Registered Nurse - PCU

• CLINICAL INTERVIEW UNIT
• General Information:
• Beds: 36-48 (flex with semi-private rooms as needed)
• Required experience?
• PCU RN: 1 year of nursing experience
• Will you accept a first-time traveler? Yes, if greater than 1 year of experience
• 1st time traveler MUST have EPIC experience
• Travelers must live 100 miles away from any Monument Health facility
• Permanent staff must wait 1 full year to return as a traveler
• Patient Types:
• Mixed unit (Med/Surg to IMC level, as well as Long Length stay patients): ratios dependent on acuity
• 90% MEDSURG; 10% INTERMEDIATE CARE - traveler will care for all acuity levels
• Common diagnoses include, but are not limited to:
• DKA requiring insulin drips, Pre/post-surgical patients, cellulitis, influenza, UTIs, pneumonia, COPD, CHF, renal failure with or without the need for hemodialysis, hepatic failure, gastrointestinal disorders and infections, soft tissue injury and minor fractures, and DVTs. Also, can see CVA overflow.
• We administer a variety of oral, IV, IM, and SQ medications, titratable vasoactive drips, TPN/tube feeding, and blood product transfusions.
• We manage peripheral IV, midline, PICC and central line access, chest tubes, nasogastric tubes, drains, and urinary and fecal collection devices.
• We provide preventative and restorative skin and wound care.
• We also have telemetry monitoring that the nurses read and interpret.
• Patient Ratios:
• PCU RN will work through all areas below:
• Long length of stay (MedSurg/NO Tele) - 1:5-6
• 1 pod with 10-12 patients
• Med Surg/Telemetry: (no IMC drips) - 1:5
• 2 pods with 10-12 patients each
• Intermediate Care - 1:4
• 1 pod with 8 patients - this could be Med/Tele patients vs IMC
• Required

• PCU & Tele RN: BLS, ACLS, NIHSS• Required

• Completion of a nursing education program that is approved by a board of nursing; Registered Nurse (RN) - South Dakota Board of Nursing
• Skills required:
• PCU RN:
• Comfortability to take MedSurg assignments - please decline if not
• EPIC experience
• Previous experience with above-mentioned patients, including IMC/stepdown and neuro (can float to ONS); ability to read/interpret cardiac strips, wound care, line management, drain/tube management, drip titration of below medications
• Drip Titration: please ensure nurse is comfortable with the following - Heparin, Insulin, Cardizem, Amiodarone, Levophed (up to 5 mcg), occasionally esmolol drips or other Betablockers or other antihypertensives
• Support on the Unit:
• CNA: Yes - Ratio 1:8
• Charge nurse: Charge nurse that does not take a patient load
• Phlebotomy? Yes
• IV/VAT Team? No
• Resource Nurse: No
• RT: Yes
• Hospitalist: Yes
• Charting System/Equipment:
• Epic - required
• Omnicell
• Alaris
• Floating: If yes, where?
• Any Adult Inpatient Unit - Med Surg, Ortho/Neuro/Surgical, Heart and Vascular Unit, Oncology, Observation
• Could be floated within scope of practice and below
• Will float in rotation with other travelers
• Orientation: (facility and unit)
• Two days of unit/department orientation including policies, protocols, department information, online learnings. Also, classroom time with our Nursing Professional Development Team.
• Two orientation shifts on the unit working with a preceptor
• Scheduling:
• 6-week schedules
• Weekend rotation: Travelers could be scheduled for up to 4 out of the 6 weekends, which include Friday, Saturday and Sunday
• Please include in offer if traveler is open to working every weekend (WOW) as this may be a possibility
• Will they be on call? If so, what is that schedule? No mandatory call time. If it is an extra shift on top of their already guaranteed hours, and we have enough staff then they could be placed on call for that shift.
• Holiday Expectations: Currently not accepting RTO requests during holidays - send RTO requests to manager for approval around winter holidays
• Approval of time off? Ok to approve up to a week and a half - must extend if taking a full week off. We do have blackout dates from August 1-18th (exact dates change each year) due to our Sturgis Motorcycle Rally. No time off is approved during this time.
• Other notes or things you want us to check/verify?
• Scrub Color: Navy Blue
• Free Parking? - Yes
• Could be expected to precept students
• Audits are done monthly for Pre/Post pain scoring-Must meet 90% compliance with audits.
• Please include in offer:
• If they have a traveler partner that is on the same unit or one of our units.
• If they prefer block scheduling or weekends. Even if we don't approve this, it is nice to know their preference in the comments. Award Offer Posted by: Gail Thomas - 3/31/2026 9:55 AM