Description

American Traveler is seeking an experienced RN for an off-campus Emergency Department position in Bremerton, WA, requiring at least 2 years of ER experience and a full certification stack including TNCC and NRP.

Details

• Off-campus Emergency Department (OCED) setting with 10-12 ED beds and 7-10 additional hall treatment spaces, budgeted for approximately 60 patients per day
• Patient population spans neonates to geriatrics, with approximately 25% pediatric cases, including walk-in traumas, cardiac, neuro, GI, respiratory, psych, and GSW patients
• RNs are responsible for managing ventilated and BiPAP patients, as there is no onsite Respiratory Therapy; ventilator and BiPAP training is provided during orientation
• Standard patient ratio is 1:4; fast track team nurse ratio is 1:6 (with LPN and NP support)
• Charting is performed in Epic; Alaris pumps and Pyxis medication dispensing systems are used
• RNs mix their own medications under remote pharmacy supervision via video conference
• Shift is 12-hour nights, 36 hours per week; NOC start times are 1500 or 1900
• Alternating weekend rotation and negotiable holiday coverage
• Assigned a primary OCED location, but floating to other OCED sites is expected as needed

Requirements

• Active WA state or compact RN license required
• Current certifications required: BLS, ACLS, PALS, NRP, NIHSS, and TNCC
• Minimum 2 full years of ER experience required (any trauma level)
• Strong skills in IV placement, medication administration, chest tube and central line management
• Traveler Telemetry Competency exam must be completed and passed prior to start
• At least one supervisor-level reference (Charge Nurse, Manager, Director, or above) required for consideration; a second reference will be required prior to start

Additional Information

• First-time travelers are welcome to apply
• Orientation includes one day of hospital orientation, one full day with the OCED unit educator, an 8-hour respiratory/ventilator class, and one full day on the unit
• Charge nurse responsibilities are expected; training will be provided if needed
• LPNs on staff assist with low-acuity assignments, procedures, and medication administration within their scope; EST/phlebotomy support is available but RN blood draws are common
• Charge nurse takes a partial patient assignment and is available to float and provide breaks in the afternoon
• Floating between OCED sites may occur mid-shift; travel time is compensated and travelers are notified before the shift when a float is required
• Schedules are built on a 6-week cycle; block scheduling is not guaranteed
• RTO of up to 5 days may be approved; requests exceeding 5 days require manager approval
• Scrubs may be any color; parking is free