ER Registered Nurse
Grand Coulee, WA
Host Healthcare
3x12 hrs, Nights
Referral Bonus

ER Registered Nurse Travel Assignment

Location: Grand Coulee, Washington
Contract Length: 13 weeks

Job Overview

• Position: ER Registered Nurse (RN)
• Shift: Nights (6:00 PM – 6:30 AM)
• Schedule: Block scheduling with set rotation; weekend every other week; holiday coverage if on rotation
• Hours: 3 shifts per week, 12 hours each (36 hours/week)
• Department: Emergency Room (Critical Access Trauma Level)
• Patient Volume: Approximately 20 patients per day, mainly adults and geriatrics, some pediatrics
• Nurse-to-Patient Ratio: Typically 1 RN per shift, depending on acuity; shared charge nurse with inpatient unit
• Work Environment: High stress, must be able to work independently
• Floating: May float to acute care to assist with patients or answer lights if ER is not busy

Required Certifications

• ACLS (Advanced Cardiovascular Life Support)
• BLS (Basic Life Support)
• PALS (Pediatric Advanced Life Support) or ENPC (Emergency Nursing Pediatric Course)
• TNCC (Trauma Nursing Core Course) or ATCN (Advanced Trauma Care for Nurses)
• Preferred: NRP (Neonatal Resuscitation Program)

Requirements/Qualifications

• Valid RN license in Washington
• Minimum 2 years of Emergency Department (ED) nursing experience
• Emergency Department experience within the last year
• Associate of Science in Nursing (ASN) or Associate Degree in Nursing (ADN)
• ACLS certification
• BLS certification
• ENPC certification
• PALS certification
• TNCC or ATCN certification

Clinical Responsibilities & Skills

• Triage patients in a separate triage area
• Care for patients in holding areas intermixed with ER patients
• Manage common adult and geriatric diagnoses such as CHF, COPD, pneumonia, abdominal pain, and a variety of other conditions
• Administer and monitor cardiac drips, insulin drips, nitroglycerin, heparin, and antibiotics
• Perform breath treatments, ABGs, and EKGs (Respiratory Therapists are not on-site 24/7)
• Interpret telemetry and monitor data without dedicated telemetry techs
• Draw labs and start IVs; phlebotomy support available as needed
• Collaborate with CRNAs for sedation and intubation procedures
• Transport patients for X-Ray and CT scans available 24/7

Facility & Department Details

• Trauma Level: Critical Access
• ER Beds: 5 total, including 2 trauma bays
• No separate psychiatric/seclusion rooms
• No 24/7 in-house security
• No nurse aides for general care; EMTs assist during codes
• Respiratory equipment includes CPAP, high flow oxygen, and ventilators until patient transfer

Orientation & Dress Code

• Department-specific orientation: 1 day (additional days discussed if needed)
• Scrub color: Any color allowed

This position is ideal for experienced ER nurses comfortable with independent practice in a critical access hospital setting, providing comprehensive emergency care across a broad patient population.