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Shift: Nights, 3x12hrs
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Hours: 36 hrs/wk
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Start Date: Aug 10, 2026
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Length: 13 weeks
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Openings: 1
American Traveler is hiring a travel RN for an off-campus Emergency Department position in the Tacoma, WA area, requiring a minimum of 2 years of true ER experience and certifications including BLS, ACLS, PALS, NRP, NIHSS, and TNCC.
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Off-campus emergency department (OCED) setting with 10 ED beds and up to 20 total treatment spaces per location
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Patient population spans neonates to geriatrics, with approximately 25% pediatrics, walk-in traumas, and a wide range of acuities including cardiac, neuro, GI, respiratory, psych, and GSW patients
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Patient ratio is 1:4, with fast track team nurse ratio of 1:6
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12-hour night shifts with variable start times between 1500 and 1900
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Weekend rotation attempted every other weekend, though not guaranteed; negotiable
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6-week scheduling cycles; block scheduling is not guaranteed
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Travelers will be assigned a primary OCED location but are expected to float to other OCED sites as needed, including mid-shift floating
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Epic EMR, Alaris infusion pumps, and Pyxis medication dispensing systems are used
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No respiratory therapists on-site — RNs manage ventilators and BiPAP independently
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No on-site pharmacy — RNs mix their own medications under remote pharmacy supervision via video conference
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Active WA state RN license or compact RN license required
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Current certifications required: BLS, ACLS, PALS, NRP, NIHSS, and TNCC
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Minimum 2 full years of true emergency department experience required (any trauma level)
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Strong IV skills required, including chest tube and central line experience
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Experience with medication administration including mixing medications
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Telemetry competency exam must be completed and passed prior to start
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One supervisor-level reference required for consideration; a second reference will be required prior to start (must be from charge nurse, manager, director, or above)
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Orientation includes one hospital orientation day, one full day with the OCED unit educator, an 8-hour respiratory/ventilator class, and one full day on the unit
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RNs will receive training on ventilator and BiPAP management during onboarding, as there are no respiratory therapists on-site
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Will be required to take charge nurse responsibilities; training provided if needed
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Unit support includes LPNs who can take low-acuity assignments and assist with procedures, a charge nurse with a partial patient assignment, and EST/phlebotomy support (though most blood draws are RN or LPN-performed)
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Scrubs may be any color
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Parking is free
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Holiday coverage expectations are negotiable
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First-time travelers are welcome to apply
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The facility accepts medical and religious exemption requests in lieu of certain vaccination requirements
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Housing near the Tacoma, Puyallup, Kent, or Renton area is recommended to avoid difficult I-5 traffic (for non-Bremerton locations); Bremerton-based travelers are advised to find housing in the peninsula near Bremerton, Silverdale, or Poulsbo
