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 ER Registered Nurse for a travel assignment in a Level II 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 hall with 6 private psychiatric/seclusion rooms.

Patient Population & Work Environment

• Average patient volume: 170-200 patients per day
• Common diagnoses: Cardiac, Stroke, Sepsis, DKA, Altered Mental Status, Respiratory issues, Abdominal pain, Mental Health
• Nurse-to-patient ratio: 1:3 (up to 1:4 for low acuity patients)
• In-house security present
• ED staff includes physicians, mid-level providers, charge nurses, house supervisors, ED techs, CNAs, and paramedics
• EMR system: Epic

Required Qualifications

• Minimum 2 years of ER nursing experience (travelers with 1 year experience in larger trauma settings may be considered)
• Active Washington State RN license or Compact License
• Current certifications: ACLS, BLS, TNCC, PALS or ENPC
• Ability to manage ER holds and participate in triage testing if assigned

Certifications & Skills

• Proficient with RT equipment (ventilators, CPAP, BiPAP, high flow oxygen) managed by RTs; ED techs perform EKGs
• Ability to read telemetry strips
• Phlebotomy primarily performed by nurses or ED techs

Orientation & Training

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

Scheduling & Shifts

• Shifts: 12-hour day and evening shifts
• Hours per week: 36
• Weekend requirement: Every other weekend
• Holiday requirement: Must work holidays in November/December; one holiday off may be considered if unit demands allow
• No floating required
• No call or standby requirement; extra shifts available but not mandatory
• Shift schedules based on department needs and traveler patterns
• Dress code: Any professional scrub colors

Additional Notes

• No Return to Origin (RTO) will be considered during the first full week of assignment
• Manager cannot accommodate same schedules/shifts for multiple travelers submitted together
• Transport assists with patient movement to adjacent radiology department

This position offers a dynamic trauma center environment with a diverse patient population and a supportive multidisciplinary team.