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Emergency Department (ED) Nurse

Undifferentiated patients across all ages and acuities, from fast track through resuscitation.

Who these nurses care for

Undifferentiated patients across all ages and acuities, from fast track through resuscitation.

What the shift actually looks like

Undifferentiated volume with no ability to control intake. Triage, resuscitation, procedural sedation, psychiatric holds and boarding all in the same shift. Boarding is the single biggest driver of how the day actually feels.

Credentials and certifications

Typically required
BLS, ACLS, PALS; CEN valued; TNCC and ENPC in trauma centres
Typical ratio
Highly variable; 1:4 typical, 1:1 in resuscitation

What to specify when you send the req

Annual volume, trauma level, whether the ED has a dedicated peds side, and triage expectations.

Why this role is hard to fill

Volume is the number that matters. A nurse from a 20,000-visit community ED will struggle in a 90,000-visit urban department, and vice versa on autonomy.

What candidates ask before accepting

Answering these in the req itself shortens the process considerably, because they are the questions that otherwise surface at offer stage and cause declines: Annual volume, boarding hours, security presence, and whether there is a dedicated pediatric area.

Contract or permanent?

Contract for census swings, leave coverage and seasonal surge. Per diem to protect ratios without expanding core FTE. Permanent when the seat is structural. The expensive mistake is running contract labour for eighteen months on a role that was always permanent.

Licensure

Registered nursing is covered by the Nurse Licensure Compact in most of the country, so a multistate license lets a nurse work across member states without a new application. Thirteen jurisdictions sit outside it — Alaska, California, DC, Hawaii, Illinois, Michigan, Minnesota, Nevada, New York, Oregon, Puerto Rico, American Samoa and the Northern Mariana Islands — and in those markets every out-of-state nurse needs a single-state license first. Those are the markets where reqs stay open longest.

How we work this req

Every candidate is spoken to before you see them, with licensure for your state, certifications and unit-specific competency confirmed before submittal. We screen to the credential the unit actually needs rather than the title on the posting. Rates sit inside the ranges on our published cost breakdown.

Common questions

What certifications does a Emergency / ED nurse need?

BLS, ACLS, PALS; CEN valued; TNCC and ENPC in trauma centres.

What is the typical typical ratio in Emergency / ED?

Highly variable; 1:4 typical, 1:1 in resuscitation.

Why is Emergency / ED hard to fill?

Volume is the number that matters. A nurse from a 20,000-visit community ED will struggle in a 90,000-visit urban department, and vice versa on autonomy.

What do candidates ask before accepting a Emergency / ED assignment?

Annual volume, boarding hours, security presence, and whether there is a dedicated pediatric area.

Other units in Critical & Acute Care

See all nursing specialties or our nursing staffing overview.

Need Emergency / ED coverage?

Tell us the ratio, the equipment and the start date, and we will tell you the realistic fill window.