Float RN - ICU ​/ Emergency Department ​/ Med-Surg

Job Summary

We are seeking experienced Float Registered Nurses for 13-week travel assignments in Fort Defiance, Arizona.

This is a highly flexible, multi-unit nursing role requiring strong recent experience in all three of the following areas:
Intensive Care Unit (ICU), Emergency Department (ED), and Medical-Surgical/Pediatric nursing
.

The RN will report to the House Supervisor for daily unit assignment and may be placed in ICU, ED, Med-Surg, or an appropriate pediatric care area based on patient census and staffing needs.

Candidates must have at least 3 years of nursing experience with demonstrated competency across all required specialties. Strong adaptability, critical thinking, and the ability to transition quickly between different acuity levels are essential.

• · Provide direct nursing care in ICU, Emergency Department, Medical-Surgical, and applicable pediatric settings.
• · Report to the House Supervisor for daily unit assignment.
• · Adapt quickly to varying patient populations, acuity levels, and departmental workflows.
• · Perform comprehensive patient assessments and ongoing reassessments.
• · Recognize changes in patient condition and initiate appropriate interventions.
• · Provide care to critically ill and high-acuity ICU patients.
• · Triage and stabilize patients presenting to the Emergency Department.
• · Provide comprehensive Medical-Surgical nursing care.
• · Care for pediatric patients within demonstrated competency.
• · Administer medications, IV therapies, blood products, and other ordered treatments.
• · Monitor cardiac rhythms, vital signs, respiratory status, neurological status, and clinical changes.
• · Manage patients requiring advanced monitoring and critical-care interventions within RN scope.
• · Provide moderate sedation nursing support according to facility policy and demonstrated competency.
• · Assist physicians during emergency and bedside procedures.
• · Participate in rapid response, trauma, and code situations.
• · Provide patient and family education.
• · Maintain accurate and timely clinical documentation.
• · Participate in clinical handoffs and interdisciplinary communication.
• · Follow infection-control, patient-safety, and regulatory standards.

Candidates must have:

• · Minimum 3 years of RN experience
• · Recent experience in all three required specialty areas:
• o Intensive Care / Critical Care
• o Emergency Department
• o Medical-Surgical nursing
• · Pediatric nursing experience as required for applicable assignments
• · Strong critical-care assessment skills
• · Emergency nursing experience
• · Ability to independently manage Medical-Surgical patients
• · Ability to transition between high-acuity and general acute-care environments
• · Strong clinical judgment and prioritization skills

Candidates must have experience in ICU, ED, and Med-Surg. Experience in only one or two of these specialties will not meet the core requirement of this position.

Candidates must have:

• ·
  American Heart Association BLS
• ·
  ACLS – Advanced Cardiovascular Life Support
• ·
  PALS – Pediatric Advanced Life Support
• ·
  TNCC – Trauma Nursing Core Course
• ·
  Moderate Sedation certification or documented competency as required by the facility

All required certifications must remain current throughout the assignment.

Candidates should be comfortable with:

• · Critical-care nursing
• · Continuous cardiac monitoring
• · High-acuity patient assessment
• · Mechanical ventilation support
• · Vasoactive medication management
• · Hemodynamic monitoring
• · Central line care
• · Emergency response
• · Rapid clinical deterioration

Candidates should be comfortable with:

• · Emergency triage
• · Rapid patient assessment
• · Trauma care
• · Cardiac emergencies
• · Respiratory emergencies
• · Neurological emergencies
• · Sepsis
• · Emergency medication administration
• · Code response
• · Patient stabilization

Candidates should be comfortable with:

• · Comprehensive Medical-Surgical assessment
• · Medication administration
• · IV therapy
• · Postoperative care
• · Patient education
• · Pediatric assessment as appropriate
• · Discharge planning
• · Care coordination
• · Managing multiple patients and competing priorities

This…