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Shift: Nights, 4x12hrs
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Hours: 48 hrs/wk
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Start Date: Jul 13, 2026
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Length: 13 weeks
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Openings: 1
American Traveler is seeking an experienced RN for a Progressive Care Unit (PCU/HVU) position in Rapid City, SD, requiring a minimum of 1 year of PCU-specific experience and strong cardiac procedural skills.
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44-bed mixed acuity unit serving Intermediate Care, Telemetry, and Med/Surg patient populations
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Patient types include direct admits, ED admits, post-cath lab, MI/NSTEMI/STEMI, CHF, dysrhythmia management, pacemaker malfunction, epicardial pacers, as well as backup stroke and medical overflow cases
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Step-down level care provided for post-cardiac/vascular, post-cardiac cath, post-open heart surgery, post-TAVR, post-EP studies, and post-pacemaker insertion patients
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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 night shifts, 48 hours per week
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Every-other-weekend rotation required
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No on-call responsibilities
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Floating required primarily to the sister General PCU unit, with potential float to MS/Tele or ICU to care for PCU-level patients, always within or below scope of practice
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Charting via Epic; experience preferred but not required — notify your recruiter if you lack Epic experience so manager approval can be sought
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Alaris pumps and Omnicell medication dispensing system used on the unit
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Active RN license — South Dakota (SD) state or Compact license required
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Current certifications: BLS, ACLS, and NIHSS
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Minimum of 1.5 years of general nursing experience, with at least 1 year specific to PCU
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Experience with cardiac procedural recovery including CABG, TAVR, and post-cardiac cath
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Proficiency with MI pharmacology and titratable cardiac/vasoactive drips (e.g., Cardizem, Amiodarone, Nitroglycerin, Levophed, Dopamine) and Heparin drips
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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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Two 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 (ratio 1:5–8 depending on shift), an unassigned charge nurse, phlebotomy for peripheral blood draws, a tele tech overseeing cardiac monitoring (RN confirms strips at 6am and 6pm), RT available 24/7, and a hospitalist in-facility 24/7
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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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Holiday coverage expected on a rotating basis (every other)
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RTO of up to 7 days allowed; a full week off requires an extension; no time off approved during the first 3 weeks of August due to the Sturgis Bike Rally
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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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First-time travelers are welcome to apply with 2 or more years of nursing experience
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Candidates must reside at least 100 miles from any facility within the health system to be eligible
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Former permanent staff must wait at least 1 full year before returning as a traveler
