Emergency Department RN
Puyallup, WA
American Traveler
3x12 hrs, Nights

Assignment Overview

• Shift: Nights, 3x12hrs
• Hours: 36 hrs/wk
• Start Date: Aug 24, 2026
• Length: 13 weeks
• Openings: 1

Description

American Traveler is seeking an experienced ED RN for a Level III Trauma Center in Puyallup, WA, requiring a minimum of 2 years of ED experience and recent Epic proficiency.

Details

• Emergency Department (ED) at a 375-bed Level III Trauma Center in Puyallup, WA
• 46-bed ED including 5 safe psych rooms and a Fast Track area averaging approximately 200 patients per day
• High-acuity patient population spanning pediatrics to geriatrics, including trauma, GSW, STEMI, stroke (TNK), sepsis, DKA, respiratory, mental health, and adult psych cases
• High geriatric volume with a focus on falls and STEMI; pediatric patients are generally transferred out
• No invasive neuro procedures (e.g., craniotomies) performed in this unit
• Nurse-to-patient ratio of 1:4–5, with flexibility to 5 based on acuity and staffing
• 12-hour mid/night shifts with start times of 1500 or 1900
• Shifts are typically scheduled in week-long blocks on a consistent shift, though this is subject to change
• Schedule provided approximately 3 weeks at a time
• Weekend shifts vary based on unit needs
• No on-call or floating requirements
• Charting via Epic (recent experience required); equipment includes Alaris pumps, Pyxis, and central/bedside telemetry monitoring at the nursing station (no tele tech)

Requirements

• Active WA state RN license or a compact RN license currently recognized in WA
• Current certifications required: BLS, ACLS, PALS, TNCC, NIHSS, and CPI/MOAB
• Minimum 2 years of ED experience required
• Proficiency in cardiac rhythm interpretation, IV skills, procedural sedation, blood administration, and ED medication/drip administration
• Recent Epic EMR experience required
• TNK administration experience preferred
• Traveler Telemetry Competency exam must be completed and passed prior to start
• At least one supervisor-level reference (Charge Nurse, Manager, Director, or above) required; a second reference must be provided prior to start

Additional Information

• First-time travelers are welcome to apply
• Orientation includes a first day covering badge setup, Epic training (if needed), time with the ED educator, and hours in the mental health and front-of-house areas, followed by a full 12-hour precepted shift on the assigned shift on day two
• Strong unit support structure includes ER techs, a charge nurse, resource/float nurse, RT (24/7), ED educator, house supervisor (24/7), social work (24/7), pharmacy (24/7), and dedicated 24/7 security
• Holiday coverage required for 2 of 5 major holidays: Thanksgiving, Christmas Eve, Christmas Day, New Year's Eve, and New Year's Day
• RTO must be approved by the nurse manager
• Any color scrubs are acceptable as long as they are professional in appearance; modest piercings (studs only) and non-offensive tattoos are permitted
• Free parking available in designated areas
• Described as a traveler-friendly, fast-paced, team-oriented environment where many travelers choose to extend