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Shift: Variable, 4x12hrs
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Hours: 48 hrs/wk
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Start Date: Sep 14, 2026
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Length: 16 weeks
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Openings: 1
American Traveler is hiring an experienced RN for a PCU/HVU position in Rapid City, SD, requiring at least 1 year of PCU-specific experience and proficiency with cardiac procedural recovery and titratable drips.
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44-bed mixed acuity unit (Intermediate Care, Telemetry, and Med/Surg) serving as a step-down, backup stroke unit, and medical overflow
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Patient population includes direct admits, ED admits, post-cath lab, MI/NSTEMI/STEMI, CHF, dysrhythmia management, pacemaker malfunction, epicardial pacers, post-CABG, post-TAVR, post-EP studies, and post-pacemaker insertion
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RN-to-patient ratio is typically 1:4, adjustable to 1:3 based on acuity
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12-hour variable shifts, 48 hours per week
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Weekend rotation every other weekend; no on-call requirements
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Holiday coverage required on a rotating every-other basis
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Floating may occur to the sister General PCU unit, as well as Med/Surg Tele or ICU to care for PCU-level patients, within scope of practice
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Charting system: Epic (experience preferred; manager approval required if not experienced)
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Equipment includes Alaris infusion pumps and Omnicell medication dispensing
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Tele tech oversees cardiac monitoring; RN confirms strips at 6a and 6p
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Active SD RN license or compact RN license currently in hand
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Current certifications required: BLS, ACLS, and NIHSS
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Minimum 1.5 years of general nursing experience with at least 1 year specific to PCU
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Experience with cardiac procedural recovery (CABG, TAVR, post-cardiac cath)
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Proficiency with titratable cardiac/vasoactive drips (Cardizem, Amiodarone, Nitro, Levo, Dopamine), Heparin drips, and MI pharmacology
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Cardiac rhythm interpretation skills required
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Chest tube management experience required
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TNK administration experience preferred
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2 professional references dated within the past year required for consideration
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DOB and SSN required for consideration
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Unit support includes CNAs (1:5–8 ratio), an unassigned charge nurse, phlebotomy for peripheral blood draws, RT available 24/7, and a hospitalist in-facility 24/7
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Resource nurse available occasionally; no IV/VAT team on unit
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Orientation consists of 2 partial days of education followed by 3 supervised 12-hour shifts on the unit
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May be expected to precept nursing students
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Navy blue scrubs required
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Free parking available on-site
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RTO of up to 7 days is permitted; a full week off requires a contract extension
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No time off approved during the first 3 weeks of August annually (Sturgis Bike Rally period)
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First-time travelers are considered with 2 or more years of nursing experience
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Former permanent staff must wait 1 full year before returning as a traveler
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Candidates must reside more than 100 miles from any facility in the health system to be eligible
