Travel Nurse RN - ED - Emergency Department
Meridian, ID
Talent4Health
3x12 hrs, Evenings, Nights

ER (Emergency Room) 2years exp required

Required Certifications

ACLS, BLS Certification, ENPC, PALS, TNCC c

Shift Notes

All shifts - 1330-0200, 1530-0400 & 1930-0800, weekends as needed, first to float

Traveler Notes

• Facility enforces a 50-mile radius rule.

Emergency Department Overview

• Unit: Emergency Department (ER)
• Volume: Approximately 170 patients per day
• Beds: 45 total beds
  • 4 hallway beds
  • 4 vertical care rooms
  • 1 trauma bay
  • 1 resuscitation bay
  • 1 cardiac room
• Fast Track: Vertical space and rapid assessment process
• Triage: Separate triage area (travelers do not perform triage)
• ER Holds: Intermixed with ER patients
• Psych Rooms: 4 dedicated psych rooms with 1:1 sitter coverage
• Security: In-house 24/7 and located within the ER

Designations

• Trauma Level IV (currently accepting Level III trauma patients while pursuing Level III designation)
• STEMI Level I
• Stroke Level II

Patient Population

• Adults and Pediatrics
• High-acuity emergency department with frequent ESI Level I patients
• Common presentations:
  • Stroke
  • STEMI
  • Trauma
  • Abdominal pain
• Pediatric patients are stabilized and transferred when necessary

Staffing & Ratios

• RN:Patient Ratio: 1:4–5
• Charge Nurse: Yes, without patient assignment
• Additional leadership support:
  • Assistant Nurse Manager
  • Administrative Supervisor
• Providers:
  • Minimum of 1 physician and 1 APP
  • Up to 6 providers on shift

Support Staff

• CNA ratio approximately 1:5–9 patients
• CNAs perform:
  • EKGs
  • Phlebotomy
  • Wound care (excluding irrigation)
• Providers perform splinting
• Patient sitters available
• Respiratory Therapy in ER 24/7
  • Performs ABGs and breathing treatments
  • Manages respiratory equipment

Monitoring & Diagnostics

• RNs responsible for cardiac rhythm interpretation
• SpaceLabs cardiac monitors
• CT and X-ray available in the ER
• Overflow imaging performed in main radiology department
• Transport generally provided unless patient is critical

Lab Draws

• Labs may be drawn by:
  • RNs
  • CNAs
  • Phlebotomy

Common Drips

• Nicardipine
• Propofol
• Fentanyl
• Norepinephrine
• Nitroglycerin
• Versed (Midazolam)
• Precedex (Dexmedetomidine)

Required Certifications

• BLS
• ACLS
• TNCC
• PALS
• ENPC

Experience Requirements

• Minimum 2.5 years Emergency Department experience
• Must come from a larger urban hospital setting
• Trauma experience preferred

Scheduling

• 12-hour shifts with varied start times:
  • 0730–2000
  • 1000–2230
  • 1130–0000
  • 1330–0200
  • 1530–0400
  • 1930–0800
• No block scheduling
• Staff scheduled according to department needs
• No late-to-early turnaround scheduling

Weekend/Holiday Requirements

• 4 weekend days every 6 weeks (2 full weekends)
• Holidays as needed

Call & Floating

• No call or standby requirements
• Rare floating to Boise Medical Center or Nampa Medical Center ERs

Orientation

• Hospital orientation
• Epic orientation
• 1 department-specific shift on the unit

Dress Code

• No specific scrub color
• Must be clean and professional