Registered Nurse Emergency Room

Job Title

Registered Nurse – Emergency Room

Location

Middlebury, VT | Acute Care / Critical Access Emergency Department

Schedule / Job Type

Contract | 26-Week Assignment | Night Shift | Onsite | Shifts available: 7a–7p, 11a–11p, 3p–3a, 7p–7a | Monday–Sunday (no block schedules)

Key Responsibilities

• Provide direct patient care in a 10–14 bed Emergency Department serving a newborn-to-geriatric population (ages 0–100+) at a 25-bed Critical Access Hospital
• Perform ESI triage, IV insertion, drip/infusion management, EKGs, restraint application, procedural sedation, and ambulance transports as needed
• Utilize Alaris IV pumps, Phillips monitors, Ranger blood warmers, and Epic EMR for documentation and Pyxis for medication management
• Serve in a charge nurse capacity as assigned; charge nurse coverage is maintained 24/7 on the unit
• Collaborate with on-site MD, mid-level providers (PA/NP), ED techs, and ancillary staff; coordinate Telemedicine and Telestroke consultations as applicable
• Meet holiday scheduling requirements — must work 2 of the following 4 holidays: Thanksgiving, Christmas Eve, Christmas, and New Year's Day

Required Qualifications

• Active RN license with a minimum of 2 years of Emergency Department clinical experience
• At least 1 completed travel nursing assignment required
• AHA BLS, AHA ACLS, AHA PALS, ENPC, NRP, NIHSS, and TNCC all required (TNCC or proof of scheduled class must be provided; NIHSS must be completed prior to start)
• Epic EMR experience within the past 2 years is required and non-negotiable
• Charge nurse experience required
• Must have reliable personal or rental transportation — public transportation is not accessible in this area; all-season or snow tires strongly recommended November through April
• Must live at least 51 miles from the facility to be eligible as a traveler (radius and local tiers also available based on mileage)

Preferred Experience / Skills

• Experience working in a Critical Access Hospital (CAH) or rural Emergency Department setting
• Comfort with or prior experience precepting new nursing staff
• Ambulance transport experience
• Familiarity with STEMI, Stroke, and Trauma protocols and inter-facility transport coordination

Why Join Us

• Work in a close-knit, well-supported ED environment with a consistent 1:4 nurse-to-patient ratio, 24/7 charge nurse coverage, ED tech support, and respiratory services available around the clock
• Gain valuable experience in a Trauma Level IV Critical Access facility utilizing Telemedicine and Telestroke technology in a scenic Vermont setting