Emergency Department RN
Silverdale, WA
Host Healthcare
3x12 hrs, Nights
Referral Bonus

Registered Nurse (ER) - Travel Contract

Location: Silverdale, Washington
Contract Length: 13 weeks

Job Overview

Seeking an experienced ER Registered Nurse for a travel assignment in a Level II Trauma Center with approximately 56 beds (expandable to 60-70 with hall beds). The ER includes a fast track area (6 beds), a separate triage area (5 beds), and an 18-bed holding area for inpatients awaiting placement. The unit also has a locked psychiatric/seclusion area with 6 private treatment rooms.

Patient Population & Work Environment

• Average patient volume: 170-200 patients per day
• Nurse-to-patient ratio: 1:3 (1:4 for low acuity)
• Common patient diagnoses: Cardiac, Stroke, Sepsis, DKA, Altered Mental Status, Respiratory issues, Abdominal pain, Mental Health
• ED Physicians and Mid-Level Providers available
• Support staff includes ED Techs, CNAs, and 1:1 sitters provided by inpatient staff
• In-house security present

Required Qualifications

• Minimum 2 years of ER nursing experience (travelers with 1 year experience in larger trauma settings may be considered)
• Active Washington State RN license or Compact License
• Current certifications: ACLS, BLS, TNCC, PALS or ENPC
• Ability to manage ER holds and participate in triage testing if assigned

Orientation & Training

• Orientation includes 1 day (8-10 hours) of compliance, policies, education, and training
• 2nd day (12 hours) department-specific orientation
• Orientation/education hours not guaranteed during first 2 weeks; expect 25+ hours

Shift & Scheduling

• Night shifts, 12 hours per shift, approximately 36 hours per week
• Weekend requirement: every other weekend
• Holiday requirement: must work holidays in November/December; manager may consider 1 holiday off if unit demands allow
• No floating required
• No call or standby requirement; extra shifts available but not mandatory
• Scheduling based on department needs and traveler shift patterns
• No return to orientation (RTO) considered during first full week of assignment

Clinical & Technical Details

• Electronic Medical Record: Epic
• Respiratory Therapy equipment managed by RTs (vents, CPAP, BiPAP, high flow)
• ED Techs perform EKGs; RTs perform ABGs and breathing treatments
• Telemetry monitors present; RNs read strips
• Radiology (X-Ray, CT) adjacent to ED with transport assistance available
• Phlebotomy primarily by nurses or ED Techs; lab assists with difficult draws

Dress Code

• Professional colors allowed; no specific scrub color required

Additional Notes

• Manager cannot accommodate same schedules/shifts for multiple travelers (DUOs)
• No return to orientation (RTO) during first full week
• Night shift and every other weekend schedule expected