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

Registered Nurse (Med/Tele/PCU)

Location: Bismarck, North Dakota
Contract Length: 13 weeks
Shift: Nights (7p-7a)
Hours: 12 hours per shift, 36 hours per week
Orientation: 2 shifts (12 hours each) of unit-specific orientation on Friday and Saturday of the first week; independent by Sunday

Unit & Patient Population

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

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

Required Skills & Experience

• Must have PCU experience
• Telemetry/cardiac nursing experience required
• Ability to read and interpret cardiac strips independently
• Experience with titrating drips (Amiodarone, Cardizem, Heparin, Nitro, Nipride, Lasix, low dose Dopamine)
• Experience with respiratory equipment troubleshooting (BiPAP, tracheostomies, Airvo)
• Epic electronic health record experience preferred
• First-time travel nurses are acceptable

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
• Telemetry/Monitor Techs present at nurses’ station and on portable monitors

Scheduling & Requirements

• Shift rotation limited to no more than one 7a-7p to 7p-7a switch per week
• 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
• Scrub color is flexible; any color scrubs allowed

Certifications & Licenses

• Current BLS (Basic Life Support) certification required
• Current ACLS (Advanced Cardiovascular Life Support) certification required
• Valid RN license for North Dakota

Additional Information

• Radius rule: Candidates must live within 50 miles and may not be currently employed full-time, part-time, or PRN with any related healthcare facilities within the specified system
• Return to Office (RTO) required within 7 days of contract start; no extensions allowed
• More of a telemetry/cardiac-focused unit

Summary

This is a 13-week night shift contract for an experienced Med/Tele/PCU RN with strong cardiac and telemetry skills, including the ability to titrate drips and interpret cardiac strips. The role requires flexibility with floating and weekend/holiday coverage, and offers a supportive team environment with charge nurses and tech support. Certification in BLS and ACLS is mandatory.