Registered Nurse Emergency Room

The Emergency Department Registered Nurse (RN) provides direct and indirect patient care to patients presenting with acute, urgent, and emergent medical conditions. The RN utilizes the nursing process to assess, plan, implement, coordinate, and evaluate patient care while collaborating with physicians, advanced practice providers, ancillary departments, and interdisciplinary teams. The RN is responsible for delivering safe, evidence-based, patient-centered care in accordance with hospital policies, regulatory standards, and professional nursing practice.

This position will work variable day and night shifts.

QUALIFICATIONS:

Education

• Associate Degree in Nursing (ADN) required.
• Bachelor of Science in Nursing (BSN) preferred.

Licensure

Current Texas Registered Nurse license in good standing

Experience

Minimum of three years work experience as an Emergency Room nurse in an acute care hospital setting. – If the candidate/employee has less than 3 years of acute care hospital experience there will be an education plan in place required for the orientation period.

Certifications

• Basic Life Support (BLS) – required.
• Advanced Cardiac Life Support (ACLS) – required.
• Pediatric Advanced Life Support (PALS) – required within orientation period.
• TNCC (Trauma Nursing Core Course) preferred.
• ENPC (Emergency Nursing Pediatric Course) preferred.
• NIH Stroke Scale Certification required within orientation period.

Essential Duties and Responsibilities

Clinical Care

• Performs comprehensive nursing assessments and triage of patients presenting to the Emergency Department.
• Prioritizes patient care utilizing the Emergency Severity Index (ESI) or facility-approved triage system.
• Develops, implements, and evaluates individualized plans of care.
• Administers medications, blood products, IV therapies, and treatments safely and accurately.
• Monitors patient response to treatment and promptly communicates changes in condition to the provider.
• Provides care to patients across the lifespan, including pediatric, adolescent, adult, and geriatric populations as applicable.
• Assists with emergency procedures including trauma resuscitation, stroke alerts, STEMI activations, code blue responses, rapid responses, and disaster management.
• Initiates and maintains IV access and assists with advanced airway management as needed.
• Performs and interprets patient monitoring including cardiac telemetry, pulse oximetry, capnography, and hemodynamic monitoring.

Patient Throughput and Coordination

• Collaborates with physicians and multidisciplinary teams to facilitate timely patient evaluation, treatment, admission, transfer, or discharge.
• Coordinates patient care activities to support efficient patient flow and reduce length of stay.
• Ensures appropriate documentation and communication during patient handoffs.
• Participates in transfer processes and stabilization of patients requiring a higher level of care.

Documentation

• Documents assessments, interventions, patient responses, and outcomes accurately and timely within the electronic medical record.
• Maintains compliance with regulatory, legal, and accreditation requirements.
• Completes required quality and safety documentation.

Patient and Family Education

• Provides education regarding diagnoses, medications, procedures, discharge instructions, and follow-up care.
• Assesses patient understanding and readiness to learn.
• Promotes patient engagement and shared decision-making.

Quality and Safety

• Adheres to infection prevention and control practices.
• Identifies and reports safety concerns, adverse events, and near misses.
• Participates in performance improvement, patient safety, and quality initiatives.
• Maintains compliance with hospital policies, CMS, Texas Department of State Health Services, and accreditation standards.

Professional Practice

• Demonstrates professional communication and collaboration with patients, families, physicians, and staff.
• Serves as a patient advocate.
• Participates in departmental meetings, education, and competency validation.
• Maintains required certifications and licensure.

Emergency Department Specific Responsibilities

• Rapid assessment and stabilization of critically ill or injured patients.
• Care of patients presenting with:
• Cardiac emergencies
• Stroke symptoms
• Trauma injuries
• Respiratory distress
• Sepsis
• Behavioral health emergencies
• Medical and surgical emergencies
• And any other patient condition presenting to the ED
• Participation in disaster preparedness and emergency management activities.
• Assists with procedural sedation and emergency procedures within scope of practice.
• Supports EMTALA compliance requirements.
• Responds to hospital emergency codes as assigned.
• Other responsibilities as directed by leadership.

Knowledge, Skills, and Abilities

• Strong critical thinking and clinical judgment skills.
• Ability to prioritize and manage multiple patients simultaneously.
• Knowledge of emergency nursing principles and standards.
• Ability to recognize and respond to rapidly changing patient conditions.
• Effective communication and teamwork skills.
• Proficiency in electronic medical record documentation.
• Ability to maintain composure and effectiveness during high-stress situations.

Physical Requirements

• Frequent standing, walking, bending, lifting, pushing, and pulling.
• Ability to lift and move patients and equipment with appropriate assistance.
• Ability to respond quickly to emergency situations.

Performance Expectations

• Demonstrates commitment to patient safety, quality outcomes, customer service, and regulatory compliance.
• Maintains competency in emergency nursing skills and hospital-required competencies.
• Supports departmental goals related to patient satisfaction, throughput, quality metrics, and clinical outcomes.
• Visual and auditory acuity sufficient for patient assessment and monitoring.

Core Values

• The Emergency Department RN is expected to uphold the hospital's mission, vision, and values while providing compassionate, safe, high-quality care to every patient, every time.

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