-
Shift: Nights, 3x12hrs
-
Hours: 36 hrs/wk
-
Start Date: Sep 14, 2026
-
Length: 16 weeks
-
Openings: 1
American Traveler is seeking an experienced RN for a PCU/HVU position in Rapid City, SD, requiring a minimum of 1.5 years of nursing experience and cardiac procedural recovery skills on a mixed-acuity unit.
-
Mixed-acuity unit (HVU) serving Intermediate Care, Telemetry, and Med-Surg patient populations
-
Patient types include direct admits, ED admits, post-cath lab, MI/NSTEMI/STEMI, CHF, dysrhythmia management, pacemaker malfunction, epicardial pacers, and serves as a backup stroke unit and medical overflow
-
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
-
44-bed unit with an RN-to-patient ratio of 1:4 (can be 1:3 depending on acuity)
-
12-hour night shifts, 36 hours per week
-
Every-other-weekend rotation required
-
No on-call responsibilities
-
Holiday coverage required on an every-other rotation
-
Floating primarily to the sister General PCU unit, with potential floats to MS/Tele or ICU for PCU-level patient care; all floating is within or below scope of practice
-
EMR: Epic; also uses Alaris pumps and Omnicell medication dispensing
-
Tele tech oversees cardiac monitoring; RN confirms strips at 6a and 6p
-
Active RN license — South Dakota state license or Compact license required
-
Current certifications: BLS, ACLS, and NIHSS
-
Minimum 1.5 years of general nursing experience required
-
PCU-level nursing experience required
-
Experience with cardiac procedural recovery (CABG, TAVR, post-cardiac cath) required
-
Proficiency with MI pharmacology and titratable cardiac/vasoactive drips (Cardizem, Amiodarone, Nitro, Levo, Dopamine) and Heparin drips required
-
Cardiac rhythm interpretation and chest tube management skills required
-
TNK administration experience preferred
-
Completion of a board of nursing-approved nursing education program required
-
2 professional references dated within the past year required for consideration
-
DOB and SSN required for consideration
-
First-time travelers are considered with 2+ years of experience
-
Candidates must reside more than 100 miles from any Monument Health facility to be eligible
-
Former permanent staff must wait 1 full year before returning as a traveler
-
Unit support includes CNAs (ratio 1:5–8 depending on shift), an unassigned charge nurse, phlebotomy for peripheral blood draws, occasional resource nurse coverage, and RT available 24/7
-
Hospitalist is in-facility 24/7 but not dedicated to the unit; no IV/VAT team on site
-
Orientation consists of 2 partial days of education followed by 3 supervised 12-hour shifts on the unit
-
RTO of up to 7 days is permitted; a full week off requires an extension; no time off is approved during the first 3 weeks of August (Sturgis Bike Rally period)
-
Required scrub color: Navy Blue
-
Free parking available on site
