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RN - ER

CHI St. Alexius Health Bismarck Medical Center - ML

Emergency Room Registered Nurse

Department is an Emergency Room with a Level II Trauma designation. The facility has 21 beds including a fast track area for stable patients. There is a separate triage area, typically managed by core staff. After some time, travelers may take triage competencies if they have prior experience. Patients can be intermingled or held in a roommate style based on stability. There is one dedicated psych room equipped with cameras for monitoring. Security is housed in the department and available 24/7. The facility treats an average of 50-60 patients per day, mostly categorized as ESI Level 3, with some Level 4, and rarely Level 1. Nurse to patient ratios vary from 1:3-4 based on acuity, possibly up to 5 if boarding patients. Common diagnoses include pediatrics to geriatrics, traumas, and various medical emergencies. Experience with common drips is preferred, including vasopressors and antiarrhythmics. There are no mid-level providers on staff; all physicians are present around the clock. A charge nurse is present on each shift to assist with department management and may also take an assignment. ED techs or other support staff are available, with duties including vital checks and patient care. Respiratory Therapy is available on-call as needed but is not stationed within the department 24/7. RNs are responsible for drawing labs from IV starts; phlebotomy is available as a resource. Shifts include varied start times and scheduling is based on department needs. Weekend and holiday requirements are every other occurrence. Floating is rare due to staffing and census demands. Dress code allows for any color scrubs. Notes on time off requests: minimal upfront requests are expected, with limited additional requests allowed. Cancellation policy applies as per contract terms. Charting is conducted using EPIC. Bachelor of Science in Nursing is not required for application.

Vacancy posted 1 day ago
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