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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
    RN Nurse, Staff Nurse, Healthcare Nursing, ICU Nurse
Job Description & How to Apply Below

PCU Registered Nurse (RN)

Join our dynamic healthcare team as a PCU Registered Nurse (RN) in a mixed patient care unit. This unit accommodates 36-48 beds, with flexibility to modify room types as needed.

Required Experience
  • A minimum of 1 year of nursing experience is required.
  • First-time travelers are welcome if they possess more than 1 year of nursing experience.
  • First-time travelers must have EPIC experience. Travelers must reside over 100 miles away from any healthcare facility.
Patient Types

The unit serves a mixed patient population ranging from Med/Surg to Intermediate Care. Nurse patient ratios may vary based on patient acuity. Common diagnoses include, but are not limited to:

  • Diabetic Keto acidosis (DKA) requiring insulin drips
  • Pre/post-surgical patients
  • Cellulitis, influenza, UTIs
  • Pneumonia, COPD, CHF
  • Renal failure with or without hemodialysis
  • Hepatic failure, gastrointestinal disorders and infections
  • Soft tissue injuries and minor fractures
  • Deep vein thrombosis (DVT) and cerebrovascular accident (CVA) overflow
Clinical Responsibilities

Nurses in this role will administer a variety of medications, including oral, IV, IM, and Subcutaneous (SQ), and will also be involved in:

  • Titrating vasoactive drips, TPN, and tube feeding
  • Blood product transfusions
  • Management of peripheral IVs, midlines, PICCs, central lines, chest tubes, nasogastric tubes, drains, and collection devices
  • Providing preventative and restorative skin and wound care
  • Telemetry monitoring including reading and interpreting cardiac strips
Patient Ratios
  • Long length of stay (Med Surg/NO Tele): 1:5-6 in a pod with 10-12 patients
  • Med Surg/Telemetry (no IMC drips): 1:5 in 2 pods with 10-12 patients each
  • Intermediate Care: 1:4 in a pod with 8 patients (may include Med/Tele vs IMC patients)
Required Certifications
  • BLS
  • ACLS
  • NIHSS
Education

The candidate must have completed a nursing education program approved by a board of nursing and possess a current Registered Nurse (RN) license in South Dakota.

Skills Required
  • Ability to comfortably take on Med Surg assignments.
  • Prior experience with specified patient types, including IMC/stepdown and neuro patients.
  • Competency in reading and interpreting cardiac strips.
  • Wound care, line management, and drain/tube management.
  • Familiarity with drip titration for medications such as Heparin, Insulin, Cardizem, and Amiodarone.
Support on the Unit
  • CNA support is provided with a ratio of 1:8.
  • A charge nurse is available who does not take patient assignments.
  • Phlebotomy and IV/VAT teams are accessible for assistance.
Floating

Nurses may float within their scope of practice to any Adult Inpatient Unit, including Med Surg, Ortho/Neuro/Surgical, Heart and Vascular Unit, Oncology, and Observation.

Orientation

Two days of unit/department orientation will be provided, covering policies, protocols, and department information, followed by two shifts working with a preceptor.

Scheduling

Schedules are created in six-week blocks. Travelers may be scheduled for up to four weekends within a six-week period, and preferences for weekend work or block scheduling can be communicated.

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