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

Registered Nurse (Med/Tele/PCU)

Location: Bismarck, North Dakota
Contract Length: 13 weeks
Shift: Days (7a-7p)
Hours per Day: 12
Hours per Week: 36

Unit Overview

• 32-bed Med/Telemetry/PCU unit
• Nurse-to-patient ratios: 1:4-5 (day), occasional 5-6 (nights), PCU overflow 1:3
• Patient population: Adults and geriatrics with cardiac caths, EP studies, pacemakers, alcohol-related conditions, COVID (including BiPAP), general surgical patients with cardiac history, pneumonia, acute on chronic conditions, influenza, sepsis
• Telemetry/cardiac-focused unit with PCU level care

Required Skills & Experience

• Must have PCU experience and be able to read and interpret cardiac strips independently
• Telemetry/cardiac nursing experience preferred
• Epic experience preferred but not required
• 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 & Licenses

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

Staffing & Support

• Charge nurse present on each shift, occasionally takes a light patient load (2-3 patients)
• Patient care techs/nurse aides available, goal ratio 1:10
• Respiratory therapy equipment present (BiPAP, trachs, Airvo); RNs troubleshoot but do not manage vents
• Telemetry/monitor techs present at nurses’ station and on portable monitors

Scheduling & Work Environment

• 7a-7p and 7p-7a shifts; rotating shifts limited to once weekly
• Weekend and holiday work required every other week
• No call or standby requirements
• Floating required to other areas including PCU, medical-surgical, and some ER holds/boarding
• Dress code: any color scrubs allowed
• Orientation: 2 shifts (12 hours each), typically Friday and Saturday of first week; independent by Sunday

Additional Notes

• More of a telemetry/cardiac-focused unit
• Return to office (RTO) required within 7 days of contract start; no additional RTO approvals
• Radius restriction: candidates cannot be currently employed full-time, part-time, or PRN within 50 miles at any affiliated facilities
• Scheduling managed by unit manager; blocked schedules may be considered based on unit needs

Summary

This is a 13-week contract for an experienced Med/Tele/PCU RN with strong telemetry and cardiac skills, including strip interpretation and drip titration. The role requires flexibility with rotating shifts, weekend and holiday coverage, and floating to other units. Certifications in BLS and ACLS are mandatory. The unit cares for a complex adult and geriatric population with cardiac and medical conditions.