Emergency Department (ER) Registered Nurse
Silverdale, Washington
St Michael Medical Center

ER RN Travel Opportunity - Washington (Silverdale)

Job Overview

• Position: Experienced ER Registered Nurse (RN)
• Location: Silverdale, Washington
• Facility Type: ER/Trauma Center
• Contract Length: 13 weeks
• Experience Required: Minimum 1-2 years in a larger trauma setting
• Licenses/Certifications Required:

  • Active Washington RN License or Compact License
  • BLS, ACLS, TNCC, PALS or ENPC
  • NIHSS preferred

Unit Details

• ER Beds: 56 beds, expandable to 60-70 with hall beds
• Fast Track: 6 beds
• Separate Triage Area: Yes, 5 beds; travelers may be assigned triage after testing
• Holding Area: 18 beds within ED for inpatient holds; ER RNs manage their own holds
• Psych/Seclusion Rooms: Locked hall with 6 private treatment rooms
• Security: In-house security present
• Patient Volume: Approximately 170-200 patients per day
• Nurse-to-Patient Ratios: Typically 1:3, up to 1:4 for low acuity patients

Patient Population & Common Diagnoses

• Cardiac issues
• Stroke
• Sepsis
• Diabetic Ketoacidosis (DKA)
• Altered Mental Status (AMS)
• Respiratory conditions
• Abdominal pain
• Mental health cases

Team & Support Staff

• ED Physicians and Mid-Level Providers on site
• Charge Nurse and House Supervisor available
• Support staff includes ED Techs, CNAs, and inpatient staff providing 1:1 sitters as needed

Equipment & Technology

• Electronic Medical Record (EMR): Epic
• Respiratory Therapy: RT manages vents, CPAP, BiPAP, high flow oxygen; RTs perform ABGs
• ED Techs perform EKGs
• Telemetry and Monitor Techs present; RNs interpret cardiac strips
• Radiology adjacent to ED; transport assists with patient movement
• Phlebotomy: Primarily nurse or ED Tech draws; lab assists with difficult draws

Scheduling & Orientation

• Shifts: Based on department needs; traveler schedules accommodated within existing patterns
• Weekend Requirement: Every other weekend
• Holiday Requirement: Must work holidays in November/December; manager may consider 1 of 3 holidays off if unit demands allow
• Call/Standby: None required; extra shifts available but not mandatory
• Floating: No floating required
• Orientation:

  • Day 1: Compliance, policies, education (8-10 hours)
  • Day 2: Department-specific orientation (12 hours)
• Dress Code: Any professional scrub colors

Additional Notes

• Orientation/education hours are not guaranteed during the first 2 weeks; expect 25+ hours
• No Return to Origin (RTO) will be considered during the first full week of assignment
• Manager cannot accommodate duplicate schedules/shifts for DUO submissions
• Shift example: 3p-3a available