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Shift: Days, 3x12hrs
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Hours: 36 hrs/wk
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Start Date: Sep 14, 2026
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Length: 13 weeks
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Openings: 1
American Traveler is seeking a Registered Nurse for a Progressive Care Unit/Telemetry position requiring an active SD or compact RN license and at least 1-1.5 years of PCU/tele experience.
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56-bed Progressive Care Unit within a hospital setting
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Cares for adults with diagnoses including CHF, ARF, hepatitis, ESLD, DM, DKA, pneumonia, sepsis, GI bleed, syncope, chest pain, pulmonary emboli, respiratory failure, COPD, arrhythmias, seizure disorders, overdose, and delirium tremens
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RN patient ratio of 1:4 on PCU/Tele
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12-hour day shifts, 36 hours per week
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Weekend rotation required, working every other or 50% of weekends (Friday-Sunday) per 4-week schedule
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Every other holiday coverage required at minimum during the contract
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No scheduled on-call hours, though low census on-call may apply if hours exceed guaranteed weekly hours
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Eligible to float to Med Surg, Ortho/Neuro/Surgical, Heart and Vascular, Oncology, ICU (experience dependent), and Observation units within scope of practice
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Floating occurs in rotation with other travelers
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Unit supported by 24/7 charge nurses, phlebotomy for peripheral draws, resource/flex RN, respiratory therapy, and in-house hospitalists
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Centralized tele monitoring available 24/7 for rhythm reading and alarm notifications
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Uses Epic EMR (preferred), Alaris pumps, and Omnicell
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Mandatory huddles before shift start at 0625 and 1825 in the 7th floor conference room
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Active RN license (South Dakota or Compact) required
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BLS and ACLS certifications required
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Minimum 1 year of PCU or Tele RN experience required; candidates with less than 1.5 years require manager approval
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First-time travelers considered if they have more than 2 years of overall RN experience
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Completion of an accredited nursing education program required
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Skilled in cardiac rhythm interpretation, IV starts, blood product administration, CIWA protocol, drain/tube management, catheter insertion and management, continuous bladder irrigation, and chest tube maintenance
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Experience with cardiac and vasoactive drip titration preferred (Heparin, Insulin, Cardizem, Amiodarone, Levophed, and occasionally Betablockers or antihypertensives); training available if not previously performed
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Strong clinical judgment, physical assessment skills, and professional communication required
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Comfortable working in a team nursing model alongside LPNs, with possible task-sharing due to scope differences
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Epic EMR experience preferred
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Responsibilities include comprehensive patient assessments, medication administration, drip titration, and coordination with the care team
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May be asked to precept nursing students during the assignment
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Monthly audits are conducted for pre/post pain scoring, requiring 90% compliance
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Scrub color requirement: Navy Blue for RNs
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Orientation includes 2 days of in-class/online education followed by two 12-hour preceptor shifts
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Free parking available on site
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Must reside more than 100 miles from any Monument Health facility to be eligible; no local travelers accepted
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Previous permanent staff must wait 1 year before returning as a traveler
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Up to 7 days of requested time off allowed, with contract extension required to maintain a full 13-week work commitment
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No time off approved during the first three weeks of August due to the Sturgis Bike Rally
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Facility is known for being traveler-friendly with high renewal rates for travel staff
