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Emergency Department Nurse

About the Facility

Located in Spokane Valley, WA, this community hospital has 123 beds and serves as a Level 3 Trauma Center. It employs a team of dedicated professionals committed to providing excellent patient care.

General Information

• Emergency Department: 21 beds, 8 hallway beds, 5 fast track beds, and 4-12 outpatient overflow beds (secondary fast track).
• Experience: Minimum of 2 years in Emergency Department required; 5 years preferred in specialty.
• First-time travelers are accepted.

Patient Types

The patient population includes:

• Geriatric patients
• Abdominal pain
• Chest pain
• Stroke
• Psychiatric issues
• Respiratory conditions
• 15% pediatric cases

Patient Ratios

The nurse-to-patient ratio is set at 1:4, organized in pods with 8 patients between 3 nurses.

Required Skills

• TNK (Tissue Plasminogen Activator) administration
• Conscious sedation
• Chest tube insertion
• Central line placement

Licensure & Certifications

Candidates must possess the following:

• BLS (Basic Life Support)
• ACLS (Advanced Cardiovascular Life Support)
• PALS (Pediatric Advanced Life Support)
• TNCC (Trauma Nursing Core Course)
• CPI or MOAB (Crisis Prevention Institute or Management of Assaultive Behavior)
• NIHSS (National Institutes of Health Stroke Scale) certification

Support on the Unit

• Technicians with phlebotomy licenses, available for peripheral sticks: 3 on days (7a-7p), 3 on nights (7p-7a), and 1 on 1-1.
• Receptionist and HUC: 24/7 coverage.
• Charge nurse available 24/7.
• Phlebotomy services provided by ER techs and lab, available 24/7.
• IV/VAT Team: Many ER nurses trained in ultrasound-guided IVs, with an additional VAT team available weekdays from 8 AM to 4:30 PM.
• Respiratory therapy available 24/7.
• Hospitalist coverage available 24/7.
• Telemetry monitoring provided both at the bedside and at the nursing station.

Technology & Equipment

• EMR system: EPIC (required)
• IV Pumps: Alaris
• Medication dispensing system: Pyxis

Orientation & Scheduling

New staff will undergo a comprehensive 1-week orientation which includes:

• NEO training
• EPIC training
• Skills check-off
• General site overview
• 2-3 precepted shifts

Shift schedules will be provided during the application process, with weekend rotations occurring every other week and the expectation to work 1 holiday per contract. Requests for time off (RTO) can be approved up to 7 days.

Additional Notes

• Scrub Color: Any professional color.
• Parking: Free for all staff.
• Note: The facility does not have a cardiac catheterization lab; all cardiac catheterization patients are transferred to designated facilities.
• The team maintains a strong collaborative environment to ensure the best patient experiences.

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