Emergency Department Holding RN
San Francisco, California
California Pacific Medical Center - Van Ness Campus

Registered Nurse – ER Holding

Location: San Francisco, California
Employment Type: Travel/Contract
Contract Length: 13 weeks
Shift: Nights, 3 shifts per week, 12 hours each (7:00 PM – 7:30 AM)
Weekend rotation required, no on-call

Job Overview

• Primarily assigned to Emergency Department (ED) holding.
• Must be willing to float to Medical-Surgical (MS) and Telemetry (Tele) units when not utilized in ED holding.
• Responsibilities include patient assessment, clinical procedures (IV insertion, Foley catheterization, dressings), patient and family education, tele monitoring, ventilator care, and safe medication administration.
• Recognize changes in patient condition and act as patient advocate.
• Work independently and collaboratively within the team.
• Maintain professional appearance and complete tasks timely.

Required Qualifications

• Valid Registered Nurse (RN) license in California.
• Minimum 2 years of Emergency Department (ED) nursing experience, with at least some experience within the last year.
• Associate of Science in Nursing (ASN) or Associate Degree in Nursing (ADN).
• Certifications:

  • Basic Life Support (BLS) issued by American Heart Association (AHA) or American Red Cross (ARC).
  • Pediatric Advanced Life Support (PALS) issued by American Heart Association (AHA) or American Red Cross (ARC).

Background and Compliance Requirements

• 7-year background check including social security trace, county searches, sex offender search, education verification, and FACIS Level 3 screening.
• EPLS/GSA/SAM and HHS/OIG checks required and updated annually.
• Education verification required; BSN preferred but not mandatory.
• Drug screening: Negative 9-panel drug screen within 6 months (excluding marijuana/cannabinoids per California law).
• Physical exam within 1 year of start, including clearance for work.
• TB screening: Negative test or chest x-ray within 90 days, renewed annually.
• Immunizations and titers required or documented immunity for:

  • Tetanus/Diphtheria/Tdap (within 10 years)
  • Measles (Rubeola)
  • Mumps
  • Rubella
  • Hepatitis B (series or declination)
  • Varicella
  • Seasonal flu vaccination during flu season (Nov 1 – Apr 30)
• Fit mask test within 1 year, renewed annually; accommodations considered for religious exemptions or failed tests.
• Respiratory safety clearance required annually.
• Color vision exam required if applicable.
• References: 2 professional references within 3 years (Aya requirement, not client).

Additional Requirements

• Must complete unit-specific skills checklist annually.
• Must complete competency exams as applicable, including medication/pharmacology and possibly EKG/dysrhythmia competency.
• ICU and MS/Telemetry RNs at this location required to take an onsite EKG exam after start.
• Must review and sign facility-specific documents including job description, standards of business conduct, code of conduct, vendor training, and regulatory orientation prior to start.
• Must complete facility-specific attestations including conditional offer of employment and religious accommodation forms if applicable.
• Employment application must include full 7 years of work history with no gaps; employment verification required for up to 7 years.
• Attestations for unverifiable employment are limited and require approval.

Work Environment

• Night shift with weekend rotation.
• Floating between ED holding, Medical-Surgical, and Telemetry units.
• No on-call responsibilities.

This position is ideal for experienced Emergency Department RNs who are flexible and able to work night shifts with floating responsibilities in a fast-paced hospital environment.