Job info

Specialty: Emergency Room (ER)
Location: Bryan, Texas (floats between Bryan and College Station campuses, 16 minutes apart)
Contract Length: 12 weeks
Shift: Nights
Hours: 12 hours per shift, approximately 36 hours per week
Unit: ER/ED
Trauma Level: Level III Trauma Center
Stroke Center: Primary Stroke Center with comprehensive capabilities
ER Beds: 30 total beds (24 acute), 2 trauma bays
Patient Volume: Approximately 135 patients per day
Fast Track: Yes, called "vertical care"
Triage: Separate triage area with a "first eyes nurse"; travelers may be placed in triage after skills assessment
Psych/Seclusion Rooms: Intermixed within ER (no separate rooms)
Security: In-house 24/7 with an off-duty officer always present in ER

Typical ER cases: nausea/vomiting, chest pain, fever, pediatric URI symptoms (10-15% pediatric patients), geriatric altered mental status
Trauma: highest trauma area in the region covering 9 counties, including ground level falls, motor vehicle accidents, all-terrain vehicle injuries, assaults (gunshot wounds, stabbings)
Critical care skills needed: central line placement, massive transfusion protocol (MTP), chest tubes, intubations, STEMI, strokes
Common drips: Diltiazem, Cardene, Nitro, Propofol, Fentanyl, Levophed
Equipment: PulseCheck or Picis EMR; RNs monitor their own telemetry strips

Physicians: 1 MD 24/7, 2nd MD from 9 AM to 2 AM
Midlevels: NP or PA 24/7, 2nd midlevel 10 AM to 10 PM
Charge Nurse: Free-floating, may take patient assignment if needed, responds to codes and rapid responses
Patient Care Techs: Perform EKGs, wound care, transport, ADLs, trauma setup (chest tubes, a-lines, central lines), and act as sitters/mental health advocates
Respiratory Therapists: Assigned 24/7, perform ABGs, breathing treatments, and EKGs; RNs assist with troubleshooting vents, CPAP, BiPAP, high flow oxygen
Radiology: X-Ray and CT available in ER with dedicated transporter
Phlebotomy: Lab draws performed 24/7 in ER

Hybrid scheduling: combination of self-scheduling and block scheduling
Weekend requirement: every other weekend
Holiday requirement: rotate with core staff, 1 major holiday
No call or standby requirement
Floating: May float to assist without assignment; will float to College Station campus as needed
Dress code: Navy scrubs and undershirts required; scrub jackets optional but must be navy
Orientation: 3 shifts in ER unit-specific orientation
Culture: Positive team environment with active Shared Governance and Unit-Based Council (UBC)
Shift pattern: 12-hour night shifts, every other weekend, first to float

BLS (Basic Life Support)
ACLS (Advanced Cardiovascular Life Support)
PALS (Pediatric Advanced Life Support)
TNCC (Trauma Nursing Core Course)
NIHSS (National Institutes of Health Stroke Scale)
Must pass Advanced Dysrhythmia exam with a minimum score of 83% before contract signing (3 attempts allowed)

Call-outs are strongly discouraged and may lead to termination
The ER is a busy, high-acuity environment with a diverse patient population including pediatrics and trauma
The facility operates its own EMS agency and helicopter service for trauma transport