RN – Emergency Room

Specialty: Emergency Room
Facility: St Lukes Magic Valley Medical Center
State License: ID
Certs/Licenses:
Years of Experience: 2 year(s)
Shift: 12H Nights nights 3×12
Guaranteed Hours: 36 hours per week
Description: Specialty: ERFacility: St Lukes Magic Valley Medical CenterState License: IDCerts/Licenses: Years of Experience: 2 year(s)Shift: 12H Nights nights 3x12Guaranteed Hours: 36 hours per weekDescription: Unit Notes:UnitER/EDTrauma Level? STEMI Receiving? Stroke Center?Level 3 Trauma, STEMI and Stroke Receiving Highly organized team with focus toward high reliability, cusotomer service, and zero harm. Expectations toward these measures are assisted with leader representation sharing examples and improvement opportunities.# Beds/Trauma Bays 25 Beds (2.5 Zones), 3 Triage Rooms, 3 Trauma Bays, Hazmat Shower and Flood tent available for mass causality Do you have a Fast Track4 Rooms perpedicular to the ER space that are sometimes utilized as Fast Track No LPNs in this ED Do you have a separate Triage area? If so, do you allow/require travelers to do Triage?3 Triage Rooms Do you have a separate holding area in the ER or are ER holds intermixed w/in the ER?”ER Holds can be found throughout the ER;Avg wait time for patient is 90 mins from admission order to transfer for inpatient;At a max 4-8 hours for hold patients; typically Peds and Psych patients Will admit Peds patient as they have 10 bed inpatient unit, but if higher acuity will be transferred out.”Do you have separate Psych/seclusion rooms? 2 designated” safer” rooms, but can see them throughout the ER if neededIs Security in-house 24/7? Housed in the ER? 24/7 located in the ER On average, how many patients do you treat in the ER/day?109 per dayNurse: Patient Ratios1:04, Staffing Goal: Designated zones (8 rooms) to have 3 RNs and 1 CNA per zoneRequired Certifications (i.e., BLS, ACLS, PALS, TNCC, ENPC, NRP, NIHSS?)”BLS, ACLS, PALs,TNCCPrefer ENPC “Common diagnoses/Types of patientsAbd pain, DM, HTN, STEMIs, NSTEMIs, Stroke, Prioritized traumas, and more. Experience or ‘Must have’ skills”Must Have: 1 year of ER experienceMust have some trauma experience (MVAs, GSWs, Stabbings, etc.)Must have Triage experience Prefer: Trauma Bay experiencePrefer: Epic Experience- please call out if they do not have any No first time travelers – must have 2-3 travel assignments successfully completed”Common drips? Must be able to titrate all critical gtts and procedural sedation for adults and pediatrics. Also important to understand drips that require filter tubing and management of blood products/components via rapid infuser. ED Physician/Mid-Levels1-4 Physicians plus PA and NPs; No designated Peds Physician Charge Nurse/House Supervisor? Does the charge nurse take an assignment?1 Charge per shift; may end up with patient assignment- more common nightsNurse aids/EMT/Paramedics/Patient Sitters? Ratios? Duties?”CNAs- 1 per zone May be asked to float throughout the ER to different zones to assist as needed. Job Duties: 12 Lead EKGs, dept support and assisting providers, and more Pharmacist 12hrs typically 9-9ish”PharmacyDesignated to the ER 12 hrs per day, typical Is RT in the ER 24/7? Do they do ABG’s, breathing Tx, & EKG’s?RT available 24/7, will administer resp tx and manage equipmentRT Equipment (Vents, Cpap, BiPap, High Flow, etc.) Are RNs required to do anything with these besides trouble shoot?Cpap, Bipap, Airvo/Optiflow, & VentsDo you have Monitor Techs in the ER? Are RNs required to read their own strips? What brand are the Tele monitors?Falls to RNs responsibility; Must be able to read and interpret tele; X-Ray or CT in the ER? Transport?Adjacent to dept; transport avialable, but RNs expected to transport if acuteDoes Phlebotomy draw labs or RN’s draw?RNs to do blood draw on IV starts; Phlebotmy available 24/7 for blood draws upon requestShifts & Scheduling (Do you allow self-scheduling? Block scheduling?)”Mid Shifts: 1P- 1:30A, 2P- 2:30A, 4P-4:30A, 6P-6:30AFirst few week travelers will be asked to fill in the gaps; after that will be asked what their availability; scheduler may utlize a template for scheduling but asked to fill gaps in the perm scheduleTemplate scheduling often allows 5 days off in a row every 3-4 weeks”Weekend Requirements”EOW, typically a little less if utilizing the template “Holiday RequirementsMay be asked to go into the Holiday Rotation Is there call or a standby requirement?”Could be asked to go on Call, callback pay available, if needed. (Rate is dependent on contract- refer to recruiter for more information)”Floating Requirements”Floating not required; could be asked to float to another unit for tasking, if need”Scrub Color/Dress CodeNavy BlueUnit/Department specific orientation1-2 days with a preceptor in the moment leader rounding, chart reviews and feedback as needed.Additional NotesMax of 5 days of RTO per contract- prefer if they can schedule a traveler full time around RTOAdditional QuestionsFacility Follow UpNotes obtained: Phone Implementation, Email, or On-Site?Via Team with Unit Manager with Garth Blackburn, AM Cassondra Terkildsen, & CNM Bri Jarosz 7.29.24 Cancellation Policy:Client may cancel up to 4 shifts per 13-week assignment Charting System:Epic Systems Corporation – EpicCare Inpatient – EMR BSN Required:False License to Submit:Yes Trauma Level:3 Care Setting:Acute Division:Nursing Shift Notes:nights 3×12 Required Certifications:ACLS, BLS, PALS, TNCC