ER RN
Bryan, Texas
CHI Saint Joseph Health

ER RN

Location

• Bryan, Texas

Contract

• 13 weeks
• 36 hours per week
• 12-hour day shifts

Required Qualifications

• Active RN license
• BLS
• ACLS
• PALS
• TNCC
• NIHSS
• 2 or more years of ER experience
• Experience in a facility with similar patient volume, trauma level, and size
• Must pass an Advanced Dysrhythmia exam before signing the contract

Assignment Details

• Travel ER RN assignment
• May float between Bryan and College Station campuses
• May float to help hands without an assignment
• May be asked to precept
• No call or standby requirement
• Every other weekend
• 1 major holiday rotation

Clinical Setting

• ER/ED
• Level III trauma center
• Primary stroke center with comprehensive capabilities
• About 135 patients per day
• 30 beds with 2 trauma bays
• Fast track area available
• Separate triage area
• ER holds are intermixed
• No separate psych/seclusion rooms
• Security in-house 24/7
• RT assigned to the ER 24/7
• X-ray and CT available in the ER
• Phlebotomy available in the ER 24/7

Patient Care / Skills

• General acute care ratio: 1:3-4
• Level I trauma ratio: 1:1 or 2:1 depending on acuity
• TNK ratio: 1:1 for the first hour
• Vertical care ratio: 1:6-8
• Common patient types include chest pain, nausea/vomiting, fever, pediatric URI symptoms, geriatric altered mental status, and trauma
• Common procedures and treatments include chest tubes, rapid transfusions, and intubated patients

Unit Workflow

• Charge nurse floats and takes an assignment if needed
• Patient care techs support secretarial duties, tech work, sitter/mental health support, EKGs, wound care, transport, ADLs, and trauma setup
• RNs monitor their own telemetry
• RTs handle ABGs and share breathing treatments with RNs
• Common drips include diltiazem, Cardene, nitro, propofol, fentanyl, and Levophed

Schedule / Orientation

• Hybrid schedule with self-scheduling and block scheduling
• 3 shifts of ER orientation

Dress Code

• Navy scrubs
• Navy undershirts
• Navy scrub jackets optional