Emergency Room Registered Nurse
Bryan, TX
American Traveler
3x12 hrs, Nights

Assignment Overview

• Shift: Nights, 3x12hrs
• Hours: 36 hrs/wk
• Start Date: May 11, 2026
• Length: 12 weeks
• Openings: 2

Description

American Traveler is seeking an experienced RN for a Level III Trauma Emergency Department position requiring a minimum of 2 years of ED experience and night shift availability across two campuses.

Details

• Level III Trauma Center and Primary Stroke Center with comprehensive stroke capabilities serving a 9-county region
• ED features 30 beds with 2 trauma bays and 24 acute care beds, averaging 135 patients per day
• Patient population includes typical ED presentations with a notable 10-15% pediatric volume, geriatric patients with altered mental status, and high-acuity trauma (MVAs, GSWs, stabbings, falls, ATVs)
• Nurse-to-patient ratios vary by acuity: 1:3-4 for general acute care, 1:1 or 2:1 for Level I traumas, 1:1 for TNK (first hour), and 1:6-8 in vertical care (fast track)
• Common drips include Diltiazem, Cardene, Nitro, Propofol, Fentanyl, and Levophed
• EMR system: PulseCheck or Picis (Meditech also referenced)
• 12-hour night shifts, every other weekend required
• Position floats between two campuses approximately 16 minutes apart, as needed
• First-to-float status; floating is as helping hands only, without a patient assignment
• Fast track area referred to on-unit as 'vertical care'
• Separate triage area with a 'first eyes nurse' model; travelers may be assigned to triage after demonstrated competency during assignment
• ED holds are intermixed within the department; ED RNs care for hold patients
• Psychiatric patients are intermixed within the ED
• Security is in-house 24/7 with an off-duty officer dedicated to the ED 24/7
• Respiratory therapy is assigned to the ED 24/7 and performs ABGs; breathing treatments are shared between RNs and RT
• Phlebotomy is available in the ED 24/7
• X-ray and CT are located within the ED with dedicated transport staff
• RNs monitor their own telemetry strips
• Hybrid scheduling with a mix of self-scheduling and block scheduling

Requirements

• Active TX RN license or Compact (NLC) license required; must be active at time of consideration — pending licenses not accepted
• Required certifications (all must be active): BLS, ACLS, PALS, TNCC, and NIHSS
• Minimum 2 years of ED experience required
• Experience in a facility with comparable patient volume, trauma level, and size is required
• Must be proficient with central line placement, MTP, chest tubes, trauma, STEMIs, and strokes
• Must pass the Advanced Dysrhythmia exam (83% passing score) with up to three attempts allowed prior to contract confirmation
• 2 professional references required: one supervisor from within the last 12 months and one peer or supervisor from within the last 3 years, both including dates of employment and eligibility for rehire
• Copy of driver's license required for consideration

Additional Information

• Orientation consists of 3 shifts in the ED
• Patient Care Techs are available and can perform EKGs, wound care, assist with transport, ADLs, and setup for trauma cases including chest tubes, A-lines, and central lines
• Physician coverage includes 1 MD 24/7 with a second MD from 9AM–2AM; NP or PA staffed 24/7 with a second mid-level from 10AM–10PM
• Free-floating charge nurse who responds to codes and rapid responses on the floor; may take an assignment if needed
• The department operates with a Shared Governance structure and an active Unit-Based Council (UBC)
• Scrub color is navy; undershirts must be navy; scrub jackets are optional but must also be navy
• Rotate in with core staff for holiday coverage — 1 major holiday expected
• No on-call or standby requirement
• Attendance reliability is critical; excessive call-outs may result in termination
• Candidates who have been directly employed (full-time, part-time, or PRN) by any CommonSpirit, CHI, or Dignity Health facility within the past year are not eligible; candidates employed PRN through outside staffing firms will be considered