Registered Nurse; RN - ED - Emergency Department

Position Overview

Permanent, full‑time Emergency Department Registered Nurse (ER/ED RN) in an 11‑bed ED. 36 hours per week on a 12‑hour shift schedule (day or night). Nurse‑to‑patient ratio 1:3 or 1:4. Personnel manage ER holds directly and work with a 24/7 physician coverage team, 12‑hour Nurse Practitioner coverage, and supportive supervisory staff after 3 PM.

• Day shift: 7:00 AM – 7:00 PM (Saturday & Sunday)
• Night shift: 7:00 PM – 7:00 AM (Friday & Saturday or Saturday & Sunday)
• Every other weekend and holiday is required
• No mandatory call or standby; open call shifts may be available for pickup

• 5/6 weekends worked: additional $7.00/hour flat rate
• 11/12 weekends worked: additional $11.00/hour flat rate
• Premium applies only to eligible weekend shift hours worked

• No trauma level designation; not a STEMI or Stroke Center
• No fast‑track area; one triage room used when patient rooms are full
• Two safe behavioral health rooms integrated within the ER
• Security available, not staffed 24/7
• Approximately 40 patients treated daily
• ER Technicians, PRN sitters, and Respiratory Therapy available 24/7
• Portable X‑ray and RT equipment (ventilators, CPAP, BiPAP, Vapotherm) on site

• Cardiac, respiratory, gastrointestinal, behavioral health, and mixed ER hold patients

• Provide direct emergency nursing care to acutely ill patients
• Perform rapid assessments and prioritize care effectively
• Manage ER holds alongside active patient assignments
• Monitor telemetry and interpret cardiac rhythm strips
• Collaborate with physicians, respiratory therapy, ER technicians, and interdisciplinary teams
• Troubleshoot respiratory support equipment (ventilators, CPAP, BiPAP, Vapotherm)
• Maintain accurate documentation in the EMR
• Float to supportive task assignments as needed; may serve in sitter roles as agency staff

• Active Registered Nurse (RN) license
• Minimum 2 years nursing experience preferred; experience with cardiac, respiratory, and GI patient populations required
• Manage 1:3 or 1:4 nurse‑to‑patient assignments
• ACLS, BLS, and PALS certification required
• SANE certification required (effective January 2023)
• Strong critical thinking and emergency assessment skills
• Read and interpret telemetry strips

• Occasional floating to task assignments may be required
• ER nurses may assist in supportive roles based on departmental needs

Grey scrub tops and black pants.

• 1:1 orientation with the Department Clinical Care Coordinator during the first week
• Orientation length and structure may vary based on EMR and prior departmental experience

• Health, dental, and vision insurance
• Paid time off
• Retirement plan
• Career advancement opportunities

Selected candidates will be contacted for interview. Please contact Eric Solomon for more information.