Emergency Department RN
Winnemucca, NV
Host Healthcare
3x12 hrs, Days, Nights, Flexible
Referral Bonus

Job Opportunity: Emergency Department RN

Location: Winnemucca, Nevada
Specialty: Emergency Department - RN
Contract Length: 13 weeks

Job Description

• Variable shifts (day or night) with attempted block scheduling (typically 6 on, 8 off)
• Must have strong independent skills
• Must have 3+ years of experience in Emergency Department nursing
• Facility prefers candidates who have completed 3 or more travel assignments (prior travel experience required)
• Occasional floating to MS/Telemetry to assist other nurses; typically do not take own patients
• Must have triage experience and be comfortable with conscious sedation
• Will consider travelers from all trauma levels; critical access experience preferred

Certifications Required

• BLS (Basic Life Support)
• ACLS (Advanced Cardiovascular Life Support)
• PALS (Pediatric Advanced Life Support)
• TNCC (Trauma Nursing Core Course)
• NIHSS (National Institutes of Health Stroke Scale) preferred

Department & Patient Information

• Trauma Level: Critical Access Hospital (CAH)
• STEMI Receiving: Yes (stabilize and transfer out STEMIs and strokes)
• Beds: 8 beds in ER
• No designated triage nurse; any nurse in the department can triage using the ESI triage model
• No separate holding area; hold patients kept in the ED
• 2 designated safe rooms for psych patients with 24/7 security rounding every 15 minutes
• Security is in-house 24/7 and rounds throughout the hospital
• Average patient volume: ~30 patients/day (700/month)
• Nurse-to-patient ratio: 1:3-4 depending on acuity and census
• Common diagnoses: cardiac issues (arrhythmias, STEMIs, NSTEMIs, HTN, CHF), strokes/post-strokes, traumas (MVAs, falls), orthopedic cases, GI issues, ETOH, overdoses, COPD, and more
• Patient population: 25% pediatric, adults, large Hispanic population

Clinical Responsibilities & Support

• Common drips: all critical drips and sedation (including ketamine) for bedside procedures
• ED Physician/Mid-levels: 1 ED physician onsite per 24-hour shift
• Charge nurse available as a resource; manager assists with triage when needed
• No CNAs in ED; primary care nursing model; travelers may assist with precepting nursing, EMT, and paramedic students
• Respiratory Therapist (RT) in ER 24/7; nurses may assist with respiratory equipment and treatments
• Nurses responsible for troubleshooting respiratory equipment (NC, High Flow, CPAP, BiPAP, trachs, vents)
• No monitor techs; nurses read and interpret telemetry themselves
• X-ray/CT available nearby; nurses accompany critical patients during transport
• RN responsible for lab draws upon IV starts; phlebotomy available if needed

Scheduling & Work Environment

• Shifts: 12-hour shifts (6am-6pm or 6pm-6am); no mid shifts
• Schedule typically block style but flexibility required to fill gaps
• Weekend requirement: every other weekend or 1-2 weekends per month
• Holiday requirement: every other holiday rotation; may be asked to work holidays
• No call or standby requirement
• ED staff part of Rapid Response Team; may be asked to respond to RRTs and codes in hospital
• Scrub color: Navy Blue
• Orientation: 1 day general orientation + 1-2 days with preceptor

Summary of Requirements

| Requirement | Details | |---------------------------------|---------------------------------| | Specialty Experience | 3+ years Emergency Department RN| | Prior Travel Experience | Preferred: 3+ travel assignments (required) | | Certifications | BLS, ACLS, PALS, TNCC (NIHSS preferred) | | Shift Type | 12-hour variable shifts (day/night) | | Weekend/Holiday Work | Every other weekend; every other holiday rotation | | Triage Experience | Required | | Comfort with Conscious Sedation | Required | | Trauma Level Experience | All trauma levels considered; critical access preferred |

This position offers a challenging and rewarding opportunity for experienced Emergency Department RNs who are comfortable working independently in a critical access hospital setting with a diverse patient population.