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 hall with 6 private psychiatric/seclusion rooms.

Work Environment & Patient Care

• Patient volume: Approximately 170-200 patients per day
• Nurse-to-patient ratio: Typically 1:3; can be 1:4 for low acuity patients
• Common patient diagnoses: Cardiac issues, stroke, sepsis, diabetic ketoacidosis (DKA), altered mental status (AMS), respiratory problems, abdominal pain, and mental health cases
• ER nurses manage their own ER holds; inpatient RNs may float to assist
• Support staff includes ED techs, CNAs, paramedics, and 1:1 patient sitters
• Physicians and mid-level providers are present in the ED
• In-house security is available

Certifications & Licenses Required

• Active Washington State RN license or Compact RN license
• BLS (Basic Life Support)
• ACLS (Advanced Cardiovascular 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

Orientation & Scheduling

• Orientation includes 1 day (8-10 hours) of compliance and policy training plus 1 day (12 hours) of department-specific orientation
• Shifts: Evening and Night, 12 hours per shift, approximately 36 hours per week
• Weekend requirement: Every other weekend
• Holiday requirement: Must work holidays in November and December; one holiday off may be granted if unit demands allow
• No floating to other units required
• No call or standby requirement; extra shifts available but not mandatory
• Dress code: Any professional scrub colors

Technology & Equipment

• Electronic Medical Record (EMR) system: Epic
• Respiratory therapy equipment managed by RTs (ventilators, CPAP, BiPAP, high flow oxygen)
• ED techs perform EKGs; RTs perform ABGs and breathing treatments
• Telemetry monitors present; RNs interpret cardiac strips
• Radiology (X-ray, CT) located adjacent to ED with transport assistance available
• Phlebotomy primarily performed by nurses or ED techs; lab assists with difficult draws

Additional Notes

• Manager conducts phone interviews after profile review
• Scheduling is based on department needs; same shift requests for multiple travelers cannot be accommodated
• No return-to-origination (RTO) requests considered during the first full week of assignment
• Shift times may include 3pm-3am

This position offers a challenging and fast-paced environment ideal for ER nurses with trauma experience seeking a travel contract in Washington state.