RN - 19512228

Grand River Health • Rifle, CO

1d

About The Position

Travel opportunity for an Emergency Department Registered Nurse in a rural emergency department. This is a night-shift assignment with 12-hour shifts and an ASAP start date. The department has 11 ED beds and one psych/seclusion room, and sees approximately 30 patients per 24-hour period (10,000 annually). It has a Level 4 fast track, primarily serving patients discharged home or transferred to other care facilities. Patient acuity ranges from patients able to manage themselves and low-acuity cases to high-acuity patients requiring 1:1 care.

The department is staffed by two physicians per day, with one on each 7:30 AM–7:30 PM shift; two RNs plus a swing-shift RN working 11 AM–11 PM; and two ED techs plus a swing-shift tech working 2 PM–2 AM. Respiratory therapy is available 24/7 and manages ventilators. Pharmacy is in-house from 7:30 AM to 6 PM, with overnight pharmacy coverage after hours. There is no dedicated monitor tech; nurses monitor patients from the nurses’ station.

The role requires independent nursing practice and readiness to manage a broad range of emergency presentations, including pediatric emergencies, codes, and IV administration. The facility does not provide Labor & Delivery services, so nurses may need to assist with unexpected deliveries. Nurses conduct lab draws, with daytime phlebotomy assistance available; ED techs can draw labs and start IVs until 2 AM. There is no dedicated IV team, though infusion nurses can assist with midlines and PICCs. The department uses an open workstation layout to support communication and teamwork. Orientation consists of one 12-hour shift with a preceptor, including a brief unit-layout review and hands-on training.

Requirements

• At least 2 years of rural emergency department experience.
• Ability to work independently; plug-and-play nursing skills are essential.
• Pediatric experience, including handling pediatric codes and IV administration.
• Comfort handling a wide range of patient presentations.

Nice To Haves

• First-time travelers may be considered if they have appropriate experience.

Responsibilities

• Assess and care for a diverse range of emergency department patient presentations, including high-acuity cases requiring 1:1 care.
• Provide care for pediatric emergencies, including pediatric codes and IV administration.
• Work independently with minimal orientation in a rural emergency department.
• Conduct lab draws; daytime phlebotomy assistance is available.
• Monitor patients from the nurses’ station because there is no dedicated monitor technician.
• Be prepared to assist with unexpected deliveries when necessary.
• Collaborate with physicians, registered nurses, emergency department technicians, respiratory therapy, and infusion nurses.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed