Emergency Room RN
Silverdale, Washington
St Michael Medical Center

Registered Nurse (ER) - Travel Contract

Location: Silverdale, Washington
Contract Length: 13 weeks

Job Overview

Seeking an experienced Emergency Room (ER) Registered Nurse for a travel assignment in a busy trauma center with approximately 56 beds (expandable to 60-70 with hall beds). The ER includes a fast track area (6 beds), a separate triage area (5 beds), and an 18-bed holding area for inpatients awaiting bed placement. The unit also has a locked hall with 6 private psych/seclusion rooms and in-house security.

Typical patient volume is about 170-200 per day with nurse-to-patient ratios of 1:3, or 1:4 for low acuity patients. Common patient diagnoses include cardiac issues, stroke, sepsis, diabetic ketoacidosis (DKA), altered mental status (AMS), respiratory problems, abdominal pain, and mental health cases.

Work Schedule

• Shift: Days
• Hours per day: 12
• Hours per week: 36
• Weekend Requirement: Every other weekend
• Holiday Requirement: Must work holidays in November/December (manager may consider 1 of 3 holidays if unit demands allow)
• No call or standby requirement
• No floating required
• Scheduling based on department needs and traveler shift patterns

Orientation & Training

• Orientation/Education: Approximately 25+ hours over the first 2 weeks (not guaranteed)
• Unit-specific orientation includes 1 day of compliance training (8-10 hours) and 1 day of department orientation (12 hours)

Required Certifications & Licenses

• Active Washington State RN License or Compact License
• ACLS (Advanced Cardiovascular Life Support)
• BLS (Basic Life Support)
• TNCC (Trauma Nursing Core Course)
• PALS (Pediatric Advanced Life Support) or ENPC (Emergency Nursing Pediatric Course)
• NIHSS (National Institutes of Health Stroke Scale) certification preferred

Experience Requirements

• Minimum 2 years of ER nursing experience required
• Candidates with 1 year of experience in larger trauma settings may be considered
• Prior travel experience is not explicitly required

Clinical Environment & Support

• ED Techs and CNAs provide support including 1:1 sitters
• Respiratory Therapists manage ventilators, CPAP, BiPAP, and perform ABGs
• ED Techs perform EKGs and assist with phlebotomy; nurses also draw labs
• Radiology department adjacent to ED with transport assistance available
• Telemetry monitors present; RNs interpret cardiac strips

Additional Notes

• Manager will conduct phone interviews after profile review
• No accommodation for travelers requesting the same schedules/shifts if submitted as a duo
• No return to orientation (RTO) considered during the first full week of assignment
• Dress code: Any professional scrub colors allowed

This position offers the opportunity to work in a high-acuity ER/Trauma setting with a diverse patient population and strong interdisciplinary support.