Emergency Room Registered Nurse
Mount Ayr, Iowa
Ringgold County Hospital

Registered Nurse (ER) - Night Shift

Location

• Mount Ayr, Iowa

Contract Length

• 13 weeks

Shift & Hours

• Night shift: 7pm to 7am
• 36 hours per week
• Every other weekend or every third weekend depending on unit needs
• Holiday work required if holidays fall within contract and are not part of RTO
• Weekend-only schedules may be considered

Department & Work Environment

• Emergency Room (ER) with a 4-bay setup (including pediatric, well women, and psych areas)
• Trauma Level: Critical Access Hospital (CAH)
• Average ER patient volume: 6-7 patients per day
• Nurse-to-patient ratio: 1:3-4 in ER; EMS assists with triage if more than 2 patients
• No separate triage area; no in-house 24/7 security (911 response only)
• Psych/seclusion rooms available
• Floating required to MedSurg when ER census is low; MedSurg is busy and appreciates help
• MedSurg float involves sitting at MedSurg nurse station and managing ER patients coming from MedSurg

Patient Care & Procedures

• Common diagnoses: general ER cases, urgent care, cardiac events, traumas (farming, boating, construction accidents), falls, MI, strokes
• Critical care drips commonly used
• RNs perform labs, EKGs, and ABGs (ABG not mandatory)
• Some nurses trained in PICC/Midline and ultrasound-guided IV insertion
• Respiratory Therapy coverage: RT on-site 8am-4:30pm M-F; paramedics or MD intubate after hours
• RNs troubleshoot CPAP, BiPAP, High Flow equipment; vented patients are minimal and transferred out after intubation
• X-ray available nearby; lab and x-ray on-call nights and weekends with ~30-minute response time
• No monitor techs; RNs monitor telemetry

Orientation & Scheduling

• Day 1: Orientation with HR and department for EMR training and general orientation
• Day 2: Full shift orientation with preceptor
• Scheduling managed by Director of Nursing using a digital platform
• Bedside report expected at shift change
• Dress code: dark-colored scrubs (black pants preferred; navy or maroon acceptable)

Required Certifications & Qualifications

• Current BLS and ACLS certifications required
• TNCC certification required; PALS preferred
• Minimum 2 years of ER nursing experience required
• Previous travel experience required (minimum 2 prior travel assignments)
• Ability to learn and use a smaller, less common EMR system is essential

Additional Notes

• No call or standby requirements
• Charge nurse shared with MedSurg; no house supervisor on site
• Support staff includes EMTs, paramedics, nurse aides, and secretaries
• Mid-level providers cover ER and MedSurg, backed by MD available by phone and within 2 miles of facility