Job Title: Registered Nurse - Emergency Room Profession: RN (Registered Nurse) Specialty: Emergency Room Duration: 13 weeks Shift: 12H Evening, Night mid shift, and occasional nights Hours per Shift: 36 hours per week Experience: 3 years License: Required Certifications: ACLS, BLS, NIHSS, PALS, TNCC Must-Have: Good communication and assessment skills Description: Department operates as a Level III trauma center. Cath Lab is available Monday through Friday from 0800 to 1700. Facility is certified as a Primary Stroke Center. There are 2 triage beds, 2 trauma bays, and 7 additional beds. There is no fast track. A separate triage area exists. Travelers with extended contracts and triage experience may perform triage duties. There is no separate holding area in the Emergency Department. Patients are ensured to have an inpatient bed available. One seclusion room is available for psychiatric patients. Security is in-house 24/7 and may float throughout the facility. On average, approximately 40 patients are treated in the Emergency Department each day. Nurse to patient ratios can vary, typically 3-4 to 1 during peak times. The preferred experience is a minimum of 3 years in an Emergency Department. Common diagnoses include abdominal pain, falls, and chest pain, with about 20% pediatric volume. Common drips used include antibiotics, cardiac medications, heparin, TPA, and insulin. ED physician is board certified and present 24 hours a day. An NP or PA works a mid-shift daily. An ED charge nurse is available every day and also takes patients. A house supervisor is on duty 24/7. We utilize a combination of nurse aids, EMTs, paramedics, and LPNs. The team includes one nurse aid available 24/7 and another mid-shift. Respiratory therapists are present 24/7. Lab does arterial blood gases. Nurses, along with CNAs and EMTs, perform 12 lead EKGs. Respiratory therapists manage the related equipment. CT and MRI facilities are adjacent to the Emergency Department. X-ray services transport patients to and from the Department. Phlebotomy responsibilities are shared between nurses and phlebotomy staff. Scheduling is done using block scheduling with 12-hour shifts. Generally, travelers work every other weekend. One winter holiday and one summer holiday are required. There are no call or standby requirements. No floating requirements exist. Gray scrubs are provided and are the required dress code. Unit specific orientation typically includes partnering with another nurse for three shifts. The charting system used is EPIC.
