Emergency Room RN (Pediatric Focus)
Manchester, NH
Access Healthcare
3x12 hrs, Nights

Registered Nurse Travel/Contract Position

Location: Manchester, New Hampshire
Specialty: Registered Nurse (ER with Pediatric focus)
Contract Length: 13 weeks

Job Overview

• Fast-paced Emergency Room with a strong pediatric presence
• Minimum 2 years of ER experience required
• Pediatric experience highly preferred
• First-time travelers not accepted
• Epic electronic health record experience required
• Shift: 12-hour nights (7:00 PM - 7:30 AM), 36 hours per week
• Weekend requirement: Every other weekend
• No call requirement
• Floating expectations include ICU and ED for helping hands and patient sitting
• Team nursing approach; nurses will not take patients outside their clinical assignment or team

Patient Population & Diagnoses

• All ages, from simple to complex cases
• Common diagnoses include:

  • Minor cuts and scrapes
  • Fractures
  • Abdominal pain
  • Chest pain
  • Respiratory concerns
  • Oncological, neurological, trauma, psychiatric emergencies
  • Abuse/assault/neglect evaluations
  • Substance use disorder
  • GI/GU/OB issues
  • Sepsis

Skills & Certifications Required

• ACLS (Advanced Cardiac Life Support)
• CPI (Crisis Prevention Institute)
• PALS (Pediatric Advanced Life Support)
• TNCC (Trauma Nursing Core Course)
• General ER skills:

  • Adult and pediatric emergency care
  • Dysrhythmia interpretation and management
  • Triage

Preferred Skills

• Pediatric experience

Unit Details & Procedures

• Average daily census: 70 patients
• Visits per day: 160
• Rooms: 36
• Beds: 50
• Special procedures:

  • Conscious sedation
  • Trauma alert/activation
  • Stroke alert
  • Cath lab activation
  • SANE consultation
• Special equipment used:

  • Point of Care Ultrasound (US/USGPIV)
  • EPOC
  • Belmont
  • Ranger
  • Teleneurology
• Unit systems: Omnicell, Epic, SBAR, Voalte
• Orientation: 36 hours to 1 week (classroom and clinical)
• Scrubs: Any color

Background & Compliance Requirements

• Background check within 30 days of start including:

  • Social Security verification
  • National sex offender registry
  • National and state criminal searches (excluding NH counties; NH state police search required)
  • Education verification
  • BEAS State Registry (NH placements)
• Drug screen: 10-panel within 14 days of start
• Physical exam within 1 year prior to start
• Fit mask test annually (N95 or equivalent)
• Immunizations and titers required:

  • Tdap (within last 10 years)
  • Negative TB test or chest X-ray (with 2-step PPD or equivalent)
  • Measles, Mumps, Rubella (MMR) immunity or vaccination
  • Hepatitis B immunity or waiver
  • Varicella immunity or vaccination
  • Seasonal flu vaccination (required Oct 31 - Apr 1; exemptions allowed with documentation)
• Respiratory safety clearance questionnaire required
• Pass/fail testing for dysrhythmia and medication competency may be required depending on unit
• Two professional references within last 3 years required (one must be a supervisor)
• Employment application and skills checklist required
• Annual internal evaluation for travelers working 1+ year with Aya

Additional Notes

• Travelers who have previously worked for any facility associated with this health system are not eligible
• Floating to ICU and ED for helping hands and patient sitting is expected
• No patient assignments outside of clinical team
• Religious and medical exemptions for vaccines require facility-specific waiver forms and approval
• Background and credentialing documents must be uploaded with appropriate expiration dates as specified

This position is ideal for experienced ER nurses with pediatric skills who are comfortable in a fast-paced environment and have prior travel nursing experience.