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Shift: Days, 4x12hrs
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Hours: 48 hrs/wk
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Start Date: Aug 31, 2026
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Length: 14 weeks
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Openings: 1
American Traveler is hiring an experienced RN for a Progressive Care Unit position requiring at least 1 year of nursing experience and EPIC charting proficiency.
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Hospital-based Medical unit with 36-48 beds, including flex semi-private rooms as needed
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Mixed Med/Surg to Intermediate Care (IMC) patient population, approximately 90% Med/Surg and 10% Intermediate Care
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Cares for patients with diagnoses including DKA, pre/post-surgical, cellulitis, influenza, UTIs, pneumonia, COPD, CHF, renal failure (with or without hemodialysis), hepatic failure, GI disorders, soft tissue injuries, minor fractures, DVTs, and occasional CVA overflow
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Administers oral, IV, IM, and SQ medications, titratable vasoactive drips, TPN/tube feedings, and blood product transfusions
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Manages peripheral IV, midline, PICC, and central line access, chest tubes, NG tubes, drains, and urinary/fecal collection devices
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Provides preventative and restorative skin and wound care
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Reads and interprets telemetry monitoring
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Patient ratios vary by care area: 1:5-6 for long length of stay Med/Surg (no telemetry), 1:5 for Med/Surg/Telemetry, and 1:4 for Intermediate Care
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Unit support includes CNAs at a 1:8 ratio, a non-patient-load charge nurse, phlebotomy, IV/VAT team, and 24/7 RT and hospitalist coverage
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No dedicated resource nurse on the unit
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Charting/equipment includes Epic, Omnicell, and Alaris
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Schedule follows 6-week blocks with weekend rotation of up to 4 of 6 weekends (Friday-Sunday), including possible every-other-weekend (WOW) scheduling
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No mandatory on-call, though optional extra on-call shifts may be available
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May float to any adult inpatient unit including Med Surg, Ortho/Neuro/Surgical, Heart and Vascular, Oncology, and Observation, within scope of practice and in rotation with other travelers
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Shift schedule: 12-hour day shifts
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Active RN license (South Dakota Board of Nursing or Compact) currently in hand
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Current certifications: BLS, ACLS, and NIHSS
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Minimum 1 year of nursing experience required
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Completion of an accredited nursing education program
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Epic EMR experience required, including for first-time travelers
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Comfortable accepting Med/Surg assignments
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Experience with IMC/stepdown and neuro patient populations, including ability to float to Oncology
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Ability to read and interpret cardiac telemetry strips
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Skilled in wound care, line management, and drain/tube management
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Comfortable with drip titration including Heparin, Insulin, Cardizem, Amiodarone, and occasionally Esmolol, other beta blockers, or antihypertensives
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Two days of unit/department orientation including policies, protocols, and online learning modules, plus classroom time with the Nursing Professional Development Team
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Two orientation shifts on the unit with a preceptor
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May be expected to precept nursing students
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Monthly audits are conducted for pre/post pain scoring, requiring 90% compliance
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Navy blue scrub color required
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Free parking available
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First-time travelers will be considered if they have more than 1 year of experience and EPIC proficiency
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Traveler must live at least 100 miles from any Monument Health facility; no local candidates accepted
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Former permanent staff must wait one full year before returning as a traveler
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RTO requests are not currently being accepted during winter holidays and should be submitted to the manager for approval
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Time off up to a week and a half can be approved, with extensions required for a full week off
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Blackout dates apply for the first 2-3 weeks of August due to the Sturgis Motorcycle Rally, during which no time off is approved
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Facility is known for being traveler-friendly with high renewal rates
