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Emergency Department Registered Nurse (RN)

General Information

This healthcare facility is a Level II Trauma Center with a Level IV NICU, offering 60 beds, including 21 inpatient holding beds and 2 psychiatric rooms. The facility averages 140-150 patients per day.

Patient Types

The facility serves a diverse range of patients, from pediatric to geriatric populations, including:

• Trauma
• Gunshot wounds (GSW)
• Sepsis
• COVID-19
• STEMI
• Stroke
• Diabetic Ketoacidosis (DKA)
• Mental health crises
• Respiratory issues
• Adult Psychiatric emergencies
• Chest pain

This facility is known for handling high acuity cases effectively.

Patient Ratios

The standard nurse-to-patient ratio is 1:4, with flexibility to adjust to 1:5 for lower acuity patients.

Required Certifications

• BLS
• ACLS
• PALS
• TNCC
• NIHSS
• CPI/MOAB
• Traveler Competency Exam

Skills Required

Candidates should possess strong general emergency department experience, including:

• Cardiac rhythm interpretation
• Intravenous (IV) skills
• Medication administration, including drips
• Procedural sedation
• Blood administration
• Cardiac medication management

Experience with the EPIC electronic medical record system is mandatory.

Support on the Unit

• Emergency Room Technicians for glucose checks and splinting assistance
• Charge Nurses (who rarely take assignments)
• Resource/Float Nurses (pending staffing)
• Respiratory Therapists available 24/7
• ED Educators on-site
• Security personnel available 24/7
• House Supervisors present 24/7
• Pharmacy services available 24/7 to assist in emergencies

Charting System/Equipment

• Electronic Medical Record: EPIC (required)
• IV Pumps: Alaris
• Medication dispensing system: Pyxis
• Central and bedside telemetry monitoring available at nursing stations

Floating

Staff may be required to float between multiple locations within the region, with a travel time of approximately 8 minutes between facilities. Notification will be provided prior to the start of shifts.

Orientation

The orientation process includes:

• First day: New employee orientation (includes badge issuance and EPIC training if needed), meet with educator
• 3-4 shifts with a preceptor on assigned shifts
• Completion of the Traveler Telemetry Competency, which must be passed before starting

Scheduling

Shifts are available in the following formats:

• Days: 0700-1900, 0900-2100
• Mids: 1100-2300, 1300-0100
• Evenings/Nights: 1500-0300, 1900-0700

While there is no guarantee for block scheduling, efforts will be made to maintain a staff-friendly schedule, released two weeks prior to the start of the schedule.

Weekend rotation is required every other week, and up to 5 days off can be approved. Holiday expectations include working 3 of the 5 major holidays (Thanksgiving, Christmas Eve, Christmas Day, New Year’s Eve, and