What are the responsibilities and job description for the Registered Nurse – Emergency Room position at AMN Healthcare?
CLINICAL INTERVIEWING - MGR FINAL APPROVAL
Beds: 34 with 12 hallway beds
Will you accept a first-time traveler? NO
Years of Experience: at least 3-years of ED experience in large volume ED with high acuity patients
Patient Types:
Neonate to geriatric, Level III trauma center, pediatrics (medical and trauma). stroke (administer TPA), cardiac (cath lab), behavioral health and substance use disorder
Busiest ED in the state
Transfer out (stabilize and ship): neurosurgery, multi-system trauma, high acuity peds patients
Patient Ratios:
1:3-5 based on acuity; fast track (13 beds, “green zone”)
ER is set up in zones
Required Certifications:
ACLS, BLS, PALS or ENPC and TNCC
Skills required:
Strong emergency nursing skills to include critical care and pediatric patients
Experience with chest tubes, arterial lines, blood administration, Bipap/Ventilators
Splinting
Barcode Scanning Medication Administration-this is required of staff
Experience with managing medication drips
Triage experience-must pass hospital’s Triage Test before allowed to triage
Able to set up chest tubes, art lines. Assist with Trauma and Code cases. ER skills, Critical patients. Pediatric emergency medicine experience is highly preferred. Splinting. Good understanding of ESI. Triage experience required.
Support on the Unit:
3 ED techs - transport, stock rooms, EKGs, sitters
Medical Assistant - blood sugars, pass meds, assist with splinting
Receptionist/HUC: Yes
Charge nurse: Yes, typically not in a patient assignment
Phlebotomy: Yes, RN is responsible for drawing their own labs, especially at night
IV/VAT Team? Yes, until 2300 for hard sticks and dependent upon availability
Hospitalist? Yes
Mid-level providers: Advanced Registered Nurse Practitioners
Security available 24/7
Technology/Equipment:
EMR: EPIC, strongly recommend
IV pumps: Alaris
Medication dispensing: Omnicell
Monitors: Phillips
Floating: If yes, where?
No
Orientation (#hrs/shifts):
Hospital NEO then will work the remaining shift with a preceptor on the floor
1-2 shifts on the unit with preceptor support (will have their own patient assignment but have a resource buddy)
Scheduling:
Weekend rotation: Yes, every other weekend. (may work back-to-back weekends, rare) Looking for flexibility.
On call? If so, what is that schedule? No
Holiday Expectations: They can be scheduled on holidays, 1-2 holidays per contract.
Approval of time off? Ok to approve 7 days
Can we text you with any requests over 7 days? Yes
Shift times: Variable
“Our ED has two shifts we post DAY/EVE which consists of these shifts 7a-7p, 9a-9p, 10a-10p, 11a-11p. And EVE/NOC which consists of these shifts 12p-12a, 1p-1a, 2p-2a, 3p-3a, 7p-7a. When we hire/offer, these are the shifts that they could be placed. They usually do not bounce around these shifts; however, it makes it easy for us to move them around when the need of the unit or the staff member warrants. When the word MIDS is used, it technically means early mids (7a to the 11a shifts) and late mids (12p to the 7p shifts).”
Schedule cycle: 6 weeks in advance for a 6-week schedule