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.
• Required Experience

• 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.
• Required Certifications

• 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.
• Key ICU Skills

• 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
• Key Emergency Department Skills

• Emergency triage
• Rapid patient assessment
• Trauma care
• Cardiac emergencies
• Respiratory emergencies
• Neurological emergencies
• Sepsis
• Emergency medication administration
• Code response
• Patient stabilization
• Key Med-Surg / Pediatric Skills

• 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
• Float Requirements — This is a true float-pool assignment.

• Report daily to the House Supervisor
• Accept assignment…