ER RN
Meridian, ID
Access Healthcare
3x12 hrs, Rotating

ER RN (Registered Nurse)

Location: Meridian, Idaho (Southern Idaho) Contract Length: 13 weeks Start: ASAP Hours: 12-hour shifts, 36 hours per week Shift: Evening (Day and Evening listed in source)

Required Qualifications

• RN license (ER RN)
• Certifications: BLS, ACLS, TNCC, PALS, ENPC
• 2.5 years of ED experience
• Experience from a larger urban hospital setting

Preferred Qualifications

• Trauma experience

Unit and Department

• Unit: ER
• Beds and bays: 45 beds, including 4 hallway beds, 4 vertical rooms, 1 trauma bay, 1 resuscitation bay, and 1 cardiac room
• Trauma and stroke levels: Trauma Level IV, STEMI Level I, Stroke Level II; working toward Level III Trauma designation and currently accepting Level III patients
• Fast track: Vertical space and rapid assessment
• Triage: Separate triage area; travelers do not triage
• Holding: Intermixed within the ER
• Psych/seclusion: 4 psych rooms (included in the 45 beds) with 1:1 sitters
• Security: In-house 24/7, housed in the ER
• Volume: About 170 patients per day

Patient Population and Acuity

• Peds and adults
• Common presentations: stroke, STEMI, trauma, abdominal pain, and many high-acuity ESI Level I patients
• Pediatric patients are stabilized and transferred out

Staffing and Support

• Nurse-to-patient ratio: 1:4-5
• Charge nurse: Does not take an assignment (Assistant Nurse Manager and Admin Supervisor cover)
• CNA ratio: 1:5-9; CNAs perform EKGs, phlebotomy, and wound care (no irrigation); providers perform splinting
• Respiratory therapy: 24/7 in the ER; performs ABGs and breathing treatments and manages all RT equipment
• Monitoring: RNs must read and interpret cardiac monitors (no monitor techs)
• Lab draws: RNs, CNAs, and phlebotomy
• Imaging: X-ray and CT in the ER with overflow to main radiology; patients transported unless critical
• Providers: At least 1 physician and 1 APP per day, with up to 6 providers at a time
• Common drips: Nicardipine, Propofol, Fentanyl, Norepinephrine, Nitroglycerin, Versed, Precedex, and others

Schedule and Requirements

• Shift options: 0730-2000, 1000-2230, 1130-0000, 1330-0200, 1530-0400, 1930-0800; may mix start times within AM or PM shifts, but will not be scheduled a late shift followed by an early shift
• Scheduling: Assigned where needed; no block schedule
• Weekends: Minimum 4 Saturdays/Sundays in 6 weeks (2 weekends total)
• Holidays: As needed
• Call/standby: None
• Floating: Rarely floats; may float to other ERs in the system
• Dress code: No specific color; clean and professional
• Orientation: 1 shift on the unit after facility orientation
• Address requirement: Facility enforces a 50-mile radius rule; candidate's permanent address must be provided with the submittal to confirm it is outside that radius