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

Assignment Overview

• Shift: Nights, 3x12hrs
• Hours: 36 hrs/wk
• Start Date: Dec 14, 2026
• Length: 13 weeks
• Openings: 1

Description

American Traveler is hiring an experienced Emergency Department RN for an off-campus ED setting, requiring at least 2 years of ER experience and WA or compact RN licensure.

Details

• Off-campus emergency department setting with 10 ED beds and up to 20 total treatment spaces
• Patient population spans neonates to geriatrics, including approximately 25% pediatric cases, trauma walk-ins, cardiac, neuro, GI, respiratory, psych, and GSW cases
• Nurse-to-patient ratio is 1:4, with fast track ratio of 1:6
• Minimum night staffing typically includes 4 RNs and 1 LPN, though may vary to 2 RNs and 1 LPN
• Will manage ventilator and BiPAP patients directly as no RT is onsite, with training provided
• RNs are responsible for mixing their own medications under remote pharmacist supervision via video conference
• 12-hour shifts with flexible start times ranging from 0700-1300 for days/mids and 1100-1900 for mids/nights
• Weekend rotation attempted every other weekend but not guaranteed
• Required to float to other off-campus ED sites as needed, with a primary site assignment that may change
• Mid-shift floating may occur with travel time compensated
• Uses Epic EMR, Alaris pumps, and Pyxis medication system

Requirements

• Active WA or compact RN license required
• Minimum 2 full years of ER experience at any trauma level
• Current certifications required: BLS, ACLS, PALS, Advanced NRP, NIHSS, and TNCC
• Must complete and pass Traveler Telemetry Competency exam prior to start
• Strong ED skills required including IV insertion, chest tube and central line management, and medication administration
• Experience providing charge nurse duties preferred, with training available if needed
• Experience managing ventilators and BiPAP required, with facility-provided training during onboarding

Additional Information

• Provide direct bedside care across a wide range of ED patient acuities and age groups
• Supported by LPNs who assist with low acuity assignments, procedures, and medication administration within scope
• Charge nurse carries a partial patient assignment and assists with breaks and floating coverage in the afternoon
• Orientation includes hospital orientation, a full day with the OCED unit educator, an 8-hour respiratory class, and a full day on the unit
• First-time travelers are welcome to apply
• PPE requirements include N95 masks, PAPRs, and goggles
• Housing recommendations provided based on assigned facility location to minimize commute challenges