Registered Nurse - ED

Lambstaffing; Winston-Salem (NC); On-site; USD 55,000 - 69,000; Full time

Job summary

Lambstaffing seeks an experienced RN for the Emergency Department in Winston-Salem. Join a Level 1 Trauma designated teaching hospital with a high-volume ED and complex trauma care.

You will deliver patient-centered care, coordinate with physicians and ancillary staff, and participate in continuous improvement of patient safety and throughput. The position requires ED/trauma experience, active RN licensure, and essential certifications.

Qualifications

• Active RN license in good standing.
• BLS, ACLS, NIHSS, TNCC required.
• Minimum 1 year of recent ED/trauma experience.

Responsibilities

• Provide direct patient care in a fast-paced ED and trauma setting.
• Coordinate multidisciplinary care and communicate with team members.
• Monitor patients, reassess, and respond to changes in condition.

Skills

Nursing assessment

Clinical decision making

Compassionate care

Interprofessional communication

Tools

Epic EMR

Omnicell

Phillips monitors

Job description

RN - ED

About Facility:

• 1 Medical Center Blvd, Winston-Salem, NC 27157
• 885 licensed beds
• Level 1 Trauma Designation
• Teaching Hospital: Yes, Academic Medical Center
• Chest Pain Center
• Burn Center
• Stroke Center

Unit Information:

• Beds: 55 horizontal, 6 vertical, 15 observation, 5 BH holding
• Average census: 200-220
• Experience: 2+ years
• First-time travelers: Only if they have 3+ years of Level 1 trauma center experience

Patient Types/Common Diagnoses:

• Unit is currently under renovation – 2nd of 3 phases is complete
• Will receive many air flights in – will have 2 fixed wind helicopter pads post renovation
• Regional Trauma Center – will see all ED patients
• Travelers will not likely be utilized in Trauma bays during initial contracts
• Very fast paced unit
• ESI 1,2,3,4,5 Trauma/Stroke/STEMI/Burn, including but not limited to: GSWs, stabbings multi trauma, MVC, MI, CVA, hypothermia, drownings, falls, conscious sedations, defibrillating, cardiac arrest/respiratory arrest, sexual assault, overdoses
• Psychosis, Pacing, Vent management, Blunt trauma

Patient Ratios:

• RN: 3:1, 4:1, 5:1. 6:1 based on clinical area worked or acuity
• LPN: 4:1/5:1/6:1 based on clinical area worked or acuity

Required Licensure & Certifications:

• RN: BLS, ACLS, NIHSS, TNCC (Resource Team Requirements)

Skills required:

• Discussed during interview
• As a skilled and compassionate RN, you will play a pivotal role in providing and coordinating comprehensive patient care through the nursing process to deliver safe, therapeutic care in accordance with established standards, policies, and procedures.
• Using evidence-based practice, clinical decision making, compassion, and skills communication while leading efforts to create the safest patient environment and the best patient experience across the continuum

Support within the Department:

• ED Tech: ADLs, vital signs, I/O cath, foley placement, phlebotomy
• Unit Secretary
• Charge nurse
• 24/7 Critical Care Pharmacists
• Paramedic Staff
• Phlebotomy: N/A – ED Tech can perform phlebotomy
• IV/VAT team: N/A
• Resource Nurse - Pod leaders
• RT 24/7
• Hospitalist 24/7
• Intensivist 24/7
• SANE Quality Coordinator
• Telemetry monitoring/no Tech

Technology/Equipment:

• EMR: Epic
• IV Pump: Alaris
• Med dispensing: Omnicell
• Monitors: Phillips
• Unit specific equipment: GE Ultrasounds for point of care. GE EKG machines

Floating:

• Could float to the ED Transition Care Unit

Orientation (facility and unit):

• NEO
• 2 days departmental

Other notes:

• Scrub Color: Royal Blue
• Parking: Free

Active state license in good standing; minimum 1 year of recent experience in the specialty; BLS, ACLS required for clinical roles; references upon request