Description

American Traveler is seeking an experienced RN for a Med/Surg and ER Swing position requiring ED experience, critical thinking in a low-staffing environment, and the ability to manage patients from swing bed through critical/trauma levels.

Details

• Acute care setting with 9 Med/Surg beds and 3 ER patient bays
• Float position requiring RNs to rotate between Med/Surg and Emergency Department
• Patient population includes swing bed rehab, pain control, pneumonia, hypertensive crisis, bowel obstruction, and some cardiac cases, as well as critical and trauma patients
• Nurse-to-patient ratio of 1:5 with CNA support
• CNAs assist with hourly rounding, blood sugars, vital signs, and patient care
• Minimal staffing model: typically 2 licensed nurses and one CNA on the floor
• RNs are required to titrate drips including insulin, amiodarone, cardizem, and levophed
• RNs must read and document their own telemetry strips; Mindray monitors used
• RNs are expected to perform complete EKGs
• Respiratory equipment on unit includes BiPAP, high-flow oxygen, and a Hamilton T1 ventilator; patients requiring escalated respiratory support are typically transported to a higher level of care
• 12-hour shifts rotating days and nights (6:45am–7:15pm and 6:45pm–7:15am)
• Every 3rd weekend required (Friday night through Sunday night rotation)
• Every 3rd holiday required; holiday schedule follows the permanent staff rotation
• MEDITECH EMR used
• Schedules are posted 4–6 weeks out by the manager
• On-call is voluntary for high census and may be assigned during low census periods

Requirements

• Active MN RN license (Standard or Compact) required; pending licenses not accepted
• Current AHA certifications required: BLS, ACLS, PALS, and TNCC; pending certifications not accepted
• Minimum 1 year of RN experience required
• Emergency Department experience required in order to float between Med/Surg and the ER
• Proficiency in admitting, discharging, and transferring patients
• Experience titrating IV drips and working with PICC lines and ports
• Ability to respond to and participate in codes (cardiorespiratory, stroke, sepsis) and trauma activations
• Ability to work independently with minimal staffing and communicate directly with hospitalists
• Driver's license required for consideration
• 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 eligibility for rehire

Additional Information

• Facility follows EMTALA regulations and utilizes flight transport for patient transfers
• Nursing is the only 24-hour department; ancillary departments are on-call on weekends and nights
• Orientation is typically one week but may be adjusted based on demonstrated skill level; ability to adapt quickly is essential
• No specific scrub color requirement
• Candidates must reside at least 50 miles from the facility (permanent address as shown on driver's license) to qualify for travel rates
• Candidates who have been directly employed (full-time, part-time, or PRN) by any CommonSpirit, CHI, or Dignity facility within the past year are not eligible; candidates employed PRN through outside staffing firms will be considered