Job Title: Registered Nurse
Profession: RN
Specialty: ER/P4 Trauma Center
Duration: 13 weeks
Shift: Night
Hours per Shift: 12
Experience: Minimum 1 year
License: Required
Certifications: BLS, ACLS, PALS
Must-Have: Critical care skill set, prior travel experience
Description:
The unit is a P4 Trauma Center with STEMI and stroke receiving capabilities.
It has 28 beds, including 2 designated as Trauma/Code rooms.
A Pit area is used for fast tracking patients.
There is a separate triage area available.
ER RNs manage their own holds unless a float nurse is assigned.
There are 2 psych/seclusion rooms on the unit.
Security is present 24/7 outside of the emergency room.
On average, the unit treats 70-75 patients per day.
The nurse to patient ratio is 1:4.
Required certifications include BLS, ACLS, and PALS.
TNCC is preferred but not required.
Common diagnoses include sepsis, overdose, and various trauma cases.
RNs must have experience managing cardiac dysrhythmias and critical drips.
They should be familiar with BiPap, Cpap, and mechanical ventilation.
Common drips administered include TPA, sedation, and paralytics.
ED physicians and mid-levels currently overlap in the unit.
The charge nurse does not take patient assignments.
A house supervisor is available 24/7.
ER techs assist with EKGs, transport, CPR, and vital signs.
Respiratory Therapy is available 24/7 but not dedicated solely to the unit.
Bedside monitors are used, and RNs read ECG strips.
X-ray and CT are located just outside of the emergency room.
Phlebotomy services are available 24/7, with RNs assisting if needed.
Shifts may start at 6:45 AM, 10:45 AM, 3:00 PM, or 6:45 PM.
Weekend requirements are every other weekend, and holiday coverage is rotational.
There is no call or standby requirement, and no floating is expected.
Scrubs must be solid colors without patterns or embroidery.
General hospital orientation is provided, along with nursing orientation.
RNs will have two 12-hour shifts with a preceptor to orient.
An abbreviated Initial Skills Checklist is due within 90 days of the start date.