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The job in short
Emergency room registered nurse.
Nursing
Details
- Found
- 10 d ago · posted 2026-10-15
- Location as listed
- Spokane, WA
- Role
- Registered Nurse (RN)
- Source
- The company’s own careers site
Full description
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Registered Nurse (RN)
About the Facility
We are a 388-bed hospital with a Level 3 Trauma Center and a Level 3 Neonatal Intensive Care Unit (NICU).
General Information
• Beds: 24, including 8 behavioral health rooms in a secured unit.
• Experience Requirement: Minimum of 3-5 years in a Level 3 or higher setting is required. Traditional travelers must have 2+ years in a Level 3 or higher facility.
• First-time travelers: Accepted for traditional traveler positions.
Patient Types
Patients may include those with psychiatric needs, trauma cases, general medical issues, sepsis, cardiac events, strokes, abdominal pain, and chest pain.
Patient Ratios
• RN Ratio: 1:4-5, with traditional travelers able to manage up to 1:5-6 with low acuity patients.
Required Certifications
• BLS, ACLS, PALS, NIHSS, MOAB/CPI (can start without per NM 10/22/2024), TNCC.
• Traditional travelers may take either PALS or ENPC, and TNCC or ATCN.
Skills Required
• RSI, conscious sedations, managing lines, drains, tubes, and general emergency room skills.
• EPIC experience is required for preceptors and traditional travelers.
Support on the Unit
• CNA/ER Tech: 2-4 techs available per shift, capable of splinting, performing straight sticks, discontinuing IVs, wound care, and EKGs.
• Receptionist/HUC available on days and nights.
• Phlebotomy is available, and techs can perform straight sticks.
• Resource Nurse and Respiratory Therapy available 24/7.
• Hospitalist coverage 24/7.
• Telemetry monitoring is available both at the bedside and centrally.
Technology and Equipment
• Electronic Medical Record (EMR): EPIC.
• IV pumps: Alaris.
• Medication dispensing: Pyxis.
Floating
Generally, there is no floating; however, traditional travelers may occasionally float to a freestanding ER or other locations within the region as needed.
Orientation
• New nurse graduates: 1-week general orientation followed by 24 weeks of unit orientation.
• For preceptors: NEO with 1-2 shifts with a preceptor, followed by 2-3 weeks on the unit.
• Traditional travelers: NEO with 1-2 shifts on the unit.
Scheduling
• Weekend rotation: Every other weekend.
• Holiday expectations: As needed per unit.
• Time-off approval: 7 days in advance; additional requests require nursing manager approval.
• Shift times for preceptors include straight days or nights, with the last 4-6 weeks on the opposite shift. Traditional travelers have shifts available at 0700, 1100, 1200, 1400, or 1900.
Other Notes
• Utilizes a 1:1 model for CAP.
• Scrub colors are flexible, requiring professional or solid colors.
• Free parking available on-site.
• The unit is known for excellent teamwork but can be a high-stress environment. Support for graduate nurses is prioritized.
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