Full employer posting
Nights, 3x12hrs Hours: 36 hrs/wk Start Date: Nov 15, 2026 Length: 13 weeks Openings: 1 Description American Traveler is hiring a Registered Nurse for a Progressive Care Unit (PCU) position requiring a South Dakota or compact RN license and at least 1.5 years of nursing experience, including 1 year in PCU. Details Hospital-based 44-bed Progressive Care Unit (mixed acuity: Intermediate Care, Telemetry, and MedSurg) Patient population includes direct admits, ED admits, post Cath Lab, MI/NSTEMI/STEMI, CHF, dysrhythmia management, pacemaker malfunction, and epicardial pacers Serves as 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 RN to patient ratio typically 1:4, occasionally 1:3 depending on acuity Supported by CNAs (1:5-8 ratio), phlebotomy for peripheral blood draws, respiratory therapy 24/7, and occasional resource nurse support Tele tech oversees cardiac monitoring; RN confirms strips at 6am and 6pm Uses Epic EMR, Alaris pumps, and Omnicell 12-hour night shifts, 36 hours per week Weekend rotation every other weekend No on-call requirements Floating primarily to sister General PCU unit, with potential floats to MS/Tele or ICU for PCU-level patients, or to units within scope of practice and below Requirements Active RN license (South Dakota or Compact) required Current
BLS, ACLS, and NIHSS Minimum 1.5 years of general nursing experience, including 1 year specific to PCU Completion of an approved nursing education program Experience with cardiac procedural recovery (CABG/TAVR/post cardiac cath), MI pharmacology, titratable cardiac/vasoactive drips (Cardizem, Amiodarone, Nitro, Levo, Dopamine), Heparin drips, cardiac rhythm interpretation, and chest tube management TNK administration experience preferred Epic EMR experience preferred Additional Information Provide step-down level nursing care for cardiac and post-surgical patients in a mixed acuity unit Confirm cardiac monitoring strips twice daily alongside tele tech support Orientation includes 2 partial days of education and 3 twelve-hour shifts on the unit Holiday coverage required every other holiday Time off requests approved for up to 7 days, with full week requests requiring extension; no time off approved during the first 3 weeks of August annually due to the Sturgis Bike Rally Navy blue scrub color required Free parking provided Candidates must reside at least 100 miles from any Monument Health facility; no local travelers accepted First-time travelers considered only with 2+ years of experience Permanent staff must wait 1 full year before returning as a traveler