Float RN - ICU / Emergency Department / Med-Surg

Job Summary

We are seeking experienced Float Registered Nurses for 13-week travel assignments in Fort Defiance, Arizona.

This is a highly flexible, multi-unit nursing role requiring strong recent experience in all three of the following areas: Intensive Care Unit (ICU), Emergency Department (ED), and Medical-Surgical/Pediatric nursing.

The RN will report to the House Supervisor for daily unit assignment and may be placed in ICU, ED, Med-Surg, or an appropriate pediatric care area based on patient census and staffing needs.

Candidates must have at least 3 years of nursing experience with demonstrated competency across all required specialties. Strong adaptability, critical thinking, and the ability to transition quickly between different acuity levels are essential.

Key Responsibilities

·        Provide direct nursing care in ICU, Emergency Department, Medical-Surgical, and applicable pediatric settings.

·        Report to the House Supervisor for daily unit assignment.

·        Adapt quickly to varying patient populations, acuity levels, and departmental workflows.

·        Perform comprehensive patient assessments and ongoing reassessments.

·        Recognize changes in patient condition and initiate appropriate interventions.

·        Provide care to critically ill and high-acuity ICU patients.

·        Triage and stabilize patients presenting to the Emergency Department.

·        Provide comprehensive Medical-Surgical nursing care.

·        Care for pediatric patients within demonstrated competency.

·        Administer medications, IV therapies, blood products, and other ordered treatments.

·        Monitor cardiac rhythms, vital signs, respiratory status, neurological status, and clinical changes.

·        Manage patients requiring advanced monitoring and critical-care interventions within RN scope.

·        Provide moderate sedation nursing support according to facility policy and demonstrated competency.

·        Assist physicians during emergency and bedside procedures.

·        Participate in rapid response, trauma, and code situations.

·        Provide patient and family education.

·        Maintain accurate and timely clinical documentation.

·        Participate in clinical handoffs and interdisciplinary communication.

·        Follow infection-control, patient-safety, and regulatory standards.

Required Experience

Candidates must have:

·        Minimum 3 years of RN experience

·        Recent experience in all three required specialty areas:

o   Intensive Care / Critical Care

o   Emergency Department

o   Medical-Surgical nursing

·        Pediatric nursing experience as required for applicable assignments

·        Strong critical-care assessment skills

·        Emergency nursing experience

·        Ability to independently manage Medical-Surgical patients

·        Ability to transition between high-acuity and general acute-care environments

·        Strong clinical judgment and prioritization skills

Candidates must have experience in ICU, ED, and Med-Surg. Experience in only one or two of these specialties will not meet the core requirement of this position.

Required Certifications

Candidates must have:

·        American Heart Association BLS

·        ACLS – Advanced Cardiovascular Life Support

·        PALS – Pediatric Advanced Life Support

·        TNCC – Trauma Nursing Core Course

·        Moderate Sedation certification or documented competency as required by the facility

All required certifications must remain current throughout the assignment.

Key ICU Skills

Candidates should be comfortable with:

·        Critical-care nursing

·        Continuous cardiac monitoring

·        High-acuity patient assessment

·        Mechanical ventilation support

·        Vasoactive medication management

·        Hemodynamic monitoring

·        Central line care

·        Emergency response

·        Rapid clinical deterioration

Key Emergency Department Skills

Candidates should be comfortable with:

·        Emergency triage

·        Rapid patient assessment

·        Trauma care

·        Cardiac emergencies

·        Respiratory emergencies

·        Neurological emergencies

·        Sepsis

·        Emergency medication administration

·        Code response

·        Patient stabilization

Key Med-Surg / Pediatric Skills

Candidates should be comfortable with:

·        Comprehensive Medical-Surgical assessment

·        Medication administration

·        IV therapy

·        Postoperative care

·        Patient education

·        Pediatric assessment as appropriate

·        Discharge planning

·        Care coordination

·        Managing multiple patients and competing priorities

Float Requirements

This is a true float-pool assignment.

Candidates must be willing to:

·        Report daily to the House Supervisor

·        Accept assignment based on hospital staffing needs

·        Float between ICU, ED, Med-Surg, and applicable pediatric areas

·        Adjust quickly to changing unit assignments

·        Work within demonstrated competencies and professional scope of practice

Flexibility is a major requirement for this assignment.

Schedule Requirements

·        Approximately 36 hours per week

·        8–12 hour shifts

·        Day and night shift flexibility may be required

·        Candidates must be willing to work other shifts when needed

·        Weekend coverage may be required

·        Holiday coverage may be required

·        Exact scheduling will depend on staffing and patient-care needs

Ideal Candidate

The ideal candidate is a highly versatile RN with strong experience across critical care, emergency nursing, and Medical-Surgical care who can confidently move between departments based on hospital needs.

You should be adaptable, clinically strong, comfortable with rapidly changing assignments, and able to provide safe care across a broad range of patient acuity levels.

This opportunity may be a strong fit for professionals currently working as a:

·        Float Pool RN

·        ICU / ED Float RN

·        Critical Care Float RN

·        Emergency Department RN

·        ICU RN

·        Med-Surg Float RN

·        House Float RN

·        Travel Float RN

Equal Opportunity

We are an equal opportunity employer and consider qualified applicants based on education, experience, licensure, certifications, clinical skills, and the requirements of the position.