ED - Emergency Department RN
New York, NY
Access Healthcare
4x12 hrs, Nights

ED RN - Adult Emergency Department

Assignment Overview

• Employment type: Travel/Contract
• Location: New York, New York
• Openings: 4
• Contract length: 13 weeks
• Unit: Emergency Department - Adult
• Shift: Night, 7:00 PM to 7:30 AM, 4x12-hour shifts (48 hours per week)
• Shift rotation: None; consistent schedule
• Staffing ratio: 1:10 for all shifts
• Patient population: Adults and geriatrics
• Weekend requirement: 12 weekend shifts per contract
• Orientation: 36 hours at the main hospital in Manhattan
• Scrubs: Green
• Note: Nurses may be assigned to patients who are admitted and awaiting an inpatient bed.

Unit and Work Setting

• General ED, combined adult/pediatric
• Non-trauma ED
• STEMI-certified facility
• Stroke-certified facility
• Systems: Medication system (Omnicell) and documentation system (EPIC) are used on the unit. Communication and risk tool: SBAR.

Required Qualifications

• Valid RN license in New York
• ED - Emergency Department (2 years of experience)
• ED - Emergency Department experience within the last year
• ACLS - Advanced Cardiac Life Support issued by American Heart Association
• BLS issued by American Heart Association
• PALS - Pediatric Advanced Life Support issued by American Heart Association
• NIHSS
• Associate of Science in Nursing / Associate Degree in Nursing
• Experience with Epic

Clinical Skills and Experience

• Cardiac monitoring and emergency care: Dysrhythmia interpretation and management; multisystem organ dysfunction or failure; 12-lead EKGs/ECGs
• IV therapy and phlebotomy: Arterial line management; blood product administration; central line care; phlebotomy; starting and maintaining IVs
• Medications: Continuous IV paralytics and sedation; emergency medications; IV insulin protocols; IV vasopressors; procedural sedation administration and monitoring
• Neurological care: CVA; hypothermia protocol (Arctic Sun); ICP monitoring; neuro-trauma; spinal cord injury; traumatic brain injury
• Orthopedics: Splint management and application; orthopedic trauma
• Psychiatric care: Acute psychosis; drug overdose; violent behavior management; psychiatric holds; suicidal patients
• Respiratory care: Intubation assistance and management; BiPAP/CPAP; ventilated patients; chest tube insertion and management; arterial blood gas interpretation
• Professional practice: Isolation precautions and PPE; triage

Pre-Start Requirements

Licensure and background

• Hard copy of NY license (must have green border, signed by licensee)
• NY State online license verification within 30 days of start
• Criminal background check within 30 days of start (7-year search)
• SAM, OIG, and NY OMIG searches within 30 days of start
• Education verification for a nursing degree; diplomas only, not certifications
• Work history verification for all employment on resume, up to 7 years
• Two manager/supervisor references (charge nurse is not acceptable)

Competencies

• Medication/pharmacology competency exam (required)
• Unit-specific competency exam (required)
• Color blind test, must score 100%
• Core Parts I-III and OSHA Mandatory, updated annually, must score 80% on all sections
• Harassment prevention training certificate

Health

• Physical exam within 1 year of start, updated annually
• N95 fit test within 1 year prior to start, updated annually
• Negative TB test (PPD, QuantiFERON, or T-SPOT) within 1 year, or chest X-ray if TB history is positive
• Tdap within 10 years of start
• Measles, mumps, rubella, and varicella titers (vaccine documentation if negative)
• Hepatitis B positive titer or declination
• 9-panel drug test within 1 year of start
• Flu vaccine or medical/religious exemption by 11/6 (declinations not accepted)

Documents

• Signed facility policies, including privacy, drug-free workplace, and harassment avoidance
• Onboarding modules to be completed within 30 days of start
• Skills checklist, updated annually

Additional Notes

• First-time travelers are accepted.