RN (Registered Nurse)

Unit Notes
Department: Emergency Room (RN)
*Certifications Required: BLS, ACLS, PALS, TNCC*
PROFILE REVIEW+MANAGER INTERVIEW

- Trauma Level: Level II
- # of Beds/Trauma Bays: 21 including fast track
- Do you have a Fast Track?: verticle flow has chairs, patients if stable go back to waiting room, and MD has orders in. Travelers utilized in verticle flow area
- Do you have a separate Triage area?: yes, vitals etc. Usually core staff to do triage, travelers, after being there awhile, could take triage competencies to triage, if have previous experience.
- Do you have a separate holding area in the ER or are ER holds intermixed w/in the ER? ER RN to take boarding patients, if stable go to vertical flow or more unstable keep close to nurses station.
- Do you have separate Psych/seclusion rooms? 1 psych room, cameras in room
- Is Security in-house 24/7? Housed in the ER? Security office is in the ER, and in house 24/7
- On average, how many patients do you treat in the ER/day? 50-60/ day, mostly Client Level 3, some 4, and rarely 1
- Nurse:Patient Ratios: 1:3-4 based on acuity, maybe 5 (if boarding and grouped together)
- Common diagnoses/Types of patients: peds to geriatrics, traumas- allow travelers to take, CAH transfers, Stroke, STEMI, SOB, abdominal pain, etc.
- Experience or 'Must have' skills: Prefer previous travel experience but open to first time travelers.
- Common drips: vasopressors, heparin, antiarrhythmics, (critical care drips for ICU holds, would be a 1:1)
- ED Physician &/or Mid-Levels staffed? Generally how many are on at a time? All MDs no mid levels, here 24/7, 1 MD overnight until 6 am and 3 MDs during busiest times
- Is there a Charge Nurse on each shift? Does the charge nurse take an assignment?: Charge Nurse- outside of staffing, manages throughput of department and helping hand
- Are there nurse aids/EMT/Paramedics/Patient Sitters on each shift? Ratios? Duties?: 1 ED tech (usually), up to 2 depending on how busy they are. Duties include: EKGS, patient care, vitals, blood glucose etc.
- Is RT in the ER 24/7? Do they do ABGs, breathing Tx, & EKGs? RT comes as soon as needed, not physically in the department 24/7 but in house
- RT Equipment (Vents, Cpap, BiPap, High Flow, etc.) Are RNs required to do anything with these besides trouble shoot? RT to handle the equipment, and breathing treatments
- Do you have Tele/Monitor Techs in the ER? Tele in main nurses station, no techs. RN to read and interpret strips, MD to verify.
- X-Ray or CT in the ER? Transport? Both are next to the ER, if stable CT will come get the patient, if unstable the RN to go with
- Does Phlebotomy draw labs or RNs draw? RN to draw off IV starts and phlebtomy available as a resource
- Shifts & Scheduling: 12hr shifts w/ varied start times: 7a-7p, 9a-9p, 11a-11p, 2p-2a, 7p-7a, Manager does the scheduling based on needs and staff availability, will try to accommodate block scheduling based on need.
- Weekend Requirements: Every other
- Holiday Requirements: Every other
- Floating Requirements: rare ability to float due to census and staffing, to task/ or as helping hands
- How many shifts of unit/department specific orientation?: 1-2 shifts in the ER
- Scrub Color/Dress Code any color scrubs


Radius Rule: 50 miles AND candidates may not be full time, part time, or PRN with any facility associated with CommonSpirit, including CHI and/or Dignity.
RTO needed upfront (7 or less days per 13 week contract). Additional RTO will not be approved, including after submissions.
Updated: 2/12/2024