ED RN
Iron Mountain, Michigan
Dickinson County Healthcare System

ER RN

Location: Iron Mountain, Michigan Contract Length: 13 weeks Shift: Day, Evening (12-hour shifts, 36 hours per week) Start Times: 10am, 12pm, 3pm

Required Qualifications

• Michigan RN license in hand
• ACLS, BLS, PALS, and TNCC certifications
• 2 years of ED experience

Unit and Department

• Department: ER RN
• Beds: 14, including 2 trauma bays
• Fast Track: 3 designated rooms
• Triage: 2 triage rooms. Travelers may triage after reviewing facility policies and procedures.
• Holding: Patients are held in the department, with attached ACU rooms used for overflow.
• Psych/Seclusion: Any room can be converted as needed.
• Trauma Level: Trauma IV. Does not receive stroke or STEMI patients, which are sent out.
• Volume: About 40-60 patients per day
• Common Patients: Variable, including trauma, STEMI, strokes, hunting injuries, MVAs, and farm injuries
• Common Drips: Variable

Staffing and Ratios

• Nurse-to-Patient Ratios: 1:3-4 during the day, with higher ratios at night after 11pm. After 3am, only 2 RNs are on until 7am.
• Charge Nurse: An RN takes an assignment, usually during the day.
• Monitoring: No monitor tech. A central monitoring station and RNs monitor patients.
• Strip Reading: RNs are required to read their own strips.
• Support Staff: 24/7 CNAs, medics, and LPNs. No dedicated ER team; they float to tasks.
• Providers: ED physician in house 24/7, plus mid-levels.
• Respiratory Therapy: In house 24/7 for ABGs, breathing treatments, and EKGs when extra assistance is needed.
• Phlebotomy: 24/7
• Imaging: X-ray down the hall 24/7; CT is a short distance away.

Scheduling

• The manager creates the schedule and tries to avoid 1-on-1-off patterns. Variable start times rotate.
• Weekends: Every other weekend, Saturday and Sunday
• Holidays: At least 2 of 3 for winter needs; otherwise usually every other holiday during the contract
• Call/Standby: Volunteer to go home
• Floating: Inpatient, for helping hands
• Clock In/Out: All clinicians must clock in and out at the facility.

Orientation and Dress Code

• Orientation: Computer-based training plus 2 days of floor orientation, one of which covers policies and is more department-specific.
• Dress Code: Any solid color, clean and professional

Other Notes

• Accepts duos and first-time travelers.
• Clinicians who have previously worked at this facility must have an end date at least 6 months before their submission date, and submissions must note any prior work there.
• Security: No 24/7 security. Maintenance handles security. Local police, internal code backup, and 911 are used.