Emergency Department RN
McCall, ID
Access Healthcare
3x12 hrs, Rotating

Job Opportunity: Registered Nurse (ER)

Location

• McCall, Idaho

Assignment Details

• Travel assignment length: 13 weeks
• Shift length: 12-hour shifts
• Shifts: Evening and Night (1900-0730 primarily), some mid shifts (1200-0000)
• Hours per week: Approximately 36
• Weekend rotation: Usually every other weekend
• Holiday coverage: Typically 1 holiday off during winter season; holiday rotation applies
• Scheduling: Done in 6-week increments; attempts made to group shifts together and avoid on/off patterns
• Call/standby: Rare, up to 4 times per contract, rotated with permanent staff
• Floating: Required to float to Med-Surg and assist with codes and Rapid Responses hospital-wide; no patient assignment when floating

Unit Information

• Emergency Department with 8 beds and 2 trauma bays (including 1 bariatric bay and 1 negative pressure isolation room)
• 1 triage room used when main beds are full
• 1 mental health/seclusion room
• Security present most nights and some day shifts, stationed at front desk and assists with mental health patients
• Nurse-to-patient ratio: 2 RNs staffed 24/7, typically 1:4 ratio
• CNA support during summer months from 12p-12a; RNs assist with tasks as needed
• Respiratory Therapists available 24/7 for vents, ABGs, breathing treatments, and EKGs; RNs troubleshoot but RTs manage critical equipment
• X-Ray and CT located nearby; transport RN assists critical patients
• RN responsible for drawing labs from IV starts; phlebotomy handles venipuncture
• Use of Phillips telemetry monitors

Patient Population & Care

• Treats both pediatric and adult patients; must be comfortable with critical pediatric care
• Common cases: strokes, STEMIs, sepsis, trauma from recreational and winter sports accidents, and a large retired patient population
• No ICU onsite; ICU-level patients stabilized and transferred by flight or ambulance (over 2 hours away)
• Nurses responsible for cleaning rooms between patients
• Common drips include standard ER drips, pressors, and critical care drips, especially during extended holds

Required Certifications

• BLS (Basic Life Support)
• ACLS (Advanced Cardiovascular Life Support)
• PALS (Pediatric Advanced Life Support)
• TNCC (Trauma Nursing Core Course)
• NRP (Neonatal Resuscitation Program)

Experience Requirements

• Minimum 2 years of Emergency Room nursing experience
• Experience working in a similar-sized facility with fewer resources preferred
• Hands-on experience with trauma, stroke (CVA), STEMI, sepsis, and critical pediatric care required
• Epic electronic health record experience strongly preferred
• First-time travelers are acceptable if they have extensive experience in a similar setting

Orientation & Culture

• Orientation includes a general orientation day plus 1 twelve-hour shift shadowing in the ER with the RN manager
• Culture emphasizes teamwork and flexibility; staff often work as a skeleton crew on nights and must be able to assist throughout the hospital
• Dress code: Any color scrubs
• Department audits include bar code scanning, infection prevention/hand hygiene, and safety audits

This position is ideal for experienced ER nurses comfortable with a broad scope of emergency care in a smaller, resource-limited hospital setting who are team players and adaptable to floating and variable patient volumes.