Emergency Room RN
Bismarck, North Dakota
CHI Saint Alexius Health

Registered Nurse (ER RN) - Bismarck, North Dakota

Job Details

• Specialty: Emergency Room Registered Nurse (ER RN)
• Location: Bismarck, North Dakota
• Contract Length: 13 weeks
• Shift: Nights
• Shift Length: 12 hours
• Hours per Week: 36
• Trauma Level: Level II
• ER Beds/Trauma Bays: 21 (including fast track)
• Typical Patient Volume: 50-60 patients per day
• Patient Acuity: Mostly ESI Level 3, some Level 4, rarely Level 1
• Nurse-to-Patient Ratio: 1:3-4 based on acuity; may be 1:5 if boarding patients are grouped
• Common Patient Types: Pediatrics to geriatrics, trauma cases, stroke, STEMI, shortness of breath, abdominal pain, CAH transfers
• Physician Coverage: 24/7 MD coverage (no mid-level providers); 1 MD overnight, 3 MDs during busiest times
• Support Staff: 1-2 ED techs per shift (EKGs, vitals, patient care), respiratory therapists available as needed (not 24/7 in ER), no dedicated Telemetry techs (RNs interpret cardiac strips)
• Orientation: 1-2 shifts of unit-specific orientation in the ER
• Scheduling: Manager schedules shifts; varied start times (7a-7p, 9a-9p, 11a-11p, 2p-2a, 7p-7a)
• Weekend Requirement: Every other weekend
• Holiday Requirement: Every other holiday
• Floating: Rare, only as needed to assist or based on census
• Dress Code: Any color scrubs allowed

Clinical Environment & Equipment

• Fast Track: Vertical flow area with chairs; stable patients may be sent back to waiting room with MD orders; travelers often utilized here
• Triage: Separate triage area; core staff usually perform triage, travelers may take triage competencies if experienced
• Holding Area: ER RN manages boarding patients; stable patients go to vertical flow, unstable remain near nurses’ station
• Psych Room: 1 psych/seclusion room with camera monitoring
• Security: In-house 24/7, located within ER
• Common Drips: Vasopressors, heparin, antiarrhythmics; critical care drips for ICU holds require 1:1 nursing
• Respiratory Equipment: RT handles vents, CPAP, BiPAP, high flow; RNs troubleshoot as needed
• Imaging: X-Ray and CT adjacent to ER; stable patients transported by CT tech, unstable patients accompanied by RN
• Lab Draws: RNs draw labs from IV starts; phlebotomy available as resource

Required Certifications & Qualifications

• Certifications: BLS, ACLS, PALS, TNCC required
• Experience: Prefer previous travel experience but open to first-time travelers
• License: Must hold a valid RN license appropriate for North Dakota

Additional Information

• Radius Rule: Candidates must live within 50 miles and may not be currently employed full-time, part-time, or PRN with any related healthcare system facilities
• Return to Office (RTO): Required within 7 days of contract start; no additional RTO extensions allowed

This position offers a dynamic ER nursing experience with a Level II trauma center, diverse patient population, and supportive team environment. Ideal for ER RNs with required certifications and a preference for travel nursing.