ED Emergency Department RN
South Charleston, West Virginia
Thomas Memorial Hospital

ER/P4 Trauma Center Travel RN

Location: South Charleston, West Virginia Contract Length: 13 weeks Shift: Nights, 12-hour shifts Hours: 36 hours per week

Schedule

• Shifts: 6:45 am to 7:15 pm; 10:45 am to 11:15 pm; 3:00 pm to 3:00 am; 6:45 pm to 7:15 am
• Block schedule allowed; the clinical coordinator sets the schedule
• 7 am and 11 am shifts may alternate start times with advance notice; other shifts work the submitted shift
• Weekends: every other weekend
• Holidays: rotational with core staff
• A 6-on-8-off schedule cannot be guaranteed, but nights can be blocked
• No call or standby requirement
• No floating requirement

Required Qualifications

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

Preferred Qualifications

• TNCC certification (preferred, not required)

Unit Details

• Level: P4 Trauma Center; receives STEMI and stroke patients
• Beds: 28 beds, 2 designated as trauma/code rooms
• Psych/seclusion rooms: 2
• Triage: separate triage area
• Fast track: the pit area is used for fast track
• Holding: intermixed within the ED; ER RNs manage their own holds unless Nursing Resources has someone to float
• Average volume: 70–75 patients per day
• Nurse-to-patient ratio: 1:04
• Security: in-house 24/7, stationed outside the ER
• Charge nurse: takes an assignment without patients
• House supervisor: available 24/7

Patient Population

• Common diagnoses: sepsis, medical and surgical conditions, overdose, trauma (P4), COPD, trauma
• Ages: infant, pediatric, adolescent, adult, and geriatric
• Common drips: all critical care drips, TPA, sedation, paralytics, and others

Support Staff

• ED physicians overlap currently, along with mid-levels
• ER techs handle EKGs, transport, CPR, vital signs, and tech duties
• No monitor tech; RNs read strips
• RT available 24/7 but not dedicated to the ER; available by call
• RT equipment: ventilators, CPAP, BiPAP, high-flow oxygen; RT gives breathing treatments and draws brachial ABGs; RNs may draw radial ABGs
• Phlebotomy available 24/7; nurses assist with difficult sticks
• X-ray and CT are located just outside the ER; ER techs or nurses transport patients

Orientation

• First day: general hospital orientation
• Full day of nursing orientation for RNs/LPNs
• 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 only, with no embroidery or patterns
• Closed-toe shoes only; no Crocs