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

Assignment Overview

• Shift: Days, 3x12hrs
• Hours: 36 hrs/wk
• Start Date: Nov 2, 2026
• Length: 13 weeks
• Openings: 1

Description

American Traveler is hiring an experienced RN for a Progressive Care Unit position requiring a South Dakota or compact RN license and prior PCU/step-down experience.

Details

• 44-bed mixed acuity unit combining Intermediate Care, Telemetry, and MedSurg patients
• Patient population includes direct admits, ED admits, post cath lab, MI, NSTEMI, STEMI, CHF, dysrhythmia management, pacemaker malfunction, and epicardial pacers
• Serves as backup stroke unit and medical overflow
• Step-down level care 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 typically 1:4, occasionally 1:3 depending on acuity
• CNA support at a 1:5-8 ratio depending on shift
• 24/7 respiratory therapy and hospitalist support available on site
• Tele tech oversees cardiac monitoring, with RN confirming strips at 6am and 6pm
• Uses Epic EMR, Alaris pumps, and Omnicell systems
• 12-hour day and night shifts (0700-1900 and 1900-0700), 36 hours per week
• May float primarily to sister PCU unit, or to MS/Tele or ICU to care for PCU-level patients
• Weekend rotation every other weekend
• Holiday coverage required every other holiday
• No on-call requirements

Requirements

• Active RN license (South Dakota or Compact) required
• Current certifications: BLS, ACLS, and NIHSS
• Minimum 1.5 years general nursing experience with at least 1 year specific to PCU
• Experience with cardiac procedural recovery (CABG/TAVR/post cardiac cath) required
• Experience with MI pharmacology and titratable cardiac/vasoactive drips (Cardizem, Amiodarone, Nitro, Levo, Dopamine) required
• Experience with Heparin drips, cardiac rhythm interpretation, and chest tube management required
• TNK administration experience preferred
• Epic EMR experience preferred
• First-time travelers considered only with 2+ years of experience

Additional Information

• Confirm cardiac telemetry strips twice daily and collaborate with tele tech for continuous monitoring
• May be expected to precept nursing students
• Navy blue scrubs required
• Free parking available on site
• Orientation includes 2 partial days of education plus 3 shifts on the unit
• Time off approval allowed for up to 7 days, with full week requests requiring an extension; no time off permitted during the first 3 weeks of August due to the annual Sturgis Bike Rally
• Must reside at least 100 miles from any facility within the health system to qualify for traveler consideration
• Permanent staff must wait a full year before returning as a travelers
• Facility is known for being traveler-friendly and frequently renews traveler contracts