Emergency Room Registered Nurse
Nampa, ID
ADN Healthcare
3x12 hrs, Nights
Referral Bonus

Emergency Room Registered Nurse (ER RN) - 13 Week Contract

Location: Nampa, Idaho
Contract Length: 13 weeks

Unit & Environment

• Unit: Emergency Room (ER)
• Trauma Level: IV
• STEMI and Stroke Receiving: Yes, but patients needing intervention are transferred out
• ER Size: 24 rooms (including 1 trauma/crash room) plus 4 low acuity bays used as Fast Track
• Separate Triage Area: Yes (travelers typically do not triage)
• Behavioral Health: 4 dedicated psych/seclusion rooms with secured supplies
• Security: In-house 24/7, stationed in lobby near triage
• Average Patients per Day: 110-120
• Nurse-to-Patient Ratio: 1:3-4
• Charge Nurse: Available 24/7, does not take patient assignments (shift 7am-7pm)
• Support Staff: ED techs, sitters (as needed for behavioral health), and secretary 24/7
• Respiratory Therapy: Available 24/7 with 2-3 RTs on site; RTs manage vents, CPAP, BiPAP, ABGs, breathing treatments; RNs perform EKGs and troubleshoot respiratory equipment
• Imaging: X-Ray and CT located in ER hallway; patients transported by staff
• Phlebotomy: RNs primarily draw labs; phlebotomy assists with difficult sticks

Patient Population & Common Diagnoses

• All ages, including pediatric patients (about 20% under 18)
• Common cases: respiratory issues, abdominal pain, strokes, STEMIs, chest pain, trauma from outdoor activities (e.g., fishing hooks, hiking), farming injuries
• Diverse population including migrant workers and older farmers

Required Certifications & Experience

• Certifications: BLS, ACLS, PALS, TNCC, ENPC (all required)
• Experience: Minimum 1-2 years of Emergency Department experience
• Comfort with pediatric patients required
• First-time travelers are welcome

Shift & Scheduling

• Shift Length: 12 hours (night shifts)
• Typical Start Times: 7:30pm, 9:00pm, 10:00pm, 11:30pm, 1:30am, 3:30am, 7:30am
• Scheduling: Self-scheduling with final approval by manager
• Weekend Requirement: Every other weekend
• Holiday Requirement: As needed
• Call/Standby: None
• Floating: Possible float to nearby ERs in Meridian and Boise, but infrequent

Orientation & Culture

• Orientation: 1 shift unit-specific orientation in ER
• Work Environment: Fast-paced with quick room turnover; minimal downtime
• Team Culture: Young, experienced staff with good nurse-to-patient ratios; social and supportive work environment
• Local Area: Close to agricultural areas; nearby cities (Meridian, Boise) offer recreational activities and entertainment about 20 minutes away

Additional Notes

• Boarding of patients occurs occasionally, with holds intermixed in ER; longest hold reported is 20 hours
• Protocols run in lobby for patients waiting (e.g., IV starts, lab orders) to reduce wait times
• Scrub Color/Dress Code: Any clean, professional color allowed