Emergency Department Registered Nurse
Winnemucca, Nevada
Humboldt General Hospital

Emergency Department RN Opportunity

Location: Winnemucca, Nevada
Specialty: Emergency Department - RN
Contract Length: 13 weeks

Job Overview

• Position for an ER RN with variable shifts (typically 6am-6pm, no mid shifts)
• Must have strong independent skills and at least 3 years of ER nursing experience
• Preference for candidates who have completed 3 or more travel assignments
• Occasional floating to MS/Telemetry to assist other nurses (usually not assigned own patients)

Required Certifications

• BLS (Basic Life Support)
• ACLS (Advanced Cardiovascular Life Support)
• PALS (Pediatric Advanced Life Support)
• TNCC (Trauma Nursing Core Course)
• Preferred: NIHSS (National Institutes of Health Stroke Scale)

Department & Facility Details

• Trauma Level: Critical Access Hospital (CAH)
• STEMI Receiving: Stabilize and transfer out STEMIs and strokes
• ER Beds: 8
• No designated fast track or separate triage nurse; all nurses may triage using ESI model
• No separate holding area; holds are kept in the ED
• 2 designated safe rooms for psychiatric patients with 24/7 in-house security rounding every 15 minutes
• Security is in-house 24/7 and rounds throughout the hospital
• Average patient volume: ~30 patients/day (700/month)
• Nurse-to-patient ratio: 1:3-4 depending on acuity and census

Patient Population & Common Diagnoses

• Mix of pediatric (25%) and adult patients
• Large Hispanic population
• Common cases include:

  • Cardiac issues (arrhythmias, STEMIs, NSTEMIs, hypertension, CHF exacerbations)
  • Strokes and post-stroke care
  • Traumas (motor vehicle accidents, falls)
  • Orthopedic cases
  • GI issues
  • Alcohol-related cases and overdoses
  • COPD and respiratory issues

Experience & Skills Required

• Must have triage experience
• Comfortable with conscious sedation and managing critical drips including ketamine for bedside procedures
• Experience with all critical drips preferred
• Critical Access Hospital experience preferred but not required

Team & Support

• 1 ED physician onsite per 24-hour shift
• Designated working charge nurse available as a resource
• Manager assists with triage when needed
• No CNAs in the ED; primary care nursing model
• Nurses may precept nursing, EMT, and paramedic students (usually assigned to permanent staff but travelers may assist)
• Respiratory Therapist (RT) available 24/7 to assist with intubation, ABGs, respiratory treatments, and equipment management
• Nurses may assist with respiratory equipment troubleshooting (NC, High Flow, CPAP, BiPAP, trachs, vents)
• No monitor techs; nurses interpret telemetry themselves
• Radiology (X-ray/CT) located close to ED; nurses accompany critical patients during transport
• RN responsible for lab draws upon IV starts; phlebotomy available if needed

Scheduling & Orientation

• Shifts: 6am-6pm, no mid shifts
• Schedule typically block style (6 days on, 8 days off) but flexibility required to fill gaps
• Weekend requirement: Every other weekend or 1-2 weekends per month
• Holiday rotation: Every other holiday; may be asked to work holidays
• No call or standby requirements
• No floating requirements except possible Rapid Response Team (RRT) or code response within hospital
• Scrub color: Navy blue
• Orientation: 1 day general orientation + 1-2 days with preceptor

Additional Notes

• Candidates should confirm housing options in the area prior to submission
• ED sees a high acuity patient population due to walk-in clinic presence