Job Description

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.