About This Position
Shift: Days, 4x12hrs
Hours: 48 hrs/wk
Start Date: Oct 26, 2026
Length: 13 weeks
Openings: 1
American Traveler is hiring a Registered Nurse for a Progressive Care Unit (PCU) position requiring 1+ years of stepdown/intermediate care experience and a South Dakota or compact RN license.
Mixed acuity Ortho Neuro Surgical (ONS) unit spanning 64 beds across 2 floors
Patient population includes surgical (urology, general abdominal), ortho (total joints, trauma), neuro/spine (CVA/TIA, craniotomies, spinal surgeries), general medical, and telemetry-monitored patients
RN to patient ratio of 1:4 (can be 3:1 depending on acuity), CNA ratio of 1:8
Pod structure with 8 patients per pod, staffed with 2 RNs and 1 Nurse Aide
12-hour day shifts on a 6-week schedule
Weekend rotation up to 4 out of 6 weekends, including Friday, Saturday, and Sunday
No mandatory on-call requirements
May float to any adult inpatient unit including Med Surg, Heart and Vascular, Oncology, and Observation
Uses Epic EMR, Baxter IV pumps, and Omnicell medication dispensing
Active RN license (South Dakota or Compact) required
Current BLS, ACLS, and NIHSS certifications required
Minimum 1 year of intermediate/stepdown level nursing experience required
Completion of an approved nursing education program required
Epic EMR experience required, especially for first-time travelers
Experience with cardiac strip interpretation, chest tubes, trach care, NGT tube management, JP drains, line management (PICC/Midline/CVL/PIV), wound vacs, and wound care
Experience with drip titration of medications such as Heparin, Insulin, Cardizem, and Amiodarone
Comfortable accepting MedSurg assignments
Preferred experience with post neuro-intervention patients, though unit provides education and resources for those without this experience
Support staff includes dedicated charge nurses per floor, flex nurse (10a-10p), phlebotomy, IV/VAT team, resource nurse, 24/7 respiratory therapy, and 24/7 hospitalist coverage
Orientation includes 2 days of unit/department orientation plus 2 shifts with a preceptor
May be expected to precept nursing students
Navy blue scrub color required
Free parking available
Must maintain 90% compliance with monthly pre/post pain scoring audits
Time off requests must be submitted prior to offer, with 1.5 weeks approvable (requiring contract extension to meet 13-week minimum)
Blackout dates apply from August 1-18 due to the Sturgis Motorcycle Rally, with no time off approved during this period
Holiday RTO is not currently being accepted
First-time travelers welcome if they have more than 1 year of experience and Epic experience
Candidates must live 100+ miles from the facility, as local candidates are not accepted
Permanent staff must wait a full year before returning as a traveler
Facility is known for being traveler-friendly with high renewal rates
Experience
Insulin administration, Wound VAC, RN License, Tube feeding, Tracheostomy care, BLS Certification, ACLS Certification, Monitoring and managing IVs, Central Line Care, Working with individuals in post-surgery recovery, PCU experience, Medical-surgical, Clinical information systems, NIHSS Certification, Advanced wound care, Automated dispensing systems, Antidiabetic agents, Cardiovascular medication administration, Experience working with individuals with neurological conditions
