Description

American Traveler is seeking an experienced RN for a Progressive Care Unit (PCU) position in Rapid City, SD, working 12-hour night shifts with a minimum of 1 year of PCU or telemetry experience required.

Details

• 56-bed Progressive Care Unit within a hospital setting
• Adult patient population with a variety of diagnoses including CHF, acute renal failure, hepatitis, ESLD, DM/DKA, pneumonia, sepsis, GI bleed, syncope, chest pain, pulmonary emboli, respiratory failure, COPD, arrhythmias, seizure disorders, overdose, and delirium tremens
• RN patient ratio of 1:4 on PCU/Tele (days and nights)
• 12-hour night shifts, 36 hours per week
• Weekend rotation required — every other weekend (50% per 4-week schedule); weekends include Friday, Saturday, and Sunday
• Every other holiday coverage required during the contracted timeframe
• Floating required in rotation with other travelers to adult inpatient units including Med/Surg, Ortho/Neuro/Surgical, Heart and Vascular, Oncology, ICU (based on experience), and Observation
• Epic EMR — experience preferred; candidates without Epic experience may require manager approval
• Alaris infusion pumps and Omnicell medication dispensing system used on the unit

Requirements

• Active RN license — South Dakota (SD) or Compact license required
• Current BLS and ACLS certifications required
• Minimum 1 year of PCU or telemetry RN experience required
• Cardiac rhythm interpretation skills required
• Proficiency in IV starts, blood product administration, CIWA protocol, drain/tube management, catheter insertion and management, insulin drips (DKA and non-DKA), continuous bladder irrigation, and chest tube maintenance
• Experience with cardiac and vasoactive drip titration required — most commonly Heparin, Insulin, Cardizem, Amiodarone, and Levophed (up to 5 mcg); esmolol and other beta-blocker/antihypertensive drip experience preferred (facility will train if not)
• Strong verbal and written communication, clinical judgment, and physical assessment skills
• Candidates must reside at least 100 miles from any Monument Health facility
• Two professional references dated within the past year required for consideration
• DOB and SSN required for consideration

Additional Information

• Orientation includes 2 days of in-class/online education followed by two 12-hour precepted shifts
• Unit support includes a free-floating charge nurse (2 per unit, 24/7), CNAs (1:8 ratio), a flex resource nurse, 24/7 phlebotomy for peripheral draws, 24/7 respiratory therapy, 24/7 in-house hospitalists, centralized telemetry monitoring, and a violent incident response team
• RNs are responsible for drawing blood from central lines; phlebotomy covers peripheral draws only
• Communication with providers is conducted via paging system and secure chat
• Travelers may float to the ICU depending on experience; PCU RNs may be expected to float to ICU
• Team nursing model in use on the 6th floor (Med/Surg cohort): RNs may be paired with an LPN, with each carrying their own patient load and some task-sharing within scope of practice
• Pre/post pain scoring audits are conducted monthly — travelers must maintain at least 90% compliance
• All travelers are required to attend shift huddles at 0625 (nights) and 1825 (days) in the 7th floor conference room prior to shift start
• Travelers may occasionally be asked to precept nursing students
• Approved RTO is up to 7 days; contracts requiring a short week may need to be extended to fulfill the full 13-week obligation
• No RTO approved during the Sturgis Bike Rally (first 3 weeks of August)
• Required scrub color for RNs is Navy Blue
• Free parking is available
• First-time travelers are welcome to apply if they have more than 2 years of RN experience
• Previous permanent staff must wait 1 year before returning as a traveler