Registered Nurse ER Holding
Largo, MD
HonorVet Technologies
3x12 hrs, Nights
Referral Bonus

Registered Nurse – ER Holding

Facility: University of Maryland Capital Region Medical Center
Location: Largo, MD
Start Date: 07/13/2026
Duration: 13 Weeks
Shift: Night 3x12-Hour (19:30 - 08:00)
Schedule: 36 Hours/Week, Every Other Weekend Required
Charting System: Epic (Preferred)
Float Required: Yes – between ED Borders, Extenders to MS/Tele and IMC units within specialty and scope
Call Requirement: No
Note: This is an ER Border Unit. Fast-paced, high-volume environment caring for admitted ED patients awaiting inpatient placement. Auto Offer Position.

Position Overview:

The ER Holding Registered Nurse provides comprehensive nursing care to adult and geriatric patients admitted through the Emergency Department and boarded in the ER Holding unit. The RN manages a diverse patient population with medical, surgical, telemetry, and intermediate care needs while coordinating care in a high-acuity, fast-paced environment.

Job duties:

• Assess, monitor, and provide direct nursing care to adult and geriatric patients awaiting inpatient bed placement.
• Perform comprehensive patient assessments and develop individualized plans of care for a wide variety of medical and surgical diagnoses.
• Monitor cardiac rhythms and telemetry, recognizing and managing dysrhythmias and changes in patient condition.
• Administer medications including cardiac drips, vasoactive drips, heparin infusions, insulin protocols, and blood products according to physician orders and facility protocols.
• Initiate and maintain peripheral IVs, central lines, PICC lines, and other vascular access devices.
• Provide care for patients with respiratory support needs, including oxygen therapy, BiPAP/CPAP, high-flow nasal cannula, ventilators, and tracheostomies.
• Manage patients with neurological conditions including CVA, seizure disorders, traumatic brain injuries, and substance withdrawal.
• Care for patients requiring telemetry, intermediate care, and medical-surgical level monitoring.
• Respond appropriately to rapid response events, emergencies, and acute changes in patient status.
• Collaborate with physicians, respiratory therapists, pharmacists, social services, and interdisciplinary teams to coordinate patient care and safe transitions.
• Maintain accurate documentation, follow infection prevention protocols, and ensure compliance with safety standards.
• Educate patients and families regarding treatment plans, medications, and discharge expectations.

Requirements:

Licensure: Active Maryland RN License or Compact RN License

Experience: Minimum 2 Years of RN Experience Required; Travel Experience Required; Previous Charge Experience Preferred

Certifications:

• ACLS
• BLS
• CPI
• NIHSS (Preferred)

Other requirement:

• Experience in ER Holding, MS/Tele, IMC, Stepdown, Telemetry, or similar acute care settings
• Cardiac telemetry and dysrhythmia interpretation experience
• Experience managing cardiac and vasoactive drips, including titration
• Blood product administration experience
• IV therapy, phlebotomy, and vascular access management skills
• Ability to care for high-volume, high-acuity patient populations
• Comfortable floating within specialty and scope
• First-time travelers accepted

Unit Details:

Unit: Med/Surg IMC, ER Border 3610-10165

Patient Ratios: 1:6

Patient Population: Adults, Geriatrics

Patient Diagnoses:

• Emergency Department admission patients
• Medical-Surgical diagnoses
• Telemetry patients
• Intermediate Care patients
• Cardiac conditions
• Neurological conditions including CVA and seizure disorders
• Respiratory conditions
• Renal failure
• Orthopedic trauma
• Post-MI patients
• Post-cardiac angiogram patients
• Complex ED admission diagnoses

Number of Beds: 47

Daily Census: Minimum 10 boarders up to 32 boarders daily