Former permanent staff must wait a full year before returning in a travel capacity