Medical 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

• 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 catheterizations, electrophysiology studies, pacemakers, alcohol-related issues, COVID-19 (BiPAP), general surgical patients with cardiac history, pneumonia, influenza, sepsis, and acute on chronic conditions
• Unit Focus: Telemetry and cardiac care

Required Qualifications

• Current RN license for the state of North Dakota
• ACLS and BLS certifications required
• PCU experience is mandatory
• Ability to read and interpret cardiac strips independently
• Experience with titrating drips such as Amiodarone, Cardizem, Heparin, Nitro, Nipride, Lasix, and low dose Dopamine (no Levophed)
• Familiarity with respiratory equipment troubleshooting (BiPAP, tracheostomies, Airvo)
• Epic electronic health record experience preferred but not required
• Prior travel experience not required; first-time travelers are welcome

Job Responsibilities

• Provide PCU-level nursing care with telemetry monitoring
• Titrate cardiac and other drips as ordered
• Interpret cardiac telemetry strips independently
• Collaborate with charge nurses who occasionally take a light patient load
• Work alongside nurse aides/patient care technicians (goal ratio 1:10)
• Assist with respiratory equipment troubleshooting
• Float as needed to other areas including PCU, medical-surgical, and emergency room holds/boarding

Scheduling & Orientation

• Shift Hours: 7:00 AM to 7:00 PM
• Shift Rotation: 7a-7p and 7p-7a shifts rotate no more than once weekly; schedule may allow blocked shifts based on unit needs
• Weekend Requirement: Every other weekend
• Holiday Requirement: Every other holiday
• Call or Standby: None
• Orientation: 2 shifts (12 hours each) on Friday and Saturday of the first week; independent by Sunday

Additional Information

• Dress Code: Any color scrubs allowed
• Radius Rule: Candidates must live within 50 miles and cannot be currently employed full-time, part-time, or PRN with any related healthcare system facilities within the radius
• Return to Office (RTO) required within 7 days of contract start; no additional RTO approvals after submission
• Floating to other units as needed to support patient care demands

This position is ideal for a Med/Tele/PCU RN with solid cardiac and telemetry experience seeking a 13-week contract in a supportive, team-oriented environment.