Job info

Job Opportunity: Emergency Department RN

Location: Winnemucca, Nevada
Specialty: Emergency Department - RN
Contract Length: 13 weeks

Job Description

Variable shifts (day or night) with attempted block scheduling (typically 6 on, 8 off)
Must have strong independent skills
Must have 3+ years of experience in Emergency Department nursing
Facility prefers candidates who have completed 3 or more travel assignments (prior travel experience required)
Occasional floating to MS/Telemetry to assist other nurses; typically do not take own patients
Must have triage experience and be comfortable with conscious sedation
Will consider travelers from all trauma levels; critical access experience preferred

Certifications Required

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) preferred

Department & Patient Information

Trauma Level: Critical Access Hospital (CAH)
STEMI Receiving: Yes (stabilize and transfer out STEMIs and strokes)
Beds: 8 beds in ER
No designated triage nurse; any nurse in the department can triage using the ESI triage model
No separate holding area; hold patients kept in the ED
2 designated safe rooms for psych 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/day (700/month)
Nurse-to-patient ratio: 1:3-4 depending on acuity and census
Common diagnoses: cardiac issues (arrhythmias, STEMIs, NSTEMIs, HTN, CHF), strokes/post-strokes, traumas (MVAs, falls), orthopedic cases, GI issues, ETOH, overdoses, COPD, and more
Patient population: 25% pediatric, adults, large Hispanic population

Clinical Responsibilities & Support

Common drips: all critical drips and sedation (including ketamine) for bedside procedures
ED Physician/Mid-levels: 1 ED physician onsite per 24-hour shift
Charge nurse available as a resource; manager assists with triage when needed
No CNAs in ED; primary care nursing model; travelers may assist with precepting nursing, EMT, and paramedic students
Respiratory Therapist (RT) in ER 24/7; nurses may assist with respiratory equipment and treatments
Nurses responsible for troubleshooting respiratory equipment (NC, High Flow, CPAP, BiPAP, trachs, vents)
No monitor techs; nurses read and interpret telemetry themselves
X-ray/CT available nearby; nurses accompany critical patients during transport
RN responsible for lab draws upon IV starts; phlebotomy available if needed

Scheduling & Work Environment

Shifts: 12-hour shifts (6am-6pm or 6pm-6am); no mid shifts
Schedule typically block style but flexibility required to fill gaps
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
ED staff part of Rapid Response Team; may be asked to respond to RRTs and codes in hospital
Scrub color: Navy Blue
Orientation: 1 day general orientation + 1-2 days with preceptor

Summary of Requirements

| Requirement | Details | |---------------------------------|---------------------------------| | Specialty Experience | 3+ years Emergency Department RN| | Prior Travel Experience | Preferred: 3+ travel assignments (required) | | Certifications | BLS, ACLS, PALS, TNCC (NIHSS preferred) | | Shift Type | 12-hour variable shifts (day/night) | | Weekend/Holiday Work | Every other weekend; every other holiday rotation | | Triage Experience | Required | | Comfort with Conscious Sedation | Required | | Trauma Level Experience | All trauma levels considered; critical access preferred |

This position offers a challenging and rewarding opportunity for experienced Emergency Department RNs who are comfortable working independently in a critical access hospital setting with a diverse patient population.