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Shift: Days, 3x12hrs
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Hours: 36 hrs/wk
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Start Date: Aug 24, 2026
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Length: 13 weeks
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Openings: 1
American Traveler is seeking an experienced RN for a Med/Tele/PCU position at a Level II Trauma facility in Bismarck, ND, requiring PCU experience and the ability to read and interpret cardiac strips.
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Acute care stepdown/PCU unit in a Level II Trauma hospital setting
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32-bed Med/Tele unit with a strong cardiac focus, functioning as a PCU overflow unit
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Patient population includes adults and geriatrics with diagnoses such as cardiac cath, EP studies, pacers, ETOH, COVID on BiPAP, pneumonia, influenza, sepsis, and acute-on-chronic conditions
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Nurse-to-patient ratio is 1:4–5, with occasional 1:5–6 on nights; PCU-level overflow patients staffed at 1:3
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RNs are required to titrate drips including Amiodarone, Cardizem, Heparin, Nitro, Nipride, Lasix, and low-dose Dopamine
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RNs are responsible for reading and interpreting their own telemetry strips; tele monitors are available both in rooms and at the nurses' station with a monitor tech present
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RT equipment in use includes BiPAP, tracheostomies, and Airvo; RNs are expected to troubleshoot this equipment
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EMR: Epic (preferred but not required)
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12-hour day shifts, 7a–7p; occasional night availability (7p–7a) may apply, with rotation occurring no more than weekly
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Every other weekend required
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Every other holiday required
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Floating required to all areas as helping hands, full PCU patient load, full MS assignment, and some ER holds/boarding
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No on-call or standby requirement
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13-week contract
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Active ND RN license or Compact (NLC) RN license currently in hand — pending licenses will not be accepted
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Current BLS and ACLS certifications required — pending certifications will not be accepted
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Minimum 2 years of RN experience required
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PCU experience is required
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Ability to read and interpret cardiac/telemetry strips required
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Two professional references required: one supervisor from within the last 12 months and one peer or supervisor from within the last 3 years, including dates of employment and eligibility for rehire
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Copy of driver's license required for consideration
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Candidates must reside more than 50 miles from the facility to qualify for travel rates
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Orientation consists of 2 x 12-hour shifts (Friday and Saturday of the first week), with independent practice expected by that Sunday
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Charge nurses are present on both shifts and occasionally carry a light patient load of 2–3
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Nurse aides/patient care techs are available with a goal ratio of 1:10
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Any color scrubs are acceptable
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First-time travelers are welcome to apply
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Candidates may not have been directly employed (full-time, part-time, or PRN) by any CommonSpirit, CHI, or Dignity Health-affiliated facility within the past year; candidates who worked PRN through outside staffing firms will be considered
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RTO requests of 7 or fewer days for the 13-week contract must be submitted upfront; additional RTO will not be approved
