Job Details
Unit Notes
- Trauma Level? STEMI Receiving? Stroke Center?: Non-Trauma Center, Non-STEMI, Non-Stroke receiving center (Neuro
transfer to Methodist, Trauma’s transfer to UNMC in Omaha)
- # Beds/Trauma Bays : 12 Total Beds/Rooms: 2 are trauma/cardiac bays
- Do you have a Fast Track: No Fast Track.
- Do you have a separate Triage area? If so, do you allow/require travelers to do Triage?: They have a triage room but
try to bed patients right away. The triage nurse is assigned in 4-hour increments and is usually not a traveler,
although if the traveler has a lot of ED experience, has proven to be efficient in this department, and with the
traveler's permission they may be assigned triage. (Not very often)
- Do you have a separate holding area in the ER or are ER holds intermixed w/in the ER?
Do ER RNs manage their own ER holds? ER Holds are intermixed within the ED and managed by the ER RN.
Although, if they were faced with a surge situation, they would try and staff the ED with ICU/floor nurses for the holds.
They have been quite fortunate compared to other hospitals.
- Do you have separate Psych/seclusion rooms? They have one dedicated psych/safe room. Often times they have
more than one psych patient. Therefore, they try and staff a "care companion" (sitter) with some other staff from ED
or floor so they don't use their core staff for the day. They can also get help from security on special cases. They
have an Inpatient psych unit.
- Is Security in-house 24/7? Housed in the ER? Security is not housed in the ER, but they are always available if
Needed & usually respond very quick.
- On average, how many patients do you treat in the ER/day? They have been averaging about 50 patients/day,
approximately 1500/month
- Nurse: Patient Ratios Most of the time no more than 1:4. They are a small ED, so if one of the nurses has a critical
patient, the others pick up extra to help out.
- Required Certifications (i.e., BLS, ACLS, PALS, TNCC, ENPC, NRP, NIHSS?) BLS, ACLS, PALS, TNCC are required. By the
End of 2022 they will all be required to have ENPC as well.
- Common diagnoses/Types of patients Typical "Midwestern" types of complaints. They do have a large amount of
nursing homes in the area. Also, a lot of farming communities & small towns. They receive a lot of BLS volunteer
squad patients (squad volunteers only have BLS). They are very close to Omaha (only 30 min). Transfer out all Neuro,
as well as a lot of GI Bleeds and traumas. Traumas to UNMC, others to Methodist. They don't get a lot of crime related
patients compared to larger cities.
- Experience or 'Must have' skills: MUST have previous ED experience and would prefer Cerner experience as well.
- Common drips? All typical critical care drips, vasoactive, sedation, etc.
- ED Physician/Mid-Levels Staff one ED physician 24/7 and one mid-level provider 11a-11p every day.
- Charge Nurse/House Supervisor? Does the charge nurse take an assignment? They assign an ED charge nurse every
shift (one days/one nights). They have an ED Director and ED Clinical coordinator who are there most days. Also,
there is a house supervisor on nights and weekends to care for the whole house.
- Nurse aids/EMT/Paramedics/Patient Sitters? Ratios? Duties? * They staff a CNA every day/night shift. They are only
without a CNA from 6a-8a, but they are flexible and will stay if needed.
* Currently they do not employ Paramedics, but have it posted to fill as a new position.
* They don't staff sitters, but call for them as needed.
* CNA's or RN's do EKG to ensure they meet their <5min standard.
* 90% of LAB draws are done by the RN. CNA's are also trained to do phlebotomy.
- Is RT in the ER 24/7? Do they do ABG's, breathing Tx, & EKG's? They have 2 RT assigned to the whole house 24/7.
They are quick to respond when needed. They draw all ABG's, give neb & breathing treatments, patient teaching for
inhalers as needed, manage vents heated high flow, etc.
- RT Equipment (Vents, Cpap, BiPap, High Flow, etc.) Are RNs required to do anything with these besides trouble shoot?
RT manages any of the acute resp patients as far as Bipap, HHF, and Vent settings.
- Do you have Monitor Techs in the ER? Are RNs required to read their own strips? What brand are the Tele monitors?
They have a central monitor station. Everyone works as a team to monitor any abnormal vitals/rhythms. Their techs
do have a small amount of Tele tech training every year. They just have to print a strip on each patient that is ordered
to be monitored.
- X-Ray or CT in the ER? Transport?: Radiology department is close to the ED. They work together to transport
patients to and from the department, sometimes they transport, sometimes someone from the dept transports. They
have Xray, CT, Ultrasound, MRI, Nuc Med.
Pay Rate
$68.29 - $73.17/hour
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