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 Level II Trauma Center with approximately 56 beds (expandable to 60-70 with hall beds). The ER includes:

• 6 Fast Track beds
• Separate Triage area with 5 beds (travelers may be assigned triage after testing)
• 18 designated holding beds for inpatients awaiting placement
• Locked psychiatric/seclusion area with 6 private treatment rooms
• In-house security present

Daily patient volume ranges from 170 to 200 with nurse-to-patient ratios typically 1:3, or 1:4 for low acuity patients.

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
• Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS) mandatory

Clinical Environment & Responsibilities

• Common patient diagnoses: Cardiac events, Stroke, Sepsis, Diabetic Ketoacidosis (DKA), Altered Mental Status (AMS), Respiratory issues, Abdominal pain, Mental Health cases
• Manage ER holds independently; inpatient RNs may float to assist
• Collaborate with ED physicians and mid-level providers
• Work alongside ED Techs, CNAs, paramedics, and patient sitters for 1:1 observation as needed
• Use of Epic EMR system
• Monitor telemetry strips and collaborate with monitor techs
• Radiology (X-Ray, CT) located adjacent to ED; transport assists with patient movement
• Phlebotomy primarily performed by nurses or ED Techs; lab assists with difficult draws
• Respiratory Therapy manages vents, CPAP, BiPAP, high flow oxygen, and ABGs; ED Techs perform EKGs

Scheduling & Orientation

• Shift: Days, 12 hours per shift, approximately 36 hours per week
• Weekend requirement: Every other weekend
• Holiday requirement: Must work holidays in November/December; one holiday off may be granted if unit demands allow
• No call or standby requirement; extra shifts available but not mandatory
• No floating to other units required
• Orientation:

  • Day 1: Compliance, policies, education (8-10 hours)
  • Day 2: Department-specific orientation (12 hours)
• Must work Labor Day weekend
• No Return to Origin (RTO) considered during the first full week of assignment

Additional Notes

• Manager cannot accommodate same schedules/shifts for duo submissions
• Professional dress code with any professional scrub colors allowed

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