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

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

Required Qualifications

• Current RN license
• ACLS and BLS certifications required
• PCU experience mandatory
• Ability to read and interpret cardiac strips independently
• Experience with titrating drips including Amiodarone, Cardizem, Heparin, Nitro, Nipride, Lasix, and low dose Dopamine (no Levophed)
• Experience with telemetry/cardiac nursing preferred
• 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 including telemetry monitoring and cardiac patient management
• Titrate and manage cardiac drips as ordered
• Read and interpret cardiac telemetry strips independently
• Collaborate with charge nurses who occasionally take light patient assignments
• Work with nurse aides/patient care technicians (goal ratio 1:10)
• Troubleshoot respiratory equipment such as BiPAP, tracheostomies, and Airvo devices
• Float as needed to other areas including PCU, medical-surgical, and emergency room holds/boarding

Scheduling & Orientation

• Shift Schedule: 7a-7p (day shift) with occasional weekly rotation to nights (7p-7a) possible but limited
• 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
• Dress Code: Any color scrubs allowed

Additional Information

• Telemetry monitors available in rooms and at nurse’s station with dedicated telemetry tech support
• Charge nurse present on each shift
• Floating required to assist other units as needed
• Candidates must live within a 50-mile radius and cannot be currently employed part-time, full-time, or PRN with any related healthcare system facilities
• Return to work (RTO) required within 7 days of contract start; no extensions allowed

This position is ideal for RNs with strong telemetry and PCU experience seeking a 13-week contract in a cardiac-focused unit with a supportive team environment.