ER RN
Tonasket, Washington
North Valley Hospital

ER RN

Location

• Tonasket, Washington

Contract Length

• 13 weeks

Shift

• Days, 3x12s

Department / Unit

• ER RN
• 7-10 rooms; currently under construction

Required Qualifications

• BLS
• ACLS
• PALS
• Must be able to work independently and be flexible
• Must be comfortable with all aspects of ER nursing
• Must have prior trauma experience
• Good IV skills
• Must be able to monitor and care for a patient on a ventilator
• Will not accept first-time travelers

Preferred Qualifications

• NRP
• TNCC

Clinical / Assignment Details

• Level IV
• STEMI and Stroke receiving and transfer out via ground transport and/or air
• Typical staffing: 5 RNs, with 3 assigned to Acute Care and 2 to ER
• Fast track: 1-2 rooms to be converted and staffed by a mid-level
• Triage is done by either ER nurse present; not a dedicated role
• No separate holding area in the ER
• 1 room can be made for seclusion
• Security is onsite from 4 PM to 2 AM, with radio security coverage during off hours
• Average ER volume: 17-32 patients per day
• Nurse-to-patient ratios: 1:3-4 depending on acuity; 1:1 for high acuity such as stroke or STEMIs
• Common patient types include minor cold, Stroke, STEMI, and traumas
• Small community ER sometimes utilized as Clinic or Urgent Care
• RT manages vents
• RN may need to do EKGs, breathing treatments, and vent management when RT is not in house
• No monitor tech; must be able to identify and respond appropriately to tele
• X-ray is available; transport is by Rad Tech
• RN draws all labs
• May be asked to float to Acute Care
• Typically 4 weekend shifts in a 4 week period
• May be asked to go in the Holiday Rotation
• No call or standby requirement
• 1-2 days of orientation with a preceptor
• Minimal resources; rural setting
• Must be a team player and willing to help out as needed
• Must be comfortable with verbal and nurse-initiated orders, communication, teamwork, and autonomy
• Submission must note if the clinician has ever worked for North Valley