Emergency Room Registered Nurse
Bryan, TX
Host Healthcare
3x12 hrs, Nights
Referral Bonus

Registered Nurse (ER) - Travel Assignment in Texas

Job Details

• Specialty: Emergency Room (ER)
• Location: Bryan, Texas (floats between Bryan and College Station campuses, 16 minutes apart)
• Contract Length: 12 weeks
• Shift: Nights
• Hours: 12 hours per shift, approximately 36 hours per week
• Unit: ER/ED
• Trauma Level: Level III Trauma Center
• Stroke Center: Primary Stroke Center with comprehensive capabilities
• ER Beds: 30 total beds (24 acute), 2 trauma bays
• Patient Volume: Approximately 135 patients per day
• Fast Track: Yes, called "vertical care"
• Triage: Separate triage area with a "first eyes nurse"; travelers may be placed in triage after skills assessment
• Psych/Seclusion Rooms: Intermixed within ER (no separate rooms)
• Security: In-house 24/7 with an off-duty officer always present in ER

Patient Population & Care

• Typical ER cases: nausea/vomiting, chest pain, fever, pediatric URI symptoms (10-15% pediatric patients), geriatric altered mental status
• Trauma: highest trauma area in the region covering 9 counties, including ground level falls, motor vehicle accidents, all-terrain vehicle injuries, assaults (gunshot wounds, stabbings)
• Critical care skills needed: central line placement, massive transfusion protocol (MTP), chest tubes, intubations, STEMI, strokes
• Common drips: Diltiazem, Cardene, Nitro, Propofol, Fentanyl, Levophed
• Equipment: PulseCheck or Picis EMR; RNs monitor their own telemetry strips

Staffing & Support

• Physicians: 1 MD 24/7, 2nd MD from 9 AM to 2 AM
• Midlevels: NP or PA 24/7, 2nd midlevel 10 AM to 10 PM
• Charge Nurse: Free-floating, may take patient assignment if needed, responds to codes and rapid responses
• Patient Care Techs: Perform EKGs, wound care, transport, ADLs, trauma setup (chest tubes, a-lines, central lines), and act as sitters/mental health advocates
• Respiratory Therapists: Assigned 24/7, perform ABGs, breathing treatments, and EKGs; RNs assist with troubleshooting vents, CPAP, BiPAP, high flow oxygen
• Radiology: X-Ray and CT available in ER with dedicated transporter
• Phlebotomy: Lab draws performed 24/7 in ER

Scheduling & Work Environment

• Hybrid scheduling: combination of self-scheduling and block scheduling
• Weekend requirement: every other weekend
• Holiday requirement: rotate with core staff, 1 major holiday
• No call or standby requirement
• Floating: May float to assist without assignment; will float to College Station campus as needed
• Dress code: Navy scrubs and undershirts required; scrub jackets optional but must be navy
• Orientation: 3 shifts in ER unit-specific orientation
• Culture: Positive team environment with active Shared Governance and Unit-Based Council (UBC)
• Shift pattern: 12-hour night shifts, every other weekend, first to float

Required Certifications & Exams

• 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)
• Must pass Advanced Dysrhythmia exam with a minimum score of 83% before contract signing (3 attempts allowed)

Requirements/Qualifications

• Valid RN license in Texas
• Associate of Science in Nursing / Associate Degree in Nursing
• Minimum 3 years of Emergency Department (ED) nursing experience
• ED nursing experience within the last year
• Current certifications: ACLS, BLS, PALS, TNCC, NIHSS

Additional Notes

• Call-outs are strongly discouraged and may lead to termination
• The ER is a busy, high-acuity environment with a diverse patient population including pediatrics and trauma
• The facility operates its own EMS agency and helicopter service for trauma transport