Description

American Traveler is seeking an experienced RN for a Charge Nurse role in a Critical Access Hospital (CAH) Emergency Department, requiring prior CAH ER and charge experience with night shift availability.

Details

• Works in a 20-bed Emergency Department at a Critical Access Hospital (CAH), including 2 semi-private rooms and 1 trauma bay
• Trauma Level V facility with STEMI receiving and Stroke certification capabilities
• ER nurses perform triage and manage the full continuum of patient care — no separate triage area
• Common presentations include trauma, STEMI, stroke, lacerations, abdominal pain, ear aches, and chronic pain
• Nurse-to-patient ratio of 1:4
• Common drips include Heparin, Insulin, Cardizem, Lasix, and Amiodarone
• RNs manage respiratory equipment including ventilators, CPAP, BiPAP, high-flow oxygen, and nebulizers independently (no RT on unit)
• RNs are responsible for blood draws (no phlebotomy available in the ER), EKGs, and telemetry monitoring (Mindray system)
• Charting is done in MEDITECH
• 12-hour night shifts, 7p–7a
• Every 3rd weekend (days or nights) required
• Holiday rotation required
• No on-call or standby requirement
• Floating may be required to Med/Surg or Outpatient areas as needed

Requirements

• Active ND or Compact (NLC) RN license — must be active at time of consideration; pending licenses not accepted
• Required certifications (all AHA, no pending accepted): BLS, ACLS, PALS, TNCC
• Minimum 1 year of RN experience required
• CAH Emergency Department experience is required
• Charge nurse experience is required
• Ability to remain calm and confident in high-acuity and fast-paced environments
• 2 professional references required: one supervisor from within the last 12 months and one peer or supervisor from within the last 3 years, both including dates of employment and rehire eligibility
• Valid driver's license required

Additional Information

• This is a Charge Nurse position — the ER nurse serves as the charge nurse on shift
• Supervisor coverage is available Monday–Friday, 8a–5p only; no in-house supervisor on nights or weekends
• No security staff on-site; facility uses panic buttons and controlled access after 5pm
• Psychiatric patients are intermixed throughout the ER with no designated psych or seclusion area
• Psych and med/surg hold patients may be placed on the med/surg floor when needed
• Orientation consists of 3 shifts (12-hour orientation period total)
• Scheduling is manager-driven with block scheduling available; schedule posted 4 weeks in advance
• No specific scrub color required
• Candidates must reside more than 50 miles from the facility to be eligible
• Candidates who have been directly employed (full-time, part-time, or PRN) by any CommonSpirit/CHI/Dignity facility within the past 12 months are not eligible
• MEDITECH experience is preferred but not required
• First-time travelers will be considered, but strong CAH ER experience is required