Emergency Room (ER) Registered Nurse
Auburn, Nebraska
Nemaha County Hospital

Emergency Room (ER) Nurse - Nebraska, Auburn

Contract Length

• 13 weeks

Department & Facility Details

• Department: Emergency Room
• Beds/Trauma Bays: 2 Trauma bays, 2 Clinic rooms
• No Fast Track or separate triage area
• No separate holding or psych/seclusion rooms in ER
• No 24/7 in-house security in ER
• Average patients treated per day: 12

Staffing & Ratios

• Nurse to patient ratio: 1:1 to 1:3 (usually one patient at a time, rotating assignments)
• Staff includes 3 licensed personnel per shift: 2 RNs + 1 LPN or RN
• Charge Nurse/House Supervisor is a shared role and may take patient assignments
• Support staff: 2 ER techs (one admits patients and assists unit, other floats to Med-Surg), paramedics on all shifts

Certifications & Experience

• Required: BLS
• Preferred: ACLS, PALS, TNCC
• Experience: Candidates with experience in similar hospital settings preferred; first-time travelers are welcome

Patient Care & Common Diagnoses

• 60-75% urgent care cases; no local urgent care facility nearby
• Common ER cases: strokes, myocardial infarction (MI), trauma from motor vehicle collisions (MVCs)
• No cath lab on site; stabilize and transfer critical patients
• On-call trauma team rarely activated

Procedures & Equipment

• Common drips: insulin gtt, pain management, TPA
• ED Physician/Mid-Levels: Always have a Midlevel provider or PA present
• Respiratory Therapy (RT): Available 6am-6pm Monday-Friday; paramedics manage vents and BiPAP during off hours
• RT equipment managed by paramedics after MD orders; RNs handle drips and other care
• Monitoring: Mindray monitors; RNs monitor their own telemetry; central RN station located in middle of ER and Med-Surg units
• Imaging: X-Ray and CT available nearby; mostly in-house with some on-call hours
• Lab draws: Lab available 24/7; RNs can draw labs off IV starts

Scheduling & Shifts

• Shift: 7am-7pm
• Scheduling managed by manager with consideration for preferences and block scheduling
• Weekend requirement: Every other or every third weekend, varies by contract
• Holiday coverage: Filling in holiday gaps
• No call or standby requirement due to low census
• Floating: Nurses float between ER and Med-Surg during shifts; RN station centrally located to support both units

Orientation & Dress Code

• Orientation: 1 full day (8:00am-4:30pm) covering business office, IT, and resources; plus two 12-hour shifts (one ER, one Med-Surg) before working independently
• Scrub color/dress code: Scrubs not provided; any color allowed, no other hospital logos or prints permitted