Emergency Department Registered Nurse
Winnemucca, Nevada
Humboldt General Hospital

Registered Nurse (Emergency Department) - Nevada

Location

• City: Winnemucca, NV

Contract Length

• 13 weeks

Shift Details

• Nights
• 12-hour shifts
• Approximately 36 hours per week
• Schedule typically blocks of 6 on, 8 off
• Weekend requirement: Every other weekend or 1-2 weekends per month
• Holiday requirement: Every other holiday rotation; may be asked to work holidays
• No call or standby requirement

Unit and Patient Population

• Emergency Department with 8 beds
• Trauma Level: Critical Access Hospital (CAH)
• Stabilize and transfer STEMI and stroke patients
• No designated triage nurse; triage performed by any nurse using ESI triage model
• No separate holding area; holds intermixed within ED
• 2 designated safe rooms for psychiatric patients with 24/7 security rounding every 15 minutes
• Security is in-house 24/7 and rounds throughout the hospital
• Average patient volume: ~30 patients per day (~700 per month)
• Nurse-to-patient ratio: 1:3-4 depending on acuity and census
• Patient population includes pediatrics (25%) and adults, with a large Hispanic demographic

Clinical Responsibilities

• Must have triage experience
• Comfortable with conscious sedation and managing critical drips including sedation (e.g., ketamine)
• Will float occasionally to Medical-Surgical/Telemetry to assist other nurses (typically do not take own patients there)
• Part of Rapid Response Team; may respond to in-house RRTs and Codes
• Responsible for lab draws upon IV starts; phlebotomy support available if needed
• Interpret telemetry independently; no monitor techs present
• Assist with respiratory equipment troubleshooting (NC, High Flow, CPAP, BiPAP, trachs, vents)
• Assist RT as needed with intubation, ABGs, respiratory treatments, and equipment management
• Accompany critical patients during transport for X-ray or CT scans; radiology located near ED
• Precept nursing, EMT, and paramedic students (usually assigned to permanent staff but travelers may assist)

Common Diagnoses and Patient Conditions

• Cardiac issues: arrhythmias, STEMIs, NSTEMIs, hypertension, CHF exacerbations
• Strokes and post-stroke care
• Trauma: motor vehicle accidents, falls
• Orthopedic cases
• GI issues
• Alcohol-related conditions and overdoses
• COPD and other respiratory conditions

Requirements/Qualifications

• Valid RN license in Nevada
• Minimum 3 years of Emergency Department nursing experience, including experience within the last year
• Associate of Science in Nursing / Associate Degree in Nursing
• BLS (Basic Life Support) certification
• ACLS (Advanced Cardiovascular Life Support) certification
• PALS (Pediatric Advanced Life Support) certification
• TNCC (Trauma Nursing Core Course) certification
• Triage experience
• Comfort with conscious sedation