Med/Telemetry PCU Registered Nurse
Bismarck, North Dakota
CHI Saint Alexius Health

Job Opportunity: Med/Tele/PCU Registered Nurse (RN)

Location: Bismarck, North Dakota
Contract Length: 13 weeks

Unit Overview

• Unit Type: Med/Telemetry/Progressive Care Unit (PCU)
• Number of Beds: 32
• Nurse-to-Patient Ratios:

  • Day shifts: 1:4-5
  • Night shifts: occasional 1:5-6
  • PCU overflow: 1:3
• Patient Population: Adults and geriatrics with cardiac conditions (cardiac caths, EP studies, pacers), alcohol-related cases, COVID-19 (including BiPAP patients), general surgical patients with cardiac history, pneumonia, acute on chronic conditions, influenza, sepsis

Required Skills and Experience

• Must have PCU experience and be able to read and interpret cardiac strips independently
• Telemetry/cardiac nursing experience required
• Epic electronic health record experience preferred but not mandatory
• First-time travel nurses are acceptable
• RN must be able to titrate drips including Amiodarone, Cardizem, Heparin, Nitro, Nipride, Lasix, and low dose Dopamine (no Levophed)

Certifications and Licenses

• BLS (Basic Life Support) required
• ACLS (Advanced Cardiovascular Life Support) required
• Registered Nurse (RN) license valid in North Dakota

Shift and Scheduling Details

• Shifts: 7:00 AM - 7:00 PM and 7:00 PM - 7:00 AM
• Shift rotation: 7-7 rotation will not occur more than once weekly; blocked schedules may be considered
• Weekend Requirement: Every other weekend
• Holiday Requirement: Every other holiday
• Orientation: 2 shifts (12 hours each) on Friday and Saturday of the first week; independent by Sunday
• Floating: Required to float to PCU, Medical-Surgical, and some ER hold/boarding areas as needed

Additional Unit Information

• Charge nurse present on each shift, occasionally takes a light patient load (2-3 patients)
• Nurse aides/patient care technicians available with a goal ratio of 1:10
• Respiratory therapy equipment present (BiPAP, trachs, Airvo); RNs troubleshoot but do not manage vents
• Telemetry/monitor techs available at nurses’ station and patient rooms
• Dress code: Any color scrubs allowed
• No call or standby requirements

Experience Requirements

• Specialty Experience: PCU/Telemetry nursing experience required (minimum 1 year recommended based on specialty demands)
• Prior travel experience: Not required

Notes

• Candidates must be outside a 50-mile radius of the facility and cannot be currently employed full-time, part-time, or PRN with any related healthcare system facilities
• Return to Office (RTO) required within 7 days of contract start; no additional RTO extensions allowed

This position is ideal for experienced Med/Tele/PCU RNs comfortable with cardiac monitoring, drip titration, and working in a fast-paced progressive care environment.