RN - ER
Profession: Registered Nurse
Specialty: Emergency Department/Critical Access Client
Duration: 13 weeks
Shift: 7A/P Rotate
Hours per Shift: 36
Experience: Minimum of 2 years of Emergency Department experience preferred; first-time travelers may be considered but travel experience is preferred.
License: BLS, ACLS, PALS, TNCC preferred
Certifications: NIHSS preferred
Must-Have:
Experience and comfort with all patient types listed.
Ability to assist with intubations.
Comfortable with interpreting cardiac rhythms, mixing medications, starting peripheral IVs, and PICC line care/lab draws.
Experience with Foley insertion/maintenance, initiating/titrating drips in the Emergency Department, wound care/dressing changes, wound vacs, and drains.
Description:
TotalMed Interview - Manager Final Review
Unit Information:
The unit has 5 Emergency Department beds, including 2 trauma bays, and 16 inpatient beds.
Census and average patients per day vary.
The expectation is that staff will work in all areas, with the Emergency Department primarily serving geriatrics and traumas, as well as patients experiencing chest pain, stroke rule outs, lacerations, respiratory issues, acute kidney injury, congestive heart failure, chronic obstructive pulmonary disease, abdominal pain, falls, altered mental status, and intubated patients.
Approximately 5-7 patients are seen per 24-hour period.
Patient Types/Common Diagnoses:
Emergency Department: All ages, primarily geriatrics, and trauma cases.
Acute/Observation: Very few pediatric cases, stable bipap and high flow patients, congestive heart failure, chronic obstructive pulmonary disease, acute kidney injury, strokes, urinary tract infections, and patients needing failed outpatient treatments.
Swing Bed: Orthopedic surgeries, falls, generalized weakness, post-TAVRs, and strokes.
Patient Ratios:
Ratios depend on census, with staffing typically including at least 2 RNs or 1 RN and 1 LPN plus 2 CNAs.
If there are patients in the Emergency Department, 1 RN and 1 CNA will provide care there and return to the inpatient side when done.
Support within the Department:
Staffing typically includes 2 RNs or 1 RN and 1 LPN, with efforts to secure a 3rd nurse on weekends.
Respiratory therapy is available via phone, with no on-site personnel.
Providers are on call after hours and can arrive within 20 minutes.
Lab and radiology services are available during the day but are not on-site at night.
Pharmacy services require comfort with mixing medications.
Physical therapy, occupational therapy, and speech-language pathology are available during the day.
A charge RN is present on the acute care side but is available for assistance throughout the unit.
Technology/Equipment:
EMR: Cerner
IV Pump: Alaris
Medication dispensing: Omnicell
Monitors: Mindray
Unit-specific equipment available.
Floating:
Regularly float between the inpatient side of the hospital and the Emergency Department.
Scheduling:
Weekend rotation includes working 2 weekends in a 4-week schedule.
No on-call requirements.
Holidays are to be worked every other holiday per contract.
Requests for time off to be approved through the manager.
Shift times are variable, with shifts running from 0700-1900 or 1900-0700.
Self-scheduling is utilized, with staff signing up first before final manager review to ensure accuracy.
Schedules are created in 8-week increments.
Unit Culture:
The unit has a small, supportive team that values collaboration.
Several previous travelers have transitioned to permanent staff.
Scrub color is any solid professional color with no graphics, logos, or designs.
