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Shift: Days, 3x12hrs
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Hours: 36 hrs/wk
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Start Date: Oct 26, 2026
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Length: 13 weeks
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Openings: 1
American Traveler is hiring an experienced RN for a Progressive Care Unit (PCU) position requiring cardiac step-down experience and a South Dakota or compact RN license.
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Work in the Heart & Vascular Unit (HVU) of a Level II Trauma Center teaching hospital
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44-bed mixed acuity unit combining Intermediate Care, Telemetry, and MedSurg patients
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Patient population includes direct admits, ED admits, and post cath lab cases such as MI, NSTEMI, STEMI, CHF, dysrhythmia management, and pacemaker malfunction
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Serves as backup stroke unit and medical overflow
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Step-down level care 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 of 1:4, occasionally 1:3 depending on acuity
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Support staff includes CNAs, phlebotomy for peripheral draws, 24/7 respiratory therapy, and occasional resource nurse
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Tele tech oversees cardiac monitoring with RN strip confirmation twice daily
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Uses Epic EMR, Alaris pumps, and Omnicell
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Floating primarily to sister General PCU unit, with potential floats to MS/Tele or ICU within scope of practice
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12-hour day and night shifts (0700-1900 or 1900-0700) with minimal switching between shift types
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Every other weekend rotation and every other holiday required
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No on-call responsibilities
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Active RN license (South Dakota or Compact) required
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Current BLS, ACLS, and NIHSS certifications required
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Minimum 1.5 years of general nursing experience with at least 1 year specific to PCU
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Completion of an approved nursing education program required
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Experience with cardiac procedural recovery (CABG/TAVR/post cardiac cath) required
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Knowledge of MI pharmacology and titratable cardiac/vasoactive drips (Cardizem, Amiodarone, Nitro, Levo, Dopamine) required
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Experience with Heparin drips, cardiac rhythm interpretation, and chest tube management required
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TNK administration experience preferred
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Epic EMR experience preferred
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First-time travelers considered only with 2+ years of nursing experience
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Provide step-down level cardiac nursing care in a fast-paced, mixed acuity environment
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May be asked to precept nursing students
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Facility orientation includes 2 partial days of education plus 3 shadow shifts on the unit
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Up to 7 days of time off may be approved, with full week requests requiring extension; no time off permitted during the first three weeks of August due to the annual Sturgis Bike Rally
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Navy blue scrubs required
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Free parking provided
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Must reside at least 100 miles from any Monument Health facility to be eligible
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Permanent staff must wait a full year before returning as a travel employee
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Highly traveler-friendly facility known for renewing travel contracts
