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

Required Certifications

ACLS, BLS Certification, ENPC, PALS, TNCC RN compact/state

Shift Notes

1330/1530/1930 shifts, weekends as needed, first to float

ER RN Unit Notes

Unit Overview

• Department: Emergency Room (ER)
• Beds: 45 total
  • 4 hallway beds
  • 4 vertical (fast-track) rooms
  • 1 trauma bay
  • 1 resuscitation bay
  • 1 cardiac room
  • 4 psychiatric rooms (included in total bed count)

Trauma & Specialty 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
• Common diagnoses:
  • Stroke
  • STEMI
  • Trauma
  • Abdominal pain
  • ESI Level I/high-acuity patients
• Pediatric patients are stabilized and transferred as needed.

Patient Volume & Staffing

• Average daily census: ~170 patients/day
• RN:Patient Ratio: 1:4–5
• CNA Ratio: Approximately 1:5–9

Experience Requirements

• Minimum 2.5 years of Emergency Department experience
• Experience in a larger urban hospital
• Trauma experience preferred

Required Certifications

• BLS
• ACLS
• TNCC
• PALS
• ENPC

Emergency Department Layout

• Fast Track via Vertical Space/Rapid Assessment
• Separate triage area
  • Travelers do not perform triage
• ER holds are intermixed with active ER patients
• 4 dedicated psych rooms with 1:1 sitters
• Security stationed in the ER 24/7

Providers

• Minimum staffing:
  • 1 Emergency Physician
  • 1 APP
• Up to 6 providers may be staffed simultaneously.

Nursing Support

• Charge Nurse (no patient assignment)
• Assistant Nurse Manager
• Administrative Supervisor
• CNAs perform:
  • EKGs
  • Phlebotomy
  • Wound care (no irrigation)
• Providers perform splinting.

Respiratory Therapy

• RT available 24/7
• Performs:
  • ABGs
  • Breathing treatments
• RT manages all respiratory equipment.

Monitoring & Diagnostics

• RNs interpret telemetry
• SpaceLabs cardiac monitors
• X-ray and CT located in the ER
  • Overflow imaging in main Radiology
  • Patients transported unless critically ill
• Labs drawn by:
  • RNs
  • CNAs
  • Phlebotomy

Common Medication Drips

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

Scheduling

• 12-hour shifts with varying start times:
  • 7:30 AM–8:00 PM
  • 10:00 AM–10:30 PM
  • 11:30 AM–12:00 AM
  • 1:30 PM–2:00 AM
  • 3:30 PM–4:00 AM
  • 7:30 PM–8:00 AM
• Mixed start times based on department needs
• No block scheduling
• No late-to-early ("turnaround") shifts

Weekend & Holiday Requirements

• 4 Saturday/Sunday shifts every 6 weeks (2 full weekends)
• Holidays as needed
• No call or standby requirement

Floating

• Rare
• May float to:
  • Boise Medical Center ER
  • Nampa Medical Center ER

Orientation

• Hospital orientation
• Epic orientation
• 1 unit-specific shift in the ER

Dress Code

• Any clean, professional scrubs
• No required scrub color

Facility Policy

• 50-mile radius rule applies for travelers.