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

Assignment Overview

• Shift: Nights, 3x12hrs
• Hours: 36 hrs/wk
• Start Date: Nov 15, 2026
• Length: 13 weeks
• Openings: 1

Description

American Traveler is hiring a Registered Nurse for a Progressive Care Unit (PCU) position requiring a South Dakota or compact RN license and at least 1.5 years of nursing experience, including 1 year in PCU.

Details

• Hospital-based 44-bed Progressive Care Unit (mixed acuity: Intermediate Care, Telemetry, and MedSurg)
• 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
• Supported by CNAs (1:5-8 ratio), phlebotomy for peripheral blood draws, respiratory therapy 24/7, and occasional resource nurse support
• Tele tech oversees cardiac monitoring; RN confirms strips at 6am and 6pm
• Uses Epic EMR, Alaris pumps, and Omnicell
• 12-hour night shifts, 36 hours per week
• Weekend rotation every other weekend
• No on-call requirements
• Floating primarily to sister General PCU unit, with potential floats to MS/Tele or ICU for PCU-level patients, or to units within scope of practice and below

Requirements

• Active RN license (South Dakota or Compact) required
• Current certifications: BLS, ACLS, and NIHSS
• Minimum 1.5 years of general nursing experience, including 1 year specific to PCU
• Completion of an approved nursing education program
• 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
• TNK administration experience preferred
• Epic EMR experience preferred

Additional Information

• Provide step-down level nursing care for cardiac and post-surgical patients in a mixed acuity unit
• Confirm cardiac monitoring strips twice daily alongside tele tech support
• Orientation includes 2 partial days of education and 3 twelve-hour shifts on the unit
• Holiday coverage required every other holiday
• Time off requests approved for up to 7 days, with full week requests requiring extension; no time off approved during the first 3 weeks of August annually due to the Sturgis Bike Rally
• Navy blue scrub color required
• Free parking provided
• Candidates must reside at least 100 miles from any Monument Health facility; no local travelers accepted
• First-time travelers considered only with 2+ years of experience
• Permanent staff must wait 1 full year before returning as a traveler