ED RN
Plattsburgh, NY
Access Healthcare
3x12 hrs, Evenings

ER Registered Nurse

Location: Plattsburgh, NY Unit: ECC / ER Contract Length: 5 weeks Start: Must start next week Hours: 12 hours per day, 36 hours per week, rotating

Required Qualifications

• Minimum 1 year clinical experience
• Minimum 1 year specialty experience
• Certifications: BLS, ACLS, PALS, NIHSS, and TNCC

  • TNCC must be active, or proof of class provided in the packet before start
  • NIHSS must be completed before starting
• Active NY nursing license, or proof of application with applied date submitted in the packet

  • NY licensing takes 6-8 weeks, and start dates and offers will account for this
• Charge shift required
• Does not require prior travel experience
• Does not require teaching hospital experience

Preferred Qualifications

• Prior travel experience
• Charge experience

Facility and Unit Details

• Facility: 341 total beds; teaching facility: No
• Trauma Level 3
• Unit beds: 29-bed ED, 4-bed behavioral health (BDU), and 7-bed Fast Track; all beds can convert to ER beds
• Patient population: adult and pediatric ED, ages neonate to geriatric
• Nurses may be assigned boarded patients, psychiatric patients, and COVID patients within their general assignment

  • Boarders may be medical/surgical, long-term care, psychiatric, awaiting admission, or outsourced
• Critical care ICU patients are moved quickly to the ICU
• Floating required: No

Staffing

• Nurse-to-patient ratio: 1:5, sometimes higher based on volume

  • Nurses must be comfortable with ratios higher than 1:4; if your experience has been only 1:4, this may not be the best fit
• Ancillary support:

  • CNA/PCT: staffed 7a-11p (3), 11p-3a (3), 3a-7a (2); a float is added 11a-7p
  • Unit clerk/secretary: 1 per shift
  • Crisis clinicians: 7a-11p, 1 per shift
  • Advanced practice providers: typically 3 staggered from 8a-11p

Schedule

• Shift times: 7a-7p, 7p-7a, 11a-11p; ER RN shift listed as 1500-0330
• Weekends: minimum of every other weekend, with adjustments to meet unit and patient needs
• Holidays: required
• Call: not required
• Scheduling: posted; no block schedules; self-scheduling not available
• Orientation: 20 hours for short contracts, 24 hours for 13-week contracts; bi-weekly Monday orientations

Clinical Procedures and Support

• Respiratory and anesthesia available 24/7 for support; respiratory manages ventilators
• Nurses manage drips (prepared by pharmacy, staffed 24/7)
• Nurses start their own IVs; IV therapy team available certain hours for difficult starts
• Nurses perform their own EKGs (CA IIs can assist)
• CA IIs are trained to straight stick for labs; nurses may also straight stick or draw from the IV
• Nurses give their own respiratory treatments

Equipment and Systems

• Monitors: Philips MP40
• IV pumps: Alaris
• Documentation system: Epic
• Medication system: Pyxis

Dress Code

• Scrubs: navy blue or white
• Closed-toe shoes
• Hair/beard: clean shaven
• No artificial nails

Conduct

• Zero tolerance for cell phone use or earbuds while working

Transportation

• Public transportation is not accessible in this area
• Reliable transportation required; personal or rental vehicle strongly recommended
• Vehicles should have all-season or snow tires November through April

Application Notes

• All employment gaps over 90 days must be explained
• Complete work history is required to submit, including bed count, EMR, and facility type