ER RN
Bismarck, ND
American Traveler
3x12 hrs, Nights

Assignment Overview

• Shift: Nights, 3x12hrs
• Hours: 36 hrs/wk
• Start Date: Nov 30, 2026
• Length: 13 weeks
• Openings: 2

Description

American Traveler is hiring a Level II Trauma Emergency Dept RN for a 13-week night shift contract requiring BLS, ACLS, PALS, and TNCC certifications.

Details

• Level II Trauma Center Emergency Department with 21 beds including a fast track area
• Vertical flow area for stable patients with orders in, travelers utilized in this area
• Separate triage area, staffed by core staff, with triage competencies offered to experienced travelers over time
• ER RNs manage boarding patients, directing stable patients to vertical flow and keeping unstable patients near the nurses station
• One psych/seclusion room with camera monitoring
• In-house security housed in the ER 24/7
• Average 50-60 patients treated per day, mostly ESI Level 3 with some Level 4 and rare Level 1
• Nurse to patient ratio of 1:3-4 based on acuity, up to 1:5 when boarding patients are grouped
• Patient population spans pediatrics to geriatrics including trauma, CAH transfers, stroke, STEMI, shortness of breath, and abdominal pain
• Common drips include vasopressors, heparin, and antiarrhythmics, with 1:1 ratios for ICU holds
• ED physicians staffed 24/7 with no mid-levels, 1 MD overnight and up to 3 MDs during peak times
• Charge Nurse on each shift manages department throughput and does not take a patient assignment
• 1-2 ED techs per shift handling EKGs, patient care, vitals, and blood glucose checks
• Respiratory Therapy available in-house as needed for breathing treatments and equipment, not physically in the department 24/7
• Telemetry monitored at the main nurses station with no dedicated tech, RN reads and interprets strips with MD verification
• X-Ray and CT located adjacent to the ER, RN accompanies unstable patients for transport
• RNs draw labs off IV starts, phlebotomy available as a resource
• 12-hour night shifts with varied start times, EPIC EMR used
• Every other weekend and every other holiday required
• Floating is rare and typically limited to task-based or helping-hand duties due to census and staffing needs
• First to float when floating is required
• 1-2 shifts of unit-specific orientation provided

Requirements

• Active RN license (ND state or Compact) required, pending licenses not accepted
• Current certifications required: BLS, ACLS, PALS, and TNCC
• Minimum 2 years of experience required
• BSN not required for this position
• EPIC EMR experience preferred

Additional Information

• Provide emergency department nursing care across a wide range of acuities and age groups
• Any color scrubs permitted
• Must reside at least 50 miles from the facility and may not be currently employed full time, part time, or PRN with any CommonSpirit, CHI, or Dignity facility
• Candidates may not have been directly employed (full time, part time, or PRN) by any CommonSpirit, CHI, or Dignity facility within the past year; PRN employment through outside staffing firms is acceptable
• Upfront RTO must be 7 days or fewer per 13-week contract, with no additional RTO approved after submission
• First-time travelers are welcome to apply, though previous travel experience is preferred