Emergency Department Registered Nurse
Little Falls, MN
American Traveler
3x12 hrs, Days

Job Description

American Traveler is seeking an experienced RN for an Emergency Department position at a Critical Access Hospital, requiring a minimum of 2 years of ED experience and a current MN RN license.

Responsibilities

• Acute care setting in an Emergency Department at a Critical Access Hospital (CAH) with Level IV trauma and stroke-ready designation
• 10-bed ED with 2 trauma bays, treating patients across the lifespan from newborn to geriatric
• Common diagnoses include respiratory, cardiac, trauma, and stroke presentations
• Typical nurse-to-patient ratio is 1:3, varying based on acuity
• Separate triage room in use; competent triage skills are required
• One locked seclusion room available for psychiatric patients
• No in-house security; de-escalation skills and coordination with local law enforcement are expected
• Averages 25–30 patients per day
• Common drips include norepinephrine, nitroglycerin, heparin, amiodarone, and propofol
• RNs are responsible for reading their own cardiac monitor strips (Philips monitors)
• RNs must be able to initiate ventilator, BiPAP, or CPAP with verbal assistance from on-call RT if needed
• RN accompaniment required for all stroke activations to CT
• 12-hour shifts, rotating days and nights (7a–7p / 7p–7a)
• Scheduled shifts are Friday, Saturday, and Sunday with every other weekend requirement
• Schedule is released in 6-week blocks; day-to-night turnarounds are not scheduled
• Holiday coverage required every other holiday
• No on-call or standby requirements
• No floating requirements
• Charting via Epic
• CNA/Tech support available from 1400–2230 (VS, transport prep, room turnover, stocking, EKGs, swabs, splinting)
• RT available during day hours and on-call overnight for ABGs, EKGs, respiratory treatments, and vent/BiPAP management
• No Fast Track area; no separate holding area within the ED
• One provider (MD, DO, or PA) is staffed in-house 24/7; no charge nurse on shift
• Orientation is competency-based, not to exceed 4 shifts
• No specific scrub color requirement; professional appearance expected
• All requested time off must be submitted upfront; additional RTO will not be approved after consideration
• First-time travelers are not explicitly approved for this position given the preference for Critical Access ED experience

Requirements

• Active MN RN license (State or Compact/NLC) required; pending licenses are not accepted
• Required certifications (active, no pending accepted): BLS, ACLS, TNCC, and either ENPC or PALS
• Minimum 2 years of Critical Access Hospital ED experience preferred
• Competent triage skills required
• Ability to read cardiac monitor strips independently
• Ability to initiate ventilator, BiPAP, and CPAP support
• Strong de-escalation skills required due to absence of in-house security
• Must be a quick, independent learner and team player with strong practical skills; not reliant on ancillary resources
• Driver's license required for consideration (used to verify permanent address)
• 2 professional references required: one supervisor from within the last 12 months and one peer or supervisor from within the last 3 years, including dates of employment and eligibility for rehire
• Candidates must reside at least 50 miles from the facility (permanent address verified by driver's license)
• Candidates may not have been directly employed full-time, part-time, or PRN by any CommonSpirit, CHI, or Dignity-affiliated facility within the past year (PRN employment through outside staffing firms is acceptable)

Benefits

• High Pay and Bonuses
• Medical, Dental and Vision Insurance with Day 1 Options
• 401(k) Plan
• Weekly Payroll Deposit
• Free Online CEUs
• Generous Housing Allowance
• Travel and Licensure Reimbursements
• Non-taxed Per Diem and Subsidy
• Traveler Rewards and Discounts