ER Registered Nurse
Silverdale, Washington
St Michael Medical Center

Registered Nurse (ER) - Travel Contract

Location: Silverdale, Washington
Contract Length: 13 weeks

Job Overview

Seeking an experienced Emergency Room (ER) Registered Nurse for a travel assignment in a busy trauma center with approximately 56 beds (expandable to 60-70 with hall beds). The ER includes a fast track area (6 beds), a separate triage area (5 beds), and an 18-bed holding area for inpatients awaiting placement. The unit also has a locked psychiatric/seclusion area with 6 private treatment rooms.

Typical patient volume is about 170-200 per day with nurse-to-patient ratios of 1:3, or 1:4 for low acuity patients. Common patient diagnoses include cardiac events, stroke, sepsis, diabetic ketoacidosis (DKA), altered mental status (AMS), respiratory issues, abdominal pain, and mental health conditions.

Work Schedule

• Shift: Evenings (12-hour shifts)
• Hours per week: 36
• Weekend Requirement: Every other weekend
• Holiday Requirement: Must work holidays in November and December; one holiday may be excused if unit demands allow
• No call or standby required
• No floating to other units

Orientation & Training

• Orientation includes 1 day (8-10 hours) of compliance, policies, education, and training
• 2nd day is department-specific orientation (12 hours)
• Orientation/education hours are not guaranteed during the first 2 weeks; expect 25+ hours initially

Required Certifications & Licenses

• Active Washington State RN license or Compact License
• ACLS (Advanced Cardiovascular Life Support)
• BLS (Basic Life Support)
• TNCC (Trauma Nursing Core Course)
• PALS (Pediatric Advanced Life Support) or ENPC (Emergency Nursing Pediatric Course)
• NIHSS (National Institutes of Health Stroke Scale) certification preferred

Experience Requirements

• Minimum 2 years of ER nursing experience required
• Candidates with 1 year of experience in larger trauma settings may be considered
• Prior travel experience is not explicitly required

Unit Environment & Support Staff

• ED Physicians and Mid-Level Providers available
• Charge Nurse and House Supervisor present
• Support staff includes ED Techs, CNAs, and 1:1 sitters provided by inpatient CNAs
• Respiratory Therapists manage ventilators, CPAP, BiPAP, high flow oxygen, and perform ABGs
• ED Techs perform EKGs and assist with phlebotomy; nurses also draw blood
• Radiology department adjacent to ED with transport assistance for patients
• Monitor Techs present; RNs interpret telemetry strips

Additional Information

• No floating to other units required
• Dress code: Any professional scrub colors allowed
• Manager will conduct phone interviews; scheduling is based on department needs and traveler availability
• No same schedule accommodations for multiple travelers submitted together
• No return to orientation (RTO) will be considered during the first full week of assignment
• Security is available in-house

This position offers a dynamic and fast-paced ER environment with a strong trauma focus, ideal for experienced ER nurses seeking a travel contract in Washington state.