Registered Nurse – Emergency Room

General Information: Beds: 50 beds in ED (to include hallway beds and Psych Holds) No locked area for Psych holds; 2 seclusion rooms within Main ED Minimum Experience: 2-year minimum ED experience in comparable facility for acuity and size First-time traveler? No, unless specifically approved by management 50,000-60,000 ED visits per year; Average 160 patients seen per day Patient Types: All ages (Neonate to Geriatric) Multispecialty – Medical/ Cardiac/Neuro/Ortho/Trauma/Interventional – will stabilize and ship out higher-level Neuro and Trauma patients DKA, Sepsis, Multisystem trauma (stabilization), Respiratory Failure, Renal Failure, COVID, IVDA, ETOH, Mental Health (Adult and Peds), Pediatric Med/Tele Stroke requiring TPA administration, spinal precautions STEMI, NSTEMI, Heart failure Patient Ratios: RN: Days & Nights: Main ED – 1:3-5 (based on acuity) ED/Psych Holding – 1:6 Required Certifications: RN: BLS ACLS PALS CPI (required) – MOAB is not accepted NIHSS (preferred) TNCC (preferred) Skills required: RN: Travel pairs are not preferred - must get manager approval Same shifts cannot be guaranteed Experience in a facility with a high acuity, fast paced environment comparable to UNC Health Southeastern Critical care drips/titration, cardiac rhythm interpretation, measuring cardiac strips, drains, chest tubes, hemodynamic lines: Art lines/CVP, Stroke experience (TPA administration and mixing), conscious sedation US guided IV’s is not a skill that will be needed at this time for travelers Support on the Unit: Secretary, 24/7 CNA – may be available to assist with: vitals, glucose checks, 12 lead EKG’s Charge nurse: unassigned Centralized and Bedside Tele monitoring within the department Phlebotomy: (will do all peripheral lab draws) Resource Nurse – team lead – staffing dependent House Supervisor, 24/7 RT, 24/7 (ED specific) – will perform ABG’s and Nebulizer txs Pharmacy, 24/7 ED specific pharmacist – 1100-2300, variable days of the week (2) ED physicians, 24/7 Mid-Level Providers, 0800-0200, 7 days per week RRT, 24/7 ICU Intensivist, available for consult 24/7 Security – typically in the ED at all times but may be pulled for in house emergencies as well Central transport to move patients, unless the patient requires constant RN monitoring due to acuity Charting System/Equipment: EPIC - required Alaris Omnicell Spacelab monitors Floating: Could potentially float to ICU but would be helping hands/task RN only Orientation: 1st day – Hospital NEO 2nd Day – Preceptor orientation to unit 3rd Day – in staffing, works independently Scheduling: Shift Times: 0700-1900 1900-0700 *Will not be able to accommodate blocked scheduling – please do not request approval for this* 8-week schedule Weekend rotation: Every other (Fri/Sat/Sun) Can we approve time off? Up to 7 days; must be willing to extend contract if taking a full week off, if requesting holidays or days surrounding holidays off – get approval from NM Will they be on call? No Holiday Expectations: 3/6 major holidays - Thanksgiving, Day After Thanksgiving, Christmas Eve, Christmas Day, NYE, New Year’s Day Other notes: Most travelers are diligent about their work and care about their patients; close-knit unit, traveler friendly, extensions offered if a good fit for the unit Scrub Color: Ceil Blue or White Undershirts must be White, Ceil Blue, Black or Grey Jackets must be White, Ceil Blue or Black No sweatshirt or hoodies Parking: Free in designated areas