Travel Emergency Department RN
Winnemucca, Nevada
Humboldt General Hospital

Emergency Department RN Opportunity - Winnemucca, Nevada

Position Overview

• Role: Emergency Department Registered Nurse (ER RN)
• Location: Northern Nevada
• Shift: Variable (typically 6 AM - 6 PM, no mid shifts)
• Contract Length: 13 weeks
• Experience: Minimum 3 years ER nursing experience required
• Preferred: Candidates with 3 or more completed travel assignments
• Must have strong independent skills and triage experience
• Occasional float to Medical-Surgical/Telemetry to assist other nurses (typically no own patients)

Required Certifications

• BLS (Basic Life Support)
• ACLS (Advanced Cardiovascular Life Support)
• PALS (Pediatric Advanced Life Support)
• TNCC (Trauma Nursing Core Course)
• Preferred: NIH Stroke Scale (NIHSS)

Department & Facility Details

• Trauma Level: Critical Access Hospital (CAH)
• STEMI Receiving: Yes (stabilize and transfer out STEMIs and strokes)
• Beds: 8 ER beds
• Triage: No designated triage nurse; any ER nurse may triage using the ESI model
• Holding Area: No separate holding area; holds are kept in the ER
• Psychiatric Care: 2 designated safe rooms for psych patients; security rounds every 15 minutes
• Security: In-house 24/7, including ER coverage
• Patient Volume: Approximately 30 patients per day (700 per month)
• Nurse-to-Patient Ratio: 1:3-4 depending on acuity and census

Patient Population & Common Diagnoses

• Pediatric patients: ~25%
• Large Hispanic population
• Common cases include:

  • Cardiac issues (arrhythmias, STEMIs, NSTEMIs, hypertension, CHF exacerbations)
  • Strokes and post-stroke care
  • Trauma (motor vehicle accidents, falls)
  • Orthopedic cases
  • Gastrointestinal issues
  • Alcohol-related cases and overdoses
  • COPD and respiratory conditions

Clinical Skills & Responsibilities

• Must be comfortable with conscious sedation and managing critical drips, including ketamine for bedside procedures
• Nurses expected to read and interpret telemetry (no monitor techs present)
• Respiratory Therapy (RT) available 24/7; nurses may assist with respiratory equipment troubleshooting and management (NC, High Flow, CPAP, BiPAP, trachs, vents)
• RN responsible for lab draws upon IV starts; phlebotomy support available if needed
• Assist with patient transport for X-ray/CT unless patient is critical (then RN accompanies)
• Participate as part of Rapid Response Team (RRT); may respond to codes and emergencies hospital-wide

Staffing & Support

• ED Physician: 1 onsite per 24-hour shift
• Charge Nurse: Designated working charge nurse available as a resource
• Nurse Aides: No CNAs in ER; primary care nursing model; travelers may assist with precepting nursing, EMT, and paramedic students
• Orientation: 1 day general orientation plus 1-2 days with a preceptor

Scheduling & Work Requirements

• Schedule: Typically block schedule (6 days on, 8 days off), flexible to fill gaps in permanent schedule
• Weekend Requirement: Every other weekend or 1-2 weekends per month
• Holiday Requirement: Every other holiday rotation; may be asked to participate
• No call or standby requirements
• Scrub Color: Navy blue

This position offers a challenging and rewarding opportunity for experienced ER nurses comfortable with a high-acuity, fast-paced environment in a rural critical access hospital setting.