Emergency Department Registered Nurse
Manchester, NH
Access Healthcare
3x12 hrs, Nights

Job Opportunity: Registered Nurse (ER) - Travel/Contract

Location: Manchester, New Hampshire
Contract Length: 13 weeks

Position Overview

• Role: Registered Nurse in a fast-paced Emergency Room with a strong pediatric (PEDS) presence.
• Specialty: Emergency Department (combined Adult/Pediatric).
• Shift: 12-hour nights (7:00 PM - 7:30 AM), 36 hours per week.
• Weekend Requirement: Every other weekend.
• Call Requirement: None.
• Float Requirement: Expected to float to ICU and ED as part of a team nursing approach ("Helping Hands").
• Patient Census: Average daily census of 70 patients, 160 visits/day, 36 rooms, 50 beds.

Experience & Requirements

• Minimum Specialty Experience: 2 years (ER experience required).
• Pediatric experience highly preferred.
• Prior Travel Experience: First-time travelers NOT accepted; prior travel experience required.
• Epic electronic health record experience required.

Certifications Required

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

Skills & Competencies

• General Emergency Department nursing (Adult and Pediatric).
• Interpretation and management of dysrhythmias.
• Triage skills.
• Ability to assist with patient sitting and float to ICU/ED as needed.

Patient Diagnoses Encountered

• Minor cuts and scrapes
• Fractures
• Abdominal pain
• Chest pain
• Respiratory concerns (shortness of breath)
• Oncological emergencies
• Neurological emergencies
• Trauma
• Psychiatric emergencies
• Abuse/assault/neglect evaluations
• Substance use disorder
• GI/GU/OB issues
• Sepsis

Special Procedures & Unit Details

• Conscious sedation
• Trauma alert/activation
• Stroke alert
• Cath lab activation
• Sexual Assault Nurse Examiner (SANE) consultation

Equipment & Systems

• Point of Care Ultrasound (US/USGPIV)
• EPOC
• Belmont
• Ranger
• Teleneurology
• Medication, documentation, and communication systems: Omnicell, Epic, SBAR, Voalte

Orientation & Training

• Unit orientation: 36 hours (1 week of class/clinical time).
• Pass/fail testing on dysrhythmia/EKG and medication knowledge may be required depending on unit assignment.

Additional Requirements

• Must not have been a former employee of the associated health system.
• Professional license and certifications must be current and match legal name on state license.
• Background checks, drug screening, and immunizations must be completed per facility policy.
• Physical exam within 1 year prior to start.
• Annual fit mask test required.
• Immunization requirements include Tdap, TB test or chest x-ray, MMR (Measles, Mumps, Rubella), Hepatitis B, Varicella, and seasonal flu vaccination or approved exemption.
• Drug screen: 10-panel within 14 days prior to start (with a 7-day grace period).
• Respiratory safety clearance required.
• Two professional references within the last 3 years required.

Work Environment & Culture

• Team nursing approach with floating between ICU and ED units.
• No patient assignments outside of clinical team scope.
• Scrubs: Any color allowed.

This position is ideal for experienced ER nurses with pediatric skills and prior travel contract experience seeking a night shift travel assignment in New Hampshire.