Travel Nurse RN - ED - Emergency Department
Cut Bank, MT
TNAA TotalMed RN
3x12 hrs, Days, Rotating
Referral Bonus

Simpli Fi interview.  Manager final approval. 
2 years of recent ER experience.  Critical Access experience strongly preferred.   Would prefer some Med Surg experience as well.   First time traveler accepted 
BLS, ACLS, PALS required.  TNCC, STABLE, NRP preferred.

Unit Information:
Beds: 20
Census? Average patients/day? Inpatient 1.2, ER 9/day
Minimum Years of Experience required? 2 years of ER experience; would prefer some MedSurg experience as well, but not required
Will you accept a first-time traveler? Yes
Patient Types/Common Diagnoses:
All ages. Can have Peds on the inpatient unit, but this is rare and they are low acuity
COPD exacerbation, diabetes, behavioral health, chest pain, URI, UTI, traumas, strokes
This is a CAH, so travelers will care for both ER AND MedSurg patients. RN will be assigned ER and MedSurg patients. If there is a code or emergent situation, RNs will respond and CNA will cover the unit until they return
1-2 times per month will be assigned endoscopy recovery. Patients receive propofol for procedure and recovery is usually pretty quick (on the inpatient unit). If no experience, will be taught here
No respiratory therapy – RNs will give all updraft treatments. If patient is needing bipap, they are likely being transferred out. No vented patients on the floor; vented patients will be transferred out from the ER
Patient Ratios:
1:4. This will include ER and MedSurg patients. There is no dedicated ER RN and everyone is in a rotation
2 RN per shift for Days and Nights
1 Midshift RN to help cover
CNA: 1 CNA per shift
Required License, National Certification, Certs:
BLS, ACLS, PALS required
TNCC, STABLE, NRP preferred
Skills required:
IV starts, NG tube insertion/maintenance, comfortable in a code situation, assisting with intubations, mixing meds, wound care, dressing changes, wound vacs, ER triage, foley insertion and care, stabilizing trauma patients, MI/STEMI/Stroke protocols and stabilization (will be transferred out), reading EKGs/tele strips
Support within the Department:
CNA Duties - Patient care, registration after hours, and weekends, reception/HUC duties
Charge nurse - Yes, each shift
Phlebotomy - Lab is on call after hours
NO RT ON SITE; this is a part of nursing duties
Hospitalist 24/7 - rotates between two doctors. Rounds during the day, on call at night
Midlevel providers and paramedics in the ER
Remote Pharmacist comes on site 2x per month. Pharmacy Tech comes in daily to do checks
Technology/Equipment:
EMR: Cerner/Oracle
IV Pump: Alaris
Med dispensing: Pyxis
Monitors: Mindray
Floating: If yes, where?
Only within facility between the units here
Orientation (facility and unit):
NEO
3 shifts of floor orientation
Scheduling:
Weekend rotation: At least 4 shifts per month. Nights are Fri/Sat, Days are Sat/Sun
On call? none
Holiday Expectations: Rotate throughout the year
Approval of RTO: ok to approve 7 days
Shift times: If position is posted as variable, could work Days, Mids, or Nights in contract. Would work at least 1 week on a certain shift, if not more.
Days: 0545-1815
Mids: 1200-0000
Nights: 1745-0615
Schedule cycle: Made at least 2 months in advance. Will do self-scheduling with manager final approval of schedule
Other notes:
Scrub Color: Any solid color, professional
Parking: Free parking lot
Unit Culture: Teamwork