Med/Tele/PCU RN
Bismarck, North Dakota
CHI Saint Alexius Health

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

Location: Bismarck, North Dakota
Contract Length: 13 weeks

Unit Overview

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

  • Day: 1:4-5
  • Night: Occasional 1:5-6
  • PCU overflow: 1:3
• Patient Population: Adults and geriatrics with cardiac conditions, including cardiac caths, electrophysiology studies, pacemakers, alcohol-related issues, COVID-19 (including BiPAP patients), general surgical patients with heart history, pneumonia, acute on chronic conditions, influenza, and sepsis.

Required Skills and Experience

• Must have PCU experience and be able to read and interpret cardiac strips independently.
• Telemetry/cardiac nursing experience preferred.
• Epic electronic health record experience preferred but not required.
• Open to first-time travel nurses.
• RN must be able to titrate drips including Amiodarone, Cardizem, Heparin, Nitro, Nipride, Lasix, and low dose Dopamine (no Levophed).
• Experience with BiPAP, tracheostomies, and Airvo equipment troubleshooting.
• Charge nurse present on both shifts, occasionally takes a light patient load.
• Nurse aides/patient care technicians support the unit with a goal ratio of 1:10.

Schedule and Work Environment

• Shifts: 7 AM – 7 PM and 7 PM – 7 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
• No call or standby requirements.
• Floating: Required to float to PCU, Medical-Surgical, and some Emergency Room hold areas as needed.
• Dress Code: Any color scrubs allowed.
• Orientation: 2 shifts (12 hours each) on Friday and Saturday of the first week; independent by Sunday.

Certifications and Licenses

• Required: BLS and ACLS certifications.
• Must hold an active RN license valid in North Dakota.

Additional Information

• This is a tele/cardiac-focused unit.
• RN to read and interpret telemetry strips independently.
• Radius rule: Candidates must live within 50 miles and may not 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 will be approved.

Required Skills and Experience

• Valid RN license in North Dakota
• Minimum 2 years of Progressive Care Unit (PCU) experience, with at least 1 year of PCU experience within the last year
• BLS certification
• ACLS certification
• Associate of Science in Nursing (ASN) or Associate Degree in Nursing (ADN)