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

Registered Nurse (Med/Tele/PCU) - Bismarck, North Dakota

Job Overview

• Specialty: Medical/Telemetry/Progressive Care Unit (PCU) RN
• Location: Bismarck, ND
• Contract Length: 13 weeks
• Shift: Days (7a-7p), 12-hour shifts
• Weekend Requirement: Every other weekend
• Holiday Requirement: Every other holiday
• Nurse-to-Patient Ratios: Typically 1:4-5; occasional 5-6 on nights; PCU overflow 1:3
• Unit Size: 32 beds
• Orientation: 2 shifts (12 hours each) of unit-specific orientation during first week

Patient Population & Care

• Patient Types: Adults and geriatrics with cardiac conditions, including cardiac catheterizations, electrophysiology studies, pacemakers, alcohol-related issues, COVID-19 (including BiPAP), general surgical patients with cardiac history, pneumonia, acute on chronic conditions, influenza, and sepsis
• Care Level: Telemetry and cardiac-focused PCU care
• Common Drips: Amiodarone, Cardizem, Heparin, Nitro, Nipride, Lasix, low dose Dopamine (no Levophed)
• RN Responsibilities: Must read and interpret cardiac strips; titrate drips as needed
• Respiratory Equipment: BiPAP, tracheostomies, Airvo; RNs troubleshoot but do not manage ventilators

Staffing & Support

• Charge Nurse: Present on both shifts; may take a light patient load (2-3 patients)
• Nurse Aides/Patient Care Techs: Present with goal ratio of 1:10
• Telemetry/Monitor Techs: Available at nurse’s station and portable monitors in rooms

Scheduling & Floating

• Shift Rotation: 7a-7p and 7p-7a shifts; rotation no more than once weekly; blocked schedules considered
• Floating: Required to float to PCU, medical-surgical, and some ER hold areas as needed

Required Qualifications

• Certifications: BLS and ACLS required
• Experience: Must have PCU experience and ability to read cardiac strips
• Preferred: Epic electronic health record experience preferred
• Prior Travel Experience: Not required; first-time travelers are acceptable
• Licensure: Current RN license valid in North Dakota

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 certain affiliated healthcare systems
• Return to Office (RTO): Required within 7 days of contract start; no extensions allowed

This position is ideal for RNs with PCU and telemetry experience seeking a 13-week contract in a cardiac-focused progressive care setting.