ER Registered Nurse
Bryan, TX
Host Healthcare
3x12 hrs, Days, Flexible
Referral Bonus

Registered Nurse (ER) - Travel Assignment in Texas

Job Overview

• Specialty: Emergency Room (ER)
• Location: Bryan, Texas (floats between Bryan and College Station campuses, 16 minutes apart)
• Assignment Length: 12 weeks
• Shift: Days
• Hours: 12-hour shifts, approximately 36 hours per week
• Unit: ER/ED, Level III Trauma Center, Primary Stroke Center with comprehensive capabilities
• Bed Capacity: 30 beds (24 acute), 2 trauma bays
• Patient Volume: Approximately 135 patients per day
• Typical Patient Types: Trauma (ground level falls, MVAs, assaults including gunshot and stabbings), chest pain, fever, pediatric URI symptoms (10-15% pediatric patients), geriatric altered mental status, intubated patients, rapid transfusions, chest tubes, STEMI, strokes

Required Qualifications

• Experience: Minimum 2 years ER nursing experience in a facility with similar patient volume, trauma level, and size
• Certifications: BLS, ACLS, PALS, TNCC, NIHSS
• Exams: Must pass Advanced Dysrhythmia exam with a minimum score of 83% (up to 3 attempts allowed before contract signing)
• Skills: Comfortable managing central lines, massive transfusion protocols (MTP), chest tubes, trauma care, STEMI, stroke care
• Licensure: Valid RN license for Texas

Work Environment & Responsibilities

• Nurse-to-Patient Ratios:

  • General acute care: 1:3-4
  • Level I trauma: 1:1 or 2:1 depending on acuity
  • Thrombolytic (TNK) patients: 1:1 for first hour
  • Vertical care (fast track): 1:6-8
• ER Setup: Separate triage area with a "first eyes nurse" who registers and triages patients; travelers may be assigned to triage after skills assessment
• Floating: May float between campuses and assist as needed without a dedicated assignment
• Call/Standby: None required
• Weekend/Holiday: Work every other weekend; rotate for one major holiday with core staff
• Dress Code: Navy scrubs and undershirts; scrub jackets optional but must be navy

Team & Support Staff

• Physicians: 1 MD 24/7, 2nd MD from 9 AM to 2 AM
• Midlevels: NP or PA 24/7, additional midlevel 10 AM to 10 PM
• Charge Nurse: Free-floating, may take patient assignments and responds to codes/rapid responses
• Patient Care Techs: Perform EKGs, wound care, transport, ADLs, trauma setup (chest tubes, lines), and act as sitters/mental health advocates
• Respiratory Therapists: 24/7 in ER, perform ABGs, breathing treatments, and EKGs; RNs troubleshoot respiratory equipment
• Phlebotomy: Available 24/7 in ER
• Monitor Techs: Not present; RNs monitor their own telemetry strips

Equipment & EMR

• Monitors: RNs read their own telemetry strips
• Imaging: X-Ray and CT available in ER with dedicated transporters
• EMR Systems: PulseCheck or Picis
• Common Drips: Diltiazem, Cardene, Nitro, Propofol, Fentanyl, Levophed

Additional Information

• Culture: Positive team environment with active Shared Governance and Unit-Based Council involvement
• Orientation: 3 shifts in ER required
• Call Outs: Strongly discouraged and may lead to termination
• Employment Restrictions: Candidates must not have been employed (full-time, part-time, or PRN) by any related health system facility within the past year; PRN employment through outside firms is acceptable

This position is ideal for ER nurses with solid trauma and critical care experience seeking a 12-week travel assignment in a busy Level III trauma and stroke center environment.