ED RN
South Charleston, West Virginia
Thomas Memorial Hospital

ER/P4 Trauma Center RN (Registered Nurse)

Location: South Charleston, West Virginia Contract Length: 13 weeks Shift: Nights, 12-hour shifts (24 hours per week)

Required Qualifications

• BLS, ACLS, PALS
• Must have prior travel experience
• Critical care skill set to manage cardiac dysrhythmias, critical drips, BiPAP, CPAP, and mechanical ventilation
• Radial ABG draw experience

Preferred Qualifications

• TNCC (preferred, not required)

Unit Overview

• Trauma level: P4 Trauma Center; STEMI and stroke receiving
• Beds and rooms: 30 beds in the main ED, 9 beds in Express Care (lower acuity, though admitted patients may be boarded there), 2 designated Trauma/Code rooms, and 2 Psych/seclusion rooms
• Volume: 70-75 patients per day on average (average daily volume of 110)
• Triage: Separate triage area
• Holding: Boarders are held in a section of the ED (rooms 21-30) and may intermix into the ED proper. ER RNs manage their own holds unless nursing staffing resources can float someone.
• Security: In-house 24/7, stationed outside the ER
• Patient ratios: 1:4 in boarder areas; 1:5 otherwise
• Common patients: Sepsis, medical and surgical conditions, overdoses, trauma, COPD; all age groups from infant to geriatric
• Common drips: All critical care drips, TPA, sedation, paralytics, and similar

Support Staff and Services

• ED physicians: Overlapping currently, plus mid-levels
• Charge nurse: Can take an assignment; charge nurse works without patients
• House supervisor: 24/7
• Techs: ER techs primarily handle EKGs, transport, CPR, vital signs, and tech duties
• Monitor techs: None; RNs read strips
• Respiratory therapy: Available 24/7 by call, not dedicated to the ER. RT handles vents, CPAP, BiPAP, high-flow oxygen, and breathing treatments and draws brachial ABGs; RNs may draw radial ABGs.
• Phlebotomy: Available 24/7; nurses assist with difficult sticks
• Imaging: X-ray and CT are located just outside the ER; ER techs or nurses transport patients

Schedule and Expectations

• Shift times: 6:45 am-7:15 pm; 10:45 am-11:15 pm; 3:00 pm-3:00 am; 6:45 pm-7:15 am
• Block scheduling: Allowed. The clinical coordinator sets the schedule. 7 am and 11 am starts may alternate with advance notice; other shifts work the submitted shift.
• Weekends: Every other weekend
• Holidays: Rotational with core staff
• On-call or standby: None
• Floating: None
• Rotation: Cannot guarantee a 6-on/8-off schedule, but can block for nights

Orientation

• First day: General hospital orientation
• Full day of nursing orientation for RNs/LPNs
• Computer training (full day for nurses)
• Two 12-hour orientation shifts with a preceptor
• Abbreviated initial skills checklist due 90 days from start date

Dress Code

• RN/LPN: Navy scrubs
• Solid-color scrubs with no embroidery or patterns
• Solid-color fleece zip-ups in grey, black, navy, or royal blue
• Solid undershirts in white, grey, or black, matching the scrub top
• Closed-toe shoes only; no Crocs