ER RN
Burien, Washington
Highline Medical Center

ER RN

Overview

• 13-week contract
• Nights, 12-hour shifts, 36 hours per week
• Primary assignment is in the ER
• May be required to float within Region I if needed
• No floating outside of the ER

Required Qualifications

• WA RN license
• Level II experience
• BLS
• ACLS
• PALS or ENPC
• TNCC
• NIHSS

Unit Details

• ER Level IV
• Cardiac and Stroke center
• 32 total beds
• 2 trauma bays
• 2 seclusion rooms
• Average 125-150 patients per day
• Ratios: 1:4-5 depending on acuity
• Vents: yes
• Tele/Monitor Techs: central monitoring station at the desk; nurses must be able to read and interpret strips
• RT 24/7: yes, one dedicated for the ER
• Pharmacy 24/7: in house, with one pharmacist dedicated to the ER from 1300 to 2300
• Charge nurse for both shifts; tries to be a free charge unless needed to take a patient assignment
• ED techs and EMTs support the unit
• One security officer is in the ER at all times
• ED techs sit with patients when needed

Schedule and Workflow

• Weekend requirement: every other
• Holidays rotate with permanent staff
• Manager builds the schedule 6 weeks at a time
• Orientation includes educator/modules on day 1, EPIC class on day 2, and one floor-specific orientation shift on day 3

Patient Population

• General ER patients
• Stroke
• tPA capable
• STEMI
• Major trauma is stabilized and transferred
• Pediatric patients are transferred if admitted

Additional Notes

• Candidates with triage experience may take a triage test to practice in the triage role