ED RN
Iron Mountain, MI
Host Healthcare
3x12 hrs, Days, Evenings
Referral Bonus

ER RN

Location: Iron Mountain, Michigan

Contract Length: 13 weeks

Shift: Evening, Night (12-hour shifts, start times 3pm and 7pm)

Hours: 36 hours per week

Required Qualifications

• Michigan RN license in hand
• Certifications: ACLS, BLS, PALS, TNCC
• 2 years of ED experience
• Must note in submission if the clinician has ever worked for this employer. Prior employment must have an end date at least 6 months before the submission date.

Department Overview

• Trauma level: Trauma IV. No stroke or STEMI receiving; those patients are sent out.
• Beds: 14, including 2 trauma bays
• Fast track: 3 designated rooms
• Triage: 2 triage rooms. Travelers may triage after reviewing and understanding facility policies and procedures.
• Holding: Patients are held in the department, with attached ACU rooms used for overflow.
• Psych/seclusion: Any room can be made into a seclusion room as needed.
• Average volume: 40-60 patients per day
• Common diagnoses: Variable, including trauma, STEMI, strokes, hunting injuries, MVAs, and farm injuries
• Common drips: Variable
• ED physicians: ED physician on site 24/7
• Accepts first-time travelers and duos

Staffing and Ratios

• Nurse-to-patient ratio: 1:3-4 during the day, with more patients at night after 11pm. After 3am, only 2 RNs are on until 7am.
• Charge RN takes an assignment, usually during day shifts.
• Nursing aides: 24/7 coverage by CNAs, medics, and LPNs. No team is assigned to the ER; they float to tasks.
• Respiratory therapy: On site 24/7 for ABGs, breathing treatments, and EKGs when extra assistance is needed.
• Monitor techs: None. Central monitoring station and RNs monitor patients, and RNs are not required to read their own strips.
• Imaging and lab: X-ray is down the hall and available 24/7. CT is a set of double doors away. Phlebotomy is available 24/7.
• Security: No 24/7 security. Local police and internal code backup are used, plus 911.

Scheduling and Policies

• Shifts: 12-hour shifts. The manager creates the schedule and tries to avoid 1-on-1-off patterns. Start times vary and rotate.
• Weekends: Every other weekend (Saturday and Sunday)
• Holidays: At least 2 of 3 for winter needs; otherwise usually every other holiday during the contract
• Call/standby: Volunteer to go home
• Floating: Inpatient, to help as needed
• Dress code: Any solid-color scrubs, clean and professional
• Clock in and out at the facility
• Orientation: Computer-based training plus 2 days of floor orientation, one of which covers policies and department-specific procedures