ER Registered Nurse
Silverdale, Washington
St Michael Medical Center

Registered Nurse (ER) - Travel Contract

Location: Silverdale, Washington
Contract Length: 13 weeks
Shift: Nights
Hours per Day: 12
Hours per Week: 36

Job Overview

Seeking an experienced ER Registered Nurse for a travel assignment in a busy trauma center with approximately 56 beds (expandable to 60-70 with hall beds). The emergency department includes a fast track area (6 beds), a separate triage area (5 beds), and a locked psychiatric/seclusion area with 6 private treatment rooms. The unit manages about 170-200 patients daily with nurse-to-patient ratios of 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 BLS and ACLS certifications
• TNCC (Trauma Nursing Core Course) certification
• PALS or ENPC certification
• NIHSS certification preferred

Clinical Environment & Responsibilities

• Manage ER holds (18 beds designated for inpatient holding) with support from inpatient RNs as needed
• May be assigned to triage after testing, though triage is generally staffed by department personnel
• Work alongside ED physicians, mid-level providers, charge nurses, house supervisors, ED techs, CNAs, and paramedics
• Use Epic EMR system
• Collaborate with respiratory therapists who manage ventilators, CPAP, BiPAP, and perform ABGs
• ED techs perform EKGs and assist with phlebotomy; nurses also draw blood
• Radiology is adjacent to the ED with transport assistance available
• Monitor telemetry with support from monitor techs; RNs interpret strips

Scheduling & Orientation

• Orientation includes 1 day (8-10 hours) of compliance and policy training plus 1 day (12 hours) of department-specific orientation
• Weekend shifts required every other weekend
• Holiday shifts required in November and December; one holiday off may be granted if unit demands allow
• No call or standby requirements; extra shifts available but not mandatory
• No floating to other units
• Dress code: professional colors of choice

Additional Notes

• Orientation/education hours are not guaranteed during the first 2 weeks but expect 25+ hours
• Manager cannot accommodate same schedules/shifts for multiple travelers submitted as a duo
• No return to orientation (RTO) will be considered during the first full week of assignment
• Night shift and weekend requirements are based on unit needs and demands

This position offers the opportunity to work in a high-acuity ER trauma center with a diverse patient population including cardiac, stroke, sepsis, diabetic ketoacidosis, altered mental status, respiratory, abdominal pain, and mental health cases.