ER RN
Spokane, WA
Thrive Staffing
3x12 hrs, Flexible

Registered Nurse (RN)

About the Facility

This is a 388-bed hospital that serves as a Level 3 Trauma Center and features a Level 3 NICU.

General Information

• Beds: 24, including 8 behavioral health rooms in a locked unit.
• Experience Requirement: 3-5 years in a Level 3 trauma center or higher for travelers.
• First-time travelers: Accepted for traditional traveler positions.

Patient Types

• Psychiatric
• Trauma
• General Medical
• Sepsis
• Cardiac
• Stroke
• Abdominal Pain
• Chest Pain

Patient Ratios

RN-to-patient ratio is generally 1:4-5. Traditional travelers may handle up to a 1:5-6 ratio with low acuity patients.

Required Certifications

• BLS
• ACLS
• PALS
• NIHSS
• MOAB/CPI (may start without; see internal communications for details)
• TNCC
• For traditional travelers: PALS or ENPC, TNCC or ATCN accepted.

Skills Required

• Rapid Sequence Intubation (RSI)
• Conscious Sedation
• Lines/Drains/Tubes
• General Emergency Room Skills
• EPIC Experience (required for preceptor and traditional travelers)

Support on the Unit

• CNA/ER Tech: 2-4 techs available per shift.
• Receptionist/HUC: Available days and nights.
• Resource Nurse: Available for support.
• Respiratory Therapy: Available 24/7.
• Hospitalist: Available 24/7.
• Telemetry Monitoring: Done at bedside and centralized.

Technology/Equipment

• EMR: EPIC (mandatory for all RNs)
• IV Pumps: Alaris
• Medication Dispensing: Pyxis

Floating Policy

Generally, floating is not required. Traditional travelers may occasionally float to a free-standing ER or other units as needed.

Orientation

• New Graduate Orientation: 1 week of general orientation followed by 24 weeks of unit-specific training.
• Preceptor Orientation: 1-2 shifts of onboarding plus 2-3 weeks on the unit.
• Traditional Traveler: 1-2 shifts for onboarding on the unit.

Scheduling

• Weekend Rotation: Every other weekend.
• Holiday Expectations: As needed per unit requests.
• Time Off Approval: 7 days in advance, additional requests go to the nurse manager.
• Shift Times: Various starting times including 0700, 1100, 1200, 1400, or 1900.

Additional Notes

• Utilizes a 1:1 model for Critical Assessment Plan (CAP).
• Scrub Color: Any solid, professional color is acceptable.
• Free Parking: Available for all staff.
• Unit Culture: Emphasis on teamwork, though may be a high-stress environment.