PCU RN
Rapid City, SD
American Traveler
4x12 hrs, Days

Assignment Overview

• Shift: Days, 4x12hrs
• Hours: 48 hrs/wk
• Start Date: Oct 19, 2026
• Length: 13 weeks
• Openings: 1

Description

American Traveler is hiring a Registered Nurse for a Progressive Care Unit (PCU) role requiring SD or compact RN licensure and at least 1 year of PCU-specific experience.

Details

• 44-bed mixed acuity Progressive Care 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 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, sometimes 1:3 depending on acuity
• CNA support at 1:5-8 ratio depending on shift
• Tele tech oversees cardiac monitoring with RN confirming strips at 6a and 6p
• Peripheral blood draws performed by phlebotomy
• RT support available 24/7; hospitalist in facility 24/7 but not unit-dedicated
• Uses Epic EMR, Alaris pumps, and Omnicell
• Floating primarily to sister General PCU unit, with possible floating to MS/Tele or ICU for PCU-level patients
• 12-hour day and night shifts, 0700-1900 or 1900-0700
• Weekend rotation every other weekend
• No on-call requirements

Requirements

• Active RN license (South Dakota or Compact) required
• Current BLS, ACLS, and NIHSS certifications required
• Completion of an approved nursing education program required
• 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), MI pharmacology, and titratable cardiac/vasoactive drips (Cardizem, Amiodarone, Nitro, Levo, Dopamine) required, or manager approval needed if lacking
• Experience with heparin drips, cardiac rhythm interpretation, and chest tube management required
• TNK administration experience preferred
• Epic EMR experience preferred; manager approval required if lacking

Additional Information

• Provide step-down level cardiac and vascular nursing care within a mixed acuity unit
• May be expected to precept students
• Holiday coverage required every other holiday
• Orientation includes 2 partial days of education and 3 twelve-hour shifts on the unit
• Time off approval allowed up to 7 days, with full week requests requiring extension; no time off permitted during the first three weeks of August annually due to the Sturgis Bike Rally
• Scheduled at least two days off after a night shift before being assigned a day shift
• Navy blue scrubs required
• Free parking provided
• First-time travelers considered only with 2+ years of experience
• Travelers must live 100 miles or more from any Monument Health facility
• Permanent staff must wait one full year before returning as a traveler