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

Assignment Overview

• Shift: Variable, 4x12hrs
• Hours: 48 hrs/wk
• Start Date: Sep 14, 2026
• Length: 16 weeks
• Openings: 1

Description

American Traveler is hiring an experienced RN for a PCU/HVU position in Rapid City, SD, requiring at least 1 year of PCU-specific experience and proficiency with cardiac procedural recovery and titratable drips.

Details

• 44-bed mixed acuity unit (Intermediate Care, Telemetry, and Med/Surg) serving as a step-down, backup stroke unit, and medical overflow
• Patient population includes direct admits, ED admits, post-cath lab, MI/NSTEMI/STEMI, CHF, dysrhythmia management, pacemaker malfunction, epicardial pacers, post-CABG, post-TAVR, post-EP studies, and post-pacemaker insertion
• RN-to-patient ratio is typically 1:4, adjustable to 1:3 based on acuity
• 12-hour variable shifts, 48 hours per week
• Weekend rotation every other weekend; no on-call requirements
• Holiday coverage required on a rotating every-other basis
• Floating may occur to the sister General PCU unit, as well as Med/Surg Tele or ICU to care for PCU-level patients, within scope of practice
• Charting system: Epic (experience preferred; manager approval required if not experienced)
• Equipment includes Alaris infusion pumps and Omnicell medication dispensing
• Tele tech oversees cardiac monitoring; RN confirms strips at 6a and 6p

Requirements

• Active SD RN license or compact RN license currently in hand
• Current certifications required: 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)
• Proficiency with titratable cardiac/vasoactive drips (Cardizem, Amiodarone, Nitro, Levo, Dopamine), Heparin drips, and MI pharmacology
• Cardiac rhythm interpretation skills required
• Chest tube management experience 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 (1:5–8 ratio), an unassigned charge nurse, phlebotomy for peripheral blood draws, RT available 24/7, and a hospitalist in-facility 24/7
• Resource nurse available occasionally; no IV/VAT team on unit
• Orientation consists of 2 partial days of education followed by 3 supervised 12-hour shifts on the unit
• May be expected to precept nursing students
• Navy blue scrubs required
• Free parking available on-site
• RTO of up to 7 days is permitted; a full week off requires a contract extension
• No time off approved during the first 3 weeks of August annually (Sturgis Bike Rally period)
• First-time travelers are considered with 2 or more years of nursing experience
• Former permanent staff must wait 1 full year before returning as a traveler
• Candidates must reside more than 100 miles from any facility in the health system to be eligible