ED RN
South Charleston, West Virginia
Thomas Memorial Hospital

ER MedSurg RN

Location: South Charleston, West Virginia Unit: ER/P4 Trauma Center Contract Length: 13 weeks Shift: Nights, 12-hour shifts Hours: 36 hours per week

Assignment Overview

• Works specifically in the ED Boarding Area, caring only for admitted patients awaiting inpatient bed placement.
• Trauma level P4 with STEMI and stroke receiving.
• 28 beds, including 2 designated Trauma/Code rooms.
• Fast track uses the Pit area.
• Separate triage area.
• Holding is intermixed within the ED. ER RNs manage their own ER holds unless nursing resources has someone to float.
• 2 psych/seclusion rooms.
• Security is stationed outside the ER (in-house 24/7).
• Averages 70-75 patients per day.
• Nurse-to-patient ratio is 1:4.
• Common diagnoses include sepsis, medical and surgical conditions, overdose, trauma, COPD, and patients of all ages from infant to geriatric.
• Common drips include all critical care drips, TPA, sedation, and paralytics.
• ED physicians overlap, and mid-levels are present.
• Charge nurse takes an assignment without patients. House supervisor is available 24/7.
• ER techs primarily perform EKGs, transport, CPR, vital signs, and tech duties.
• Respiratory therapy is available 24/7 by call and is not dedicated to the ER. Equipment includes vents, CPAP, BiPAP, and high-flow oxygen. RT gives breathing treatments and draws brachial ABGs; RNs can draw radial ABGs.
• No monitor tech. RNs read strips from bedside monitors.
• X-ray and CT are right outside the ER. ER techs or nurses transport patients.
• Phlebotomy is available 24/7, and the nurse assists with difficult sticks.

Schedule

• Shift options: 6:45 am to 7:15 pm; 10:45 am to 11:15 pm; 3:00 pm to 3:00 am; 6:45 pm to 7:15 am.
• Clinical coordinator sets the schedule. Block scheduling is allowed.
• 7 am and 11 am starts may alternate with advance notice. Other shifts work the submitted shift.
• Weekends: every other weekend.
• Holidays: rotational with core staff.
• Cannot guarantee a 6-on-8-off schedule, but nights can be blocked.
• Not required to take call or standby.
• Not required to float.

Required Qualifications

• BLS (AHA)
• Prior travel experience required

Orientation

• First day: general hospital orientation.
• Full day of nursing orientation.
• Computer training: half day for CNAs, full day for nurses.
• Two 12-hour orientation shifts with a preceptor.
• Abbreviated Initial Skills Checklist due 90 days from start date.

Dress Code

• RN/LPN: navy scrubs.
• CNAs and monitor techs: dark grey or pewter scrubs.
• Scrubs must be solid color with no embroidery or patterns.
• Solid-color fleece zip-ups in grey, black, navy, or royal blue are allowed.
• Solid undershirts in white, grey, or black, matching the scrub top.
• Closed-toe shoes only. No Crocs.