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Emergency Department Nurse

About the Facility

Located in Spokane Valley, WA, this 123-bed hospital serves as a Level 3 Trauma Center and is a smaller community hospital dedicated to quality patient care.

General Information

• Beds: 21 beds, 8 hallway, 5 fast track, 4-12 outpatient overflow beds (secondary fast track)
• Years of Experience Required: 2 years in the Emergency Department
• First-time Travelers: Accepted

Patient Population

This position involves caring for a diverse patient population, including:

• Geriatric patients
• Patients with abdominal pain
• Patients with chest pain
• Stroke patients
• Psychiatric patients
• Respiratory patients
• 15% pediatric patients

Patient Ratios

The nurse-to-patient ratio is 1:4, organized in pods where 8 patients are assigned to 3 nurses.

Required Skills

• TNK administration
• Conscious sedation
• Chest tube management
• Central line placement

Licensure & Certifications

The following certifications and licenses are required:

• BLS (Basic Life Support)
• ACLS (Advanced Cardiac Life Support)
• PALS (Pediatric Advanced Life Support)
• TNCC (Trauma Nursing Core Course)
• CPI or MOAB (Crisis Prevention Institute or Managing Outburst and Aggression)
• NIHSS (National Institutes of Health Stroke Scale)

Support on the Unit

Staff support includes:

• Technicians with phlebotomy licenses (3 on day shifts, 3 on night shifts, and 1 on 1-1)
• Receptionist/Health Unit Coordinator available 24/7
• Charge Nurse available 24/7
• ER Technicians are all phlebotomy certified, with laboratory services accessible 24/7
• IV/VAT team available M-F 8-4:30, with many ER nurses trained in ultrasound-guided IV placement
• Respiratory Therapy available 24/7
• Hospitalist coverage available 24/7
• Telemetry monitoring available at both bedside and the nurse’s station

Technology & Equipment

• EMR System: EPIC (required)
• IV Pumps: Alaris
• Medication Dispensing: Pyxis

Orientation

Orientation is one week long and includes:

• New Employee Orientation
• EPIC training
• Skills check-off
• General site check-off
• Position-specific check-off
• 2-3 precepted shifts

Scheduling

Shift details include:

• Weekend Rotation: Every other weekend
• Holiday Expectations: 1 holiday per contract
• Approval of Requests for Time Off (RTO): Up to 7 days may be approved
• Shift Times:
  • Days: 7a-7p, 7a-3p, 8a-4p, 9a-7p
  • Mids: 10-10, 11-11, 12-12, 1-1, 3-3, 4p-2a
  • Nights: 7p-7a
• Schedule Cycle: 6 weeks

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