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RN - PCU

Job in Rapid City, Pennington County, South Dakota, 57701, USA
Listing for: Monument Health Rapid City Hospital
Full Time position
Listed on 2026-08-25
Job specializations:
  • Nursing
    Cardiology, Healthcare Nursing, ICU Nurse, RN Nurse
Job Description & How to Apply Below

Progressive Care Unit Registered Nurse (RN)

We are seeking qualified Progressive Care Unit Registered Nurses (RNs) to join our team. This unit has a total of 44 beds and a mix of patient acuity, including Intermediate Care, Telemetry, and Med Surg.

Qualifications
  • Minimum of 1.5 years of general nursing experience
  • At least 1 year of experience specific to the Progressive Care Unit (PCU)
  • First-time travelers welcome with 2+ years of experience
  • Must reside 100 miles away from any affiliated facility
  • Required certifications: BLS, ACLS, NIHSS
  • Completion of a nursing education program approved by a board of nursing;
    Registered Nurse (RN) licensed in South Dakota
Patient Types

This is a mixed acuity unit, accommodating a variety of patients including:

  • Direct admits and Emergency Department (ED) admits
  • Post catheterization (Cath Lab) patients
  • Patients experiencing myocardial infarction (MI), NSTEMI, and STEMI (IABP patients are placed in ICU)
  • Congestive heart failure (CHF) and dysrhythmia management
  • Pacemaker malfunction and epicardial pacers
  • Backup stroke unit and medical overflow
Responsibilities

The RN will provide care for patients with the following conditions:

  • Step down level experience with post-cardiac/vascular patients
  • Post-cardiac catheterization, post-open heart surgery, post-transcatheter aortic valve replacement (TAVR), post-electrophysiology studies, and post-pacemaker insertion
Patient Ratios

The RN will typically manage a patient ratio of 1:4 and may be assigned a 1:3 ratio depending on patient acuity.

Skills Required
  • PCU-level nursing experience
  • Experience with cardiac procedural recovery (CABG, TAVR, post-cardiac cath)
  • Familiarity with MI pharmacology and titratable cardiac/vasoactive medications (including Cardizem, Amiodarone, Nitro, Levo, Dopamine)
  • Heparin drips and cardiac rhythm interpretation
  • Chest tube management and TNK administration (preferred)
Support and Resources on the Unit
  • CNA ratio: 1:5-8, depending on the shift
  • Charge nurse is unassigned
  • Phlebotomy available for peripheral blood draws
  • Resource nurse available occasionally
  • Tele tech available to oversee cardiac monitoring, with RN verification of strips
  • Respiratory Therapy available 24/7
  • Hospitalist available 24/7, though not dedicated to the unit
Charting System/Equipment
  • Epic
  • Alaris
  • Omnicell
Orientation and Scheduling
  • Orientation consists of 2 partial days of education and 3 shifts on the unit
  • Weekend rotation required: every other weekend
  • Holidays: every other holiday
Additional Notes
  • May be expected to precept students
  • Scrub color:
    Navy Blue
  • Free parking available
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