RN Emergency Room

Unit Notes

Department : ER RN

• Required Certifications : BLS, ACLS, PALS, NIHSS (3 hrs Stroke). Must have 8 hrs of Stroke education. Prefer TNCC.*
• Trauma Level : Trauma Level II. Stroke and STEMI Certified.
• Beds : 65 Bays- divided into different zones (A, B, C, D, & E), and staff be rotated through each zone.

Designated Code / Trauma area.

• Do you have a Fast Track : 10 Chairs. Staffing : 2 Attendings, 1 RN.
• Do you have a separate Triage area? : Separate area close to the waiting room, 3-4 Triage RNs. Travelers

are required to triage experience and may be asked to work in this area.

Do you have a separate holding area in the ER : Can see ER Hold Patients throughout the ER. ER is staffed with

ERG nurses (MS Inpatient RNs) that assist in taking ER hold patients; ER RNs may still be assigned ER Hold

patients when necessary.

• Do you have separate Psych rooms? : No, Psych Patients transferred to Fulton Campus.
• Security in-house 24 / 7 : 24 / 7 in the ER.
• How many patients do you treat in the ER / day : 118,000 per year approx. 9850 / month.
• Nurse : Patient Ratios : 1 : 4-8 depending on acuity of patients, census, and staffing; high ratios are not

uncommon. They do not have set ratios in the ER.

• Required Certifications : BLS, ACLS, PALS, NIHSS (3 hrs Stroke). Must have 8 hrs of Stroke education. Prefer TNCC.
• Common Diagnoses : Pt Population Adults and Peds; DM, Asthma, Resp Issues, COVID, Chest Pain, STEMI, CVA,

Stokes, Psych, Trauma, and more.

Experience : 2 years of ER Experience. Must have triage experience. Prefer : Trauma experience. Will accept first

time travelers if they have similar inner-city (metropolitan) ED experience.

Common drips : Must be able to titrate all critical drips. Must be able comfortable providing conscious sedation

for bedside procedures and / or pain management.

ED Physician / Mid-Levels : 1-2 Attendings in each zone, 3-4 RNs in each area, & 1 PCT in each zone; RN may be

asked to do primary care nursing and RNs to work as a team in their zone.

• Charge Nurse : 1 Charge and 1 Manager in the ER 24 / 7.
• Nurse aids : 1 PCTs in each zone.. Job Duties : phlebotomy, 12 Lead EKGs, vital signs, POCT, patient care, assist RNs, and more.
• Is RT in the ER 24 / 7? : In house 24 / 7; RT NOT designed to the ED, but are available by call 24 / 7.
• RT Equipment : RT will set up Resp. Equip and RN expected to help monitor and maintain it.
• Do you have Monitor Techs in the ER : No Monitor Tech or centralized monitoring, RNs to read and interpret

their own tele, monitors in the room.

X-Ray or CT in the ER? : Down the hall on the same floor; Transport team available, RNs expected to assist in

transporting unstable patients.

• Does Phlebotomy draw labs or RN's draw : RN to draw upon IV access and PCTs may do redraws with butterfly.
• Shifts & Scheduling : RN Shifts : 7-7 : 30, 12-12 : 30. PCT Shifts : 7-3 : 30, 3-11 : 30, 11-7 : 30. Schedule is made out by

management and travelers asked to stay flexible and fill gaps in permanent staffing. Will consider block

scheduling. Huddle starts at 7 and RNs expected to be ready to go at that time, tardiness is not tolerated.

• Weekend Requirements : Typically EOW. May be asked to help cover extra weekends at times.
• Vacation Requirements : May be asked to go into the Vacation Rotation.
• Is there call or a standby requirement : None
• Floating Requirements : None
• Scrub Color : Royal Blue
• Unit Specific Orientation : 1-2 shifts with a preceptor. Orientation : Tues - Badging, Wed & Th classroom orientation, Fri on the unit with a preceptor (11.5 hrs).

Date Entered On : 8 / 1 / 2024