Registered Nurse (RN) - ED - Emergency Department
Medical Solutions Direct Hire
Tonasket, WA
3x12 hrs, Days

Pay: $76,826 – $126,023 per year

Emergency Room Registered Nurse Opportunity – Tonasket, Washington

Direct Hire | Full-Time | Day Shift | 3x12s

A community-focused healthcare organization in Tonasket, Washington is hiring an Emergency Room Registered Nurse for a permanent, full-time opportunity. This role is ideal for an experienced ER nurse who values autonomy, strong clinical variety, and meaningful work in a close-knit rural hospital setting.

Position Overview

• Permanent, full-time role
• 36 hours per week
• Day shift
• 3x12-hour schedule
• Emergency Department setting
• Float support to Acute Care as needed
• TruBridge – Evident charting system

Shift Details

• Day shift
• Three 12-hour shifts weekly
• Predictable scheduling handled by leadership
• Weekend rotation typically required
• Holiday rotation may apply
• No call requirement

Compensation & Benefits

• $41.04 – $67.32 per hour
• $76,826 – $126,023 annually based on experience
• Full benefits package
• Stable direct hire employment
• Long-term growth opportunity

Key Responsibilities

• Provide emergency nursing care across a wide range of patient acuity
• Triage and assess incoming patients
• Manage trauma, stroke, STEMI, and critical care presentations
• Start IVs, draw labs, and administer medications
• Manage critical drips including vasoactive medications
• Perform EKGs and assist with respiratory interventions when needed
• Monitor ventilated patients until transfer if necessary
• Collaborate closely with providers and multidisciplinary staff
• Float to Acute Care area to assist as needed

Unit & Clinical Environment

• Small community Emergency Department
• Approximately 17–32 patients per day
• Level IV Trauma environment
• STEMI and stroke receiving with transfer capability
• 1:3–1:4 nurse-to-patient ratios depending on acuity
• 1:1 assignments for high-acuity patients when needed
• GE telemetry monitors

Requirements

• Active Washington RN license
• BLS required
• ACLS required
• PALS required
• 2+ years of ER experience required
• Prior trauma experience required
• Strong IV skills required
• Ability to work independently and remain flexible

Preferred Qualifications

• TNCC
• NRP

Why This Opportunity

This is an excellent fit for an ER nurse who wants to use their full skillset rather than be limited to one narrow role. You will see true emergency medicine, work closely with leadership and providers, and have the chance to make a visible impact in a hospital that values teamwork and adaptability.

Why Tonasket, Washington

• Beautiful North Central Washington setting
• Access to hiking, lakes, mountains, and outdoor recreation
• Lower cost of living than many larger Washington markets
• Tight-knit community atmosphere
• Meaningful work with strong lifestyle balance

Job Type: Full-time

Benefits:

• Health insurance
• Dental insurance
• Vision insurance
• Paid time off
• Retirement plan
• Professional development opportunities

Work Location: In person