Medical Telemetry & PCU RN
Bismarck, North Dakota
CHI Saint Alexius Health

Job Opportunity: Med/Tele/PCU RN

Location: Bismarck, North Dakota
Contract Length: 13 weeks

Unit & Patient Population

• Department: Med/Tele RN
• Unit Size: 32 beds
• Nurse-to-Patient Ratios:

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

Required Experience & Skills

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

Certifications

• BLS (Basic Life Support)
• ACLS (Advanced Cardiovascular Life Support)

Staffing & Support

• Charge Nurse on each shift who occasionally takes a light patient load (2-3 patients).
• Patient Care Techs/Nurse Aides present with a goal ratio of 1:10.
• Respiratory Therapy equipment includes BiPAP, trachs, Airvo; RNs troubleshoot but do not manage these devices.
• Tele/Monitor Techs present with portable and room monitors, plus a tech at the nurse’s station.

Scheduling & Orientation

• 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 and holiday work: every other weekend and 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 holds/boarding as needed.

Additional Information

• Dress code: Any color scrubs allowed.
• More of a telemetry/cardiac-focused unit.
• Radius rule: Candidates must be outside a 50-mile radius and cannot be currently employed full-time, part-time, or PRN with any facility associated with CommonSpirit (including CHI and Dignity).
• 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 patient care, telemetry monitoring, and titrating drips in a fast-paced environment.