Emergency Room RN
Hettinger, North Dakota
West River Regional Medical Center

Registered Nurse (ER RN) - North Dakota

Location

• City: Hettinger, North Dakota

Contract Length

• 16 weeks

Work Schedule

• 12-hour shifts, rotating Day/Night
• Approximately 36 hours per week
• Weekend requirement: Every other weekend or possibly every third weekend
• Holiday requirement: Every other holiday
• Low census on-call for extra shifts
• Self-scheduling with manager oversight; block scheduling considered case-by-case

Unit and Environment

• Department: Emergency Room
• Trauma Level IV, Acute Stroke Ready Hospital
• 2 ER rooms with 1 overflow room
• No Fast Track or separate holding area
• No separate Psych/seclusion rooms
• No in-house security; 911 for sheriff response
• Average patient volume: 4-5 patients per day
• Nurse-to-patient ratio: 1 charge nurse per 2 patients
• Float to Medical-Surgical units as needed
• Orientation: 1 day and 1 night shift on unit
• Scrub color: Any color/pattern allowed; closed-toe shoes required

Patient Care and Responsibilities

• Common patient types: Acute illnesses, lacerations, orthopedic injuries, trauma, cardiac cases (STEMI patients shipped out)
• Common drips administered: Heparin, Cardizem, Nitro
• Respiratory therapy duties performed by RN (no RT coverage 24/7)
• RN responsible for ABGs, breathing treatments, EKGs, and RT equipment setup (CRNA assists with vents)
• RN reads telemetry strips; no monitor techs on site
• Radiology on call for X-ray and CT; may require RN assistance
• Phlebotomy draws labs; RN usually does not draw labs
• Charge nurse oversees ER patients without direct assignment

Required Certifications

• Basic Life Support (BLS)
• Advanced Cardiovascular Life Support (ACLS)
• National Institutes of Health Stroke Scale (NIHSS)
• Trauma Nursing Core Course (TNCC) preferred

Experience

• Prior ER nursing experience in similar settings required

Additional Notes

• Nurse aids (CNAs) from med/surg available to assist
• EMS staff may assist on request