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

Assignment Overview

• Shift: Variable, 3x12hrs
• Hours: 36 hrs/wk
• Start Date: Nov 30, 2026
• Length: 13 weeks
• Openings: 1

Description

American Traveler is hiring an experienced RN for an Emergency Dept position at a Level III Trauma Center requiring 2+ years of ED experience and recent Epic charting experience.

Details

• Work in a Level III Trauma Center Emergency Department with 46 beds, including 5 Safe Psych rooms and a Fast Track area
• Facility averages 200 patients per day with an average daily census across a 375-licensed-bed hospital
• Patient population spans pediatrics to geriatrics, including trauma, GSW, sepsis, COVID, STEMI, stroke, DKA, mental health, and high acuity medical cases
• High geriatric population with frequent falls and STEMI presentations
• No invasive neuro procedures performed; small pediatric volume is typically transferred to another facility
• Day shift patient ratio is 1:4-5, with flexibility to 5 based on acuity and staffing
• 12-hour Mids/Nights shift schedule with shift start times at 0700, 1100, 1500, and 1900
• Scheduling is typically assigned by week for a given shift, subject to change based on unit needs
• Weekend requirements vary based on unit needs
• Schedules provided 3 weeks at a time, distributed about 10 days in advance
• No on-call requirements
• No floating required
• Central and bedside telemetry monitoring available at the nursing station with no dedicated tele tech
• Uses Epic, Alaris, and Pyxis systems

Requirements

• Active WA or compact RN license required
• Required certifications: BLS, ACLS, PALS, TNCC, NIHSS, and CPI/MOAB
• Minimum 2 years of ED experience required
• Recent Epic charting experience required
• Strong general ED skills including cardiac rhythm interpretation, IV skills, and knowledge of drips and medication administration
• Experience with procedural sedation, blood administration, and cardiac medications required
• TNK administration experience preferred
• Must complete and pass a Traveler Telemetry Competency exam prior to start

Additional Information

• Provide direct nursing care across a wide range of ED patient presentations in a fast-paced trauma center environment
• Supported by ER techs, resource/float nurses, 24/7 RT, ED educator, 24/7 security, house supervisor, and 24/7 social work and pharmacy services
• Charge nurse rarely takes a patient assignment
• Orientation includes new employee orientation, Epic training if needed, time in the mental health area and front intake, followed by a 12-hour shift with a preceptor
• Nurse manager approves requested time off
• Holiday coverage required for 2 of 5 major holidays (Thanksgiving, Christmas Eve, Christmas Day, New Year's Eve, New Year's Day)
• Any professional scrub color is acceptable
• Modest piercings (studs only) permitted; tattoos must not be offensive
• Free parking available in designated areas
• Unit culture is traveler-friendly, fast-paced, and team-oriented with many travelers choosing to extend
• First-time travelers are welcome to apply