PCU Registered Nurse (RN) General Information We are seeking a skilled and dedicated PCU Registered Nurse (RN) to join our team. The unit accommodates 36-48 beds, providing flexible semi-private room options as needed. Required Experience • Minimum of 1 year of nursing experience required. • First-time travelers considered if they have more than 1 year of experience. • First-time travelers must have experience with EPIC. • Travelers must reside over 100 miles from any facility location. • Permanently employed staff must wait 1 full year before returning as a traveler. Patient Types The unit is a mixed patient care area that includes Med/Surg through Intermediate Care (IMC), as well as Long Length stay patients. Ratios will vary depending on patient acuity: • 90% Med/Surg; 10% Intermediate Care. • Common diagnoses include: • Diabetic Ketoacidosis (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 injury, minor fractures, and DVTs • CVA overflow patients • Care responsibilities include: • Administering a variety of oral, IV, IM, and SQ medications • Titratable vasoactive drips, TPN, tube feeding, and blood product transfusions • Managing peripheral IV, midline, PICC, central line access, chest tubes, nasogastric tubes, drains, and urinary and fecal collection devices • Providing preventative and restorative skin and wound care • Telemetry monitoring, including reading and interpreting cardiac strips Patient Ratios • Long Length of Stay (MedSurg/No Tele): 1:5-6 • Med Surg/Telemetry (no IMC drips): 1:5 • Intermediate Care: 1:4 Required Certifications • BLS • ACLS • NIHSS Required Education Completion of a nursing education program approved by a board of nursing; must possess a current Registered Nurse (RN) license in South Dakota. Skills Required • Comfortable taking MedSurg assignments. • Previous experience with similar patient populations, including IMC/stepdown and neuro experience. • Able to read and interpret cardiac strips, manage wound care, and perform line management, including drain/tube management. • Experienced in drip titration, specifically with Heparin, Insulin, Cardizem, Amiodarone, and occasionally Esmolol or other beta blockers and antihypertensives. Support on the Unit • CNA support available (1:8 ratio) • Charge nurse available who does not take patient load • Phlebotomy and IV/VAT team available • Respiratory Therapist available 24/7 • Hospitalist available 24/7 Charting System/Equipment • Epic (required) • Omnicell • Alaris Orientation The orientation process includes: • Two days of unit and department orientation covering policies and protocols. • Classroom time with the Nursing Professional Development Team. • Two shifts on the unit