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

Assignment Overview

• Shift: Days, 3x12hrs
• Hours: 36 hrs/wk
• Start Date: Oct 4, 2026
• Length: 13 weeks
• Openings: 1

Description

American Traveler is hiring a Registered Nurse for a Progressive Care Unit (PCU) position requiring cardiac step-down experience and a South Dakota or compact RN license.

Details

• 44-bed mixed acuity unit including Intermediate Care, Telemetry, and MedSurg patients
• Patient population includes direct admits, ED admits, post cath lab, MI/NSTEMI/STEMI, CHF, dysrhythmia management, pacemaker malfunctions, 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 of 1:4, occasionally 1:3 depending on acuity
• CNA support at a ratio of 1:5-8 depending on shift
• 24/7 respiratory therapy support and in-facility hospitalist coverage
• Tele tech oversees cardiac monitoring with RN confirming strips twice daily
• Uses Epic EMR, Alaris pumps, and Omnicell
• 12-hour shifts, scheduled 0700-1900 or 1900-0700, with possible variable day/night scheduling
• Every other weekend and every other holiday rotation required
• No on-call requirements
• Floating primarily to sister PCU unit, with possible floats to MS/Tele or ICU for PCU-level patients within scope of practice

Requirements

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

Additional Information

• Provide step-down level cardiac and telemetry nursing care across a mixed acuity patient population
• Confirm cardiac monitoring strips twice daily in coordination with tele tech
• May be asked to precept nursing students
• Orientation includes 2 partial days of education and 3 twelve-hour shifts on the unit
• Navy blue scrub color required
• Free parking available
• Must reside at least 100 miles from any Monument Health facility to be eligible
• Former permanent staff must wait a full year before returning as a traveler
• Time off requests approved for up to 7 days, with extension required if taking a full week off
• No time off approved during the first three weeks of August annually due to the Sturgis Bike Rally
• Facility is known for being traveler friendly and frequently renews traveler contracts