Emergency Department / MedSurg RN
Cut Bank, MT
American Traveler
3x12 hrs, Flexible

Assignment Overview

• Shift: Variable, 3x12hrs
• Hours: 36 hrs/wk
• Start Date: Nov 9, 2026
• Length: 13 weeks
• Openings: 1

Description

American Traveler is hiring an experienced Emergency Department RN for a critical access hospital, requiring MT or compact RN licensure and dual ER/MedSurg patient care responsibilities.

Details

• Critical access hospital (CAH) setting with a combined ER and inpatient MedSurg unit
• 20 total beds with average inpatient census of 1.2 and approximately 9 ER patients per day
• Cares for all age groups, including rare low-acuity pediatric patients on the inpatient unit
• Common diagnoses include COPD exacerbation, diabetes, behavioral health, chest pain, URI, UTI, trauma, and stroke
• No dedicated ER RN role; nurses rotate between ER and MedSurg patients
• Patient ratio of 1:4 across ER and MedSurg, with 2 RNs per shift for days/nights and 1 midshift RN
• 1 CNA per shift supporting patient care, registration, and reception duties
• Occasional assignment to endoscopy recovery (1-2 times per month) for patients receiving propofol
• No on-site respiratory therapy; RNs perform updraft treatments, with vented or BiPAP patients transferred out
• Hospitalist coverage 24/7 with midlevel providers and paramedics in the ER
• Uses Cerner/Oracle EMR, Alaris IV pumps, Pyxis medication dispensing, and Mindray monitors
• Floating limited to within the facility between units
• 12-hour variable shifts including Days (0545-1815), Mids (1200-0000), and Nights (1745-0615)
• Weekend rotation required with a minimum of 4 shifts per month
• No on-call requirements
• Schedule created at least 2 months in advance using self-scheduling with manager approval

Requirements

• Active MT or compact RN license required
• BLS, ACLS, and PALS certifications required
• TNCC, STABLE, and NRP certifications preferred
• Minimum 2 years of ER experience required
• MedSurg experience preferred but not required
• Skills required include IV starts, NG tube insertion/maintenance, foley insertion, wound care and dressing changes, wound vac management, EKG/telemetry strip reading, and MI/STEMI/stroke protocol stabilization
• Must be comfortable assisting with intubations and managing code situations
• Professional references dated within one year required for consideration

Additional Information

• Provide direct patient care across both ER and MedSurg units, responding to codes or emergent situations as needed
• Charge nurse responsibilities rotate each shift among staff
• Orientation includes New Employee Orientation (NEO) and 3 shifts of floor orientation
• Holiday coverage required on a rotating basis throughout the year
• RTO requests of up to 7 days are typically approved
• Scrubs must be any solid, professional color
• Free on-site parking available
• Unit culture emphasizes teamwork
• First-time travelers are welcome to apply