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

```html Registered Nurse (RN)

About the Facility

We are a 388-bed hospital with a Level 3 Trauma Center and a Level 3 Neonatal Intensive Care Unit (NICU).

General Information

• Beds: 24, including 8 behavioral health rooms in a secured unit.
• Experience Requirement: Minimum of 3-5 years in a Level 3 or higher setting is required. Traditional travelers must have 2+ years in a Level 3 or higher facility.
• First-time travelers: Accepted for traditional traveler positions.

Patient Types

Patients may include those with psychiatric needs, trauma cases, general medical issues, sepsis, cardiac events, strokes, abdominal pain, and chest pain.

Patient Ratios

• RN Ratio: 1:4-5, with traditional travelers able to manage up to 1:5-6 with low acuity patients.

Required Certifications

• BLS, ACLS, PALS, NIHSS, MOAB/CPI (can start without per NM 10/22/2024), TNCC.
• Traditional travelers may take either PALS or ENPC, and TNCC or ATCN.

Skills Required

• RSI, conscious sedations, managing lines, drains, tubes, and general emergency room skills.
• EPIC experience is required for preceptors and traditional travelers.

Support on the Unit

• CNA/ER Tech: 2-4 techs available per shift, capable of splinting, performing straight sticks, discontinuing IVs, wound care, and EKGs.
• Receptionist/HUC available on days and nights.
• Phlebotomy is available, and techs can perform straight sticks.
• Resource Nurse and Respiratory Therapy available 24/7.
• Hospitalist coverage 24/7.
• Telemetry monitoring is available both at the bedside and centrally.

Technology and Equipment

• Electronic Medical Record (EMR): EPIC.
• IV pumps: Alaris.
• Medication dispensing: Pyxis.

Floating

Generally, there is no floating; however, traditional travelers may occasionally float to a freestanding ER or other locations within the region as needed.

Orientation

• New nurse graduates: 1-week general orientation followed by 24 weeks of unit orientation.
• For preceptors: NEO with 1-2 shifts with a preceptor, followed by 2-3 weeks on the unit.
• Traditional travelers: NEO with 1-2 shifts on the unit.

Scheduling

• Weekend rotation: Every other weekend.
• Holiday expectations: As needed per unit.
• Time-off approval: 7 days in advance; additional requests require nursing manager approval.
• Shift times for preceptors include straight days or nights, with the last 4-6 weeks on the opposite shift. Traditional travelers have shifts available at 0700, 1100, 1200, 1400, or 1900.

Other Notes

• Utilizes a 1:1 model for CAP.
• Scrub colors are flexible, requiring professional or solid colors.
• Free parking available on-site.
• The unit is known for excellent teamwork but can be a high-stress environment. Support for graduate nurses is prioritized.

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