ER Registered Nurse
Renton, Washington
Valley Medical Center

Registered Nurse – Emergency Room (ER)

Location: Renton, Washington
Shift: Nights
Hours: 12-hour shifts, 36 hours per week
Contract Length: 13 weeks

Job Overview

• ER Registered Nurses needed urgently for night shifts just outside Seattle.
• Work in a 55-bed ER with 4 trauma bays and 8-12 swing beds.
• Fast track (Accelerated Care) unit available with a 5:1 nurse-to-patient ratio.
• Average patient volume: ~250 patients per day.
• Patient population is highly diverse; culturally competent care is essential.
• Team includes nurses, MST (techs and patient sitters), charge nurses, patient flow coordinators, triage nurses, protocol nurses, and 24/7 monitor techs.
• Separate triage area exists; travelers may do triage only after additional orientation and competency testing.
• RNs manage their own ER holds; additional support from other units available for long holds.
• Security staff present in the ED.
• No call or standby requirements; no floating required.
• Weekend requirement: every other weekend.
• Holiday shifts required.
• Dress code: Royal Blue scrubs for nursing staff.

Required Qualifications

• Minimum 2+ years of ER nursing experience.
• At least 1 year of trauma center experience.
• Prior travel nursing experience required; no first-time travelers accepted.
• Must hold current certifications:

  • ACLS (Advanced Cardiovascular Life Support)
  • BLS (Basic Life Support)
  • PALS (Pediatric Advanced Life Support)
  • TNCC (Trauma Nursing Core Course)
  • ENPC (Emergency Nursing Pediatric Course)
  • NIHSS (National Institutes of Health Stroke Scale)
• 100% Epic EMR experience required—no exceptions.
• Must have a clean license record with no history of medication diversion or endangerment issues (such issues will result in immediate contract cancellation).

Clinical Environment & Responsibilities

• Patient acuity includes STEMI, stroke, DKA, sepsis, trauma, respiratory diseases, and behavioral health cases.
• Nurse-to-patient ratios:

  • Main ED: 4:1
  • Accelerated Care (Fast Track): 5:1
  • Critical Care: 2:1
• RNs perform ABG draws and set up small dose breathing treatments; respiratory therapists manage RT equipment and are available for consults.
• RNs and MSTs perform ECGs.
• RNs required to transport critical patients within the ED.
• Phlebotomy performed by nurses and MSTs.
• Telemetry monitoring done by MST and RNs.
• Orientation includes first day with ED leadership and badging, followed by 2-3 shifts of bedside orientation.

Scheduling & Time Off

• Variable scheduling with 12-hour night shifts.
• Cancellation policy: 1 shift per 2-week period.
• Return-to-Office (RTO) policy allows up to 10 days off without hospital approval for clinical prescreening; additional time or holiday requests require hospital approval.

Community & Living

• Located about 10 minutes south of Seattle, serving a population of over 600,000.
• Area offers abundant outdoor activities: hiking, running trails, waterfalls, skiing (approx. 45 minutes away), and access to national parks and islands.
• Nearby urban attractions include downtown Seattle landmarks, museums, markets, and sports teams.
• Various housing options available including extended stay hotels, apartments with short-term leases, and furnished rentals.

This position is ideal for experienced ER nurses with trauma experience and prior travel nursing background who are comfortable working in a fast-paced, diverse, and high-acuity emergency department.