Travel Nurse RN - ED - Emergency Department
Pahala, HI
First Connect Health
3x12 hrs, Flexible
Referral Bonus

ER Registered Nurse (RN)

Location: Pahala, HI (Big Island)

Contract Duration: 13 Weeks

Shift: 12-Hour Shifts | 72 hours per pay period (36 hrs/week avg)

Start Date: 03/23/2026

Job Summary

A unique Critical Access Hospital located in the rural Pahala region of the Big Island. This is a "jack-of-all-trades" role: because it is a small facility with no separate units, the RNs are responsible for the Emergency Room, Acute Care, and Long-Term Care (LTC) patients simultaneously. This role requires a nurse with high-level ER skills who is also comfortable managing medication passes and procedures for residents in a cross-functional setting.

Key Responsibilities

• Universal Nursing Care: Provide nursing coverage across the ER, Acute beds, and Long-Term Care wing based on facility census and daily assignment.
• ER Stabilization: Serve as the primary ER nurse when patients present. In a rural setting like Pahala, this often involves stabilizing high-acuity patients for transfer to larger facilities in Hilo or Kona.
• LTC & Acute Support: Perform medication passes, treatments, and procedures for stable acute and long-term care patients when the ER is clear.
• Flexible Staffing: If assigned to "Meds," the RN focuses on the LTC and Acute population; if assigned to "ER," the RN remains the first responder for emergencies while providing backup to the floor.
• EMR Documentation: Utilize Epic to maintain accurate patient records across all levels of care.

Requirements & Qualifications

• Experience: Minimum of 2 years of Emergency Department experience is mandatory.
• Licensure: Hawaii State RN License.
  • Note: If not currently held, you must apply immediately upon acceptance of offer. You MUST have the license in hand by the start date.
• Certifications: BLS/BCLS (AHA) required. (ACLS/PALS are highly recommended given the isolated location and ER focus).
• Latex Awareness: This is not a latex-free facility.

Assignment Details & Expectations

• Schedule: 6 x 12-hour shifts per two-week pay period. Every 3rd weekend off.
• Arrival Protocol: Mandatory arrival by the Thursday before the start date. You must attend an Employee Health appointment on Friday. Failure to arrive on time may result in contract cancellation.
• Facility Address: Pahala, HI 96777.
• Traveler Profile: Ideal for nurses who enjoy a quiet, rural lifestyle and the clinical variety of a small-town hospital.