Job info

ER RN (Registered Nurse)

Overview

Location: Bryan, Texas (Eastern Texas)
Contract length: 13 weeks (travel assignment)
Shifts: Day and Evening
Hours: 12-hour shifts, 36 hours per week
Unit: ER/ED
Orientation: 3 shifts in the ER

Required Qualifications

Certifications: BLS, ACLS, PALS, TNCC, NIHSS
Experience: 2 or more years of experience, ideally in a facility with similar patient volume, trauma level, and size
Advanced Dysrhythmia exam: Must pass with a score of 83% before signing the contract. Three attempts are allowed.
Credentialing: A copy of the driver's license is required at submittal. The name in the credentialing system must match the government-issued ID, with no middle initial or middle name.
Employment eligibility: Candidates directly employed (full time, part time, or PRN) by any affiliated health system facility within the past year are not eligible. Candidates who worked PRN through outside staffing firms will be considered.

Unit and Work Environment

Facility level: Level III Trauma center and Primary Stroke center with comprehensive capabilities
Size: 30 beds, including 2 trauma bays and 24 acute beds
Volume: About 135 patients per day
Fast Track: Called "vertical care"
Triage: Separate triage area with a "first eyes nurse." Travelers may be placed in triage after a period on assignment, once their skills are assessed.
Holding and seclusion: Holds are intermixed within the ER, and ED RNs care for them. There are no separate psych or seclusion rooms.
Security: In-house 24/7, with an off-duty officer in the ER 24/7
Patient ratios (vary by acuity):
- General acute care: 1:3-4
- Level I trauma: 1:1 or 2:1
- TNK: 1:1 for the first hour
- Vertical care: 1:6-8
Common patients: General ER patients, chest pain, fever, pediatric URI symptoms (10-15% of patients are pediatric), geriatric altered mental status, and trauma (ground-level falls, MVAs, all-terrain vehicle injuries, GSW, stabbings). Patients also include chest tube, rapid transfusion, and intubated patients.
Common drips: Diltiazem, Cardene, Nitro, sedation (propofol, fentanyl), and levophed
Physician and midlevel coverage: 1 MD 24/7 and a second MD from 9 AM to 2 AM. NP or PA staffed 24/7, with a second midlevel from 10 AM to 10 PM.
Charge nurse: Free-floating and takes an assignment if needed. Responds to codes and rapid responses on floors.
Patient care techs: Perform EKGs, wound care, transport, ADLs, and trauma setup (chest tubes, a-lines, and central lines)
Respiratory therapy: Assigned to the ER 24/7. RTs perform ABGs and split breathing treatments with RNs.
Monitoring: RNs monitor their own telemetry.
Imaging: X-ray and CT are both in the ER, with their own transporter.
Phlebotomy: Available in the ER 24/7
EMR: PulseCheck or Picis

Schedule

Hybrid scheduling: Some self-scheduling and some block scheduling to meet needs. The scheduler works with the traveler to finalize the schedule.
Varied 12s: Start times between 11:00 and 13:00
Weekends: Every other weekend
Holidays: Rotate in with core staff, with 1 major holiday
Call or standby: None
Call-outs: Strongly discouraged and could lead to termination
Precepting: May be asked to precept as needed by the unit

Float Scope

May float to help as needed, without a dedicated assignment
Will float to the College Station campus (about 16 minutes from Bryan) as needed
Listed as "first to float"