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

ER RN (Critical Access / Cross-Trained)

Location: Pahala, HI (Big Island)

Contract Duration: 13 Weeks (Starts 05/11/2026)

Shift: 12-Hour Shifts | 72 Hours per Pay Period (6x12s every 2 weeks)

Schedule: Every 3rd weekend off

Job Summary

A unique Critical Access Hospital located in a remote area of Hawaii's Big Island. This is a "true" rural nursing role: because the facility is small, there are no separate units. You will be hired as an ER RN, but you must be a clinical "generalist" capable of covering Emergency, Acute Care, and Long-Term Care (LTC) patients simultaneously. This role requires extreme flexibility, high autonomy, and the ability to pivot from a trauma stabilization to a routine LTC medication pass in a single shift.

Key Responsibilities

• Emergency Response: Act as the primary lead for any ER presentations; stabilize, treat, and coordinate transfers for higher-acuity trauma or cardiac cases.
• Acute & LTC Coverage: When the ER is quiet, you will provide backup and supplemental staffing for the acute care and LTC wings.
• Medication Administration: Perform comprehensive med passes and nursing procedures for both acute and long-term care residents.
• Cross-Continuum Care: Manage a diverse patient load ranging from acute medical emergencies to chronic geriatric care.
• Resource Management: Operate effectively in a facility with limited onsite resources; utilize Epic EMR for all documentation.

Requirements & Qualifications

• Experience: Minimum 2 years of Emergency Department (ED) experience is mandatory.
• Licensure: Must hold an active State of Hawaii (HI) RN License by the start date (05/11/2026). If not currently held, you must apply immediately upon offer acceptance.
• Certifications: AHA BLS (Required). Given the ER focus, ACLS and PALS are highly recommended for rural autonomy.
• Adaptability: Must be comfortable working in a non-latex-free facility and rotating through all areas of the hospital.

Unit & Facility Details

• Location: Pahala, HI 96777.
• Bed Size: Small (0–49 beds).
• Environment: Rural, remote, and critical access.
• Travel Note: You must arrive the Thursday before your start date (May 7th) to attend a mandatory Employee Health appointment on Friday.

Financial & Logistics Notes

• Guaranteed Hours: Hours are NOT guaranteed for this contract; however, the schedule is set for 72 hours per pay period.
• Holiday Coverage: Required as part of the rotation.
• Onboarding: Prompt compliance is essential for HI licensing and health screening.

Clinical Spotlight: The Rural Island Generalist

Working at this Hospital is a masterclass in nursing resourcefulness. Because of the facility's remote location in Pahala, you are the primary safety net for the local community. Your ER skills are the "anchor," but your ability to transition into the Long-Term Care environment ensures the facility runs smoothly.

In this setting, the Emergency Room functions as the "front door" to the island's healthcare system. You might be managing a patient with a respiratory emergency while simultaneously overseeing the clinical needs of stable LTC residents. It is a role that rewards clinicians who enjoy variety and the challenge of practicing "all-around" nursing care.

Pahala is a quiet, historic town near the Punaluʻu Black Sand Beach and Hawaii Volcanoes National Park.