```htmlJob Opportunity – Emergency Department Holding Unit Registered Nurse – West Virginia
Start Date: November 30, 2026 (Orientation held every other Thursday)
Location: Charleston, West Virginia
Compensation: Details provided to qualified applicants
Schedule: 3x12 night shifts, 7:00 PM - 7:00 AM, weekdays with every other weekend required. Option for 36 or 48 guaranteed hours per week. Float to Emergency Department as needed. No call requirements.
Highlights:
- Emergency Department Holding Unit specializing in observation patients including chest pain rule-out, TIA, chronic anemia, and CHF/COPD exacerbations
- 5:1 nurse-to-patient ratio with adult and geriatric patient population
- Cerner charting system in a Level IV Trauma Center and major teaching hospital with 838 staffed beds
- Comprehensive interdisciplinary support including IV teams, respiratory services, pharmacy, rapid response teams, and more
- Free parking for travelers and structured orientation program
- Overtime available after 48 hours for those selecting 4x12 schedules
Requirements:
- Active West Virginia or Compact RN License (pending license accepted for submission but must be active by start date)
- Minimum 2 years RN experience required; minimum 1 year in-specialty experience required
- Current certifications: BLS, ACLS, PALS (American Heart Association), and CPI (must be obtained minimum 1 week before start)
- Cerner EMR experience required
- MS/Telemetry, Telemetry, and ER Holding experience strongly preferred
- Proficiency in IV therapy/phlebotomy including accessing ports, blood product administration, peripheral line management, and starting IVs
- Experience with heparin protocols and managing cardiac drips (no titration)
- Competency in neurological/psychiatric care including CVA, seizure disorders, and substance withdrawal
- Respiratory care skills including CPAP/BiPAP, high flow nasal cannula, oxygen administration, and non-invasive airway management
- Experience with care of ventilated patients and tracheostomy management preferred
- Minimum 2 manager or charge nurse references from the past 2 years
- Flu vaccination required during flu season (October 1 - March 31) unless medical exemption provided
- Permanent address must be 100+ miles from facility (75-99 miles considered case-by-case)
- First-time travelers accepted with appropriate experience
Why It's a Great Opportunity:
Join a premier teaching hospital recognized as a Level IV Trauma Center and member of the Council of Teaching Hospitals and Health Systems. This Emergency Department Holding Unit role offers manageable 5:1 ratios, predictable night shift scheduling, and the chance to work with a diverse patient population in a supportive, resource-rich environment. With comprehensive interdisciplinary teams and a strong focus on quality care, you'll enhance your critical care skills while making a meaningful impact on patients during their observation stays.
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