```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; option for 36 or 48 guaranteed hours per week. Overtime after 48 hours for 4x12 schedules. Float to Emergency Department as needed. No call required.
Highlights:
- Work in a Level IV Trauma Center and major teaching hospital with 838 staffed beds
- Nurse-to-patient ratio of 5:1 caring for adult and geriatric observation patients including chest pain rule-outs, TIA, chronic anemia, and CHF/COPD exacerbations
- Cerner EMR system with comprehensive interdisciplinary support including IV teams, respiratory services, rapid response teams, and pharmacy
- Free parking for travelers and structured orientation program
- Travel assignment with flexibility for first-time travelers who have appropriate specialty experience
- Manageable 15-bed unit with 15 daily census
Requirements:
- Active West Virginia or Compact RN License (pending license accepted for submission, but active license required before start)
- Minimum 2 years of RN experience; minimum 1 year in-specialty experience required
- Current certifications: BLS, ACLS, PALS (all through American Heart Association); CPI (available through Qualivis, must be obtained at least 1 week before start)
- Required experience with Cerner charting system
- Preferred experience: MS/Telemetry, Emergency Department Holding, and Telemetry units
- IV therapy skills including accessing ports, blood product administration, peripheral line management, and starting IVs
- Experience managing cardiac drips (no titration) and heparin protocols
- Competency in neurological/psychiatric conditions including CVA, seizure disorders, and substance withdrawal
- Respiratory management skills including CPAP/BiPAP, high flow nasal cannula, oxygen administration, and non-invasive airway management
- Preferred experience with ventilated patient care and tracheostomy management
- Minimum 2 manager or charge nurse references from the past 2 years
- Permanent residence must be 100+ miles from facility (75-99 miles may be considered on case-by-case basis)
- Flu vaccination required during flu season (October 1 - March 31) unless medical exemption documented by physician or allergist
Why It's a Great Opportunity:
Join a premier teaching hospital environment where you'll gain valuable experience in a specialized ED holding unit serving observation patients with diverse medical needs. This position offers an excellent nurse-to-patient ratio, comprehensive support services, and the chance to work alongside dedicated healthcare professionals in a collaborative, well-resourced acute care setting. With structured scheduling, competitive guaranteed hours, and the stability of a major healthcare system, this role provides an ideal opportunity for experienced RNs seeking professional growth in emergency and observation care.
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