Registered Nurse (RN) - ED - Emergency Department
Medical Solutions Direct Hire
Macomb, IL
3x12 hrs, Days, Nights

Emergency Department Registered Nurse (ER/ED RN)
Direct Hire | Full-Time | Day or Night Shift

Pay Range:

$34.00 - $54.00

A patient-focused healthcare organization is hiring an Emergency Department Registered Nurse (ER/ED RN) for a permanent, full-time opportunity in a fast-paced emergency care environment. This role offers the opportunity to care for a diverse patient population while working collaboratively with physicians, respiratory therapy, ER technicians, and interdisciplinary support teams in an 11-bed Emergency Department.

Position Overview

· Permanent, full-time ER RN role

· 11-bed Emergency Department

· Nurse-to-patient ratio of 1:3 or 1:4

· ER holds managed directly by ER nursing staff

· Nihon Koden telemetry monitoring system (RNs interpret their own telemetry strips)

· 24/7 physician coverage with 12-hour Nurse Practitioner coverage

· Charge nurse carries patient assignments

· House Supervisor support available after 3 PM daily

Shift Details

· 12-hour shifts

· Day Shift: 7:00 AM – 7:00 PM (Saturday & Sunday)

· Night Shift: 7:00 PM – 7:00 AM (Friday & Saturday or Saturday & Sunday)

· Every other weekend and holiday required

· Scheduling completed on a 6-week rotation

· Scheduling based on departmental needs with flexibility required

· No required call or standby, though open call shifts may be available for pickup

Weekend Program Incentives

Employees select a weekend commitment level upon entering the Weekender Program for a minimum one-year commitment:

· 5 out of 6 weekends worked: Eligible for additional $7.00/hour flat rate

· 11 out of 12 weekends worked: Eligible for additional $11.00/hour flat rate

· Additional weekend premium applies only to eligible weekend shift hours worked

Unit Features

· No trauma level designation

· Not a STEMI or Stroke Center

· No fast-track area

· One triage room utilized when patient rooms are full

· Two safe behavioral health rooms integrated within the ER

· Security available, though not staffed 24/7

· Approximately 40 patients treated daily

· ER Technicians available 24/7

· PRN sitters available for patient observation support

· Respiratory Therapy available for ABGs, intubations, EKGs, and breathing treatments

· Portable X-ray available onsite

· Radiology transports patients except for STAT stroke head CTs, which are transported by ER staff

· Nurses perform initial IV attempts with phlebotomy follow-up as needed

· Steri-path system utilized for blood culture draws

· RT equipment includes ventilators, CPAP, BiPAP, and Vapotherm

Patient Population

· Cardiac patients

· Respiratory patients

· Gastrointestinal (GI) patients

· Behavioral health patients

· ER hold patients intermixed within the department

Key Responsibilities

· Provide direct emergency nursing care to patients with acute and emergent conditions

· Perform rapid patient assessments and prioritize care effectively

· Manage ER holds alongside active emergency patient assignments

· Monitor telemetry and interpret cardiac rhythm strips

· Collaborate with physicians, respiratory therapy, ER technicians, and interdisciplinary teams

· Troubleshoot respiratory support equipment including ventilators, CPAP, BiPAP, and Vapotherm

· Maintain accurate and timely patient documentation

· Float to supportive task assignments as needed

· May occasionally serve in sitter responsibilities as agency staff

Requirements

· Active Registered Nurse (RN) license

· Minimum of 2 years of nursing experience preferred

· Experience with cardiac, respiratory, and GI patient populations required

· Ability to manage 1:3 or 1:4 nurse-to-patient assignments

· ACLS Certification (Required)

· BLS Certification (Required)

· PALS Certification (Required)

· SANE Certification required (effective January 2023)

· Strong critical thinking and emergency assessment skills

· Experience reading telemetry strips required

Floating Requirements

· Occasional floating to task assignments may be required

· ER nurses may assist in supportive roles based on departmental needs

Dress Code

· Grey scrub tops

· Black pants

Orientation & Training

· Orientation is typically conducted 1:1 with the department Clinical Care Coordinator during the first week

· Orientation length and structure may vary based on EMR and departmental experience

Why This Opportunity

This role is ideal for an RN who thrives in a fast-paced Emergency Department environment and enjoys caring for a diverse patient population. Nurses benefit from strong interdisciplinary support, hands-on emergency care experience, and opportunities to expand clinical expertise in cardiac, respiratory, GI, and behavioral health patient care.

Job Type

Full-time

Benefits

· Health insurance

· Dental insurance

· Vision insurance

· Paid time off

· Retirement plan

· Career advancement opportunities

Work Location

In person

Selected candidates will be contacted directly to discuss experience, background, and next steps in the interview process.