Registered Nurse Emergency Room-Nights

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 threeyearswork experience as an Emergency Room nurse in an acute care hospital setting. If thecandidate/employeehas less than 3 years of acute care hospital experience there will be an education plan in placerequiredfor the orientation period.

Certifications

• BasicLife Support (BLS) required.
• AdvancedCardiac Life Support (ACLS) required.
• PediatricAdvanced Life Support (PALS) requiredwithin orientation period.
• TNCC(Trauma Nursing Core Course) preferred.
• ENPC(Emergency Nursing Pediatric Course) preferred.
• NIHStroke Scale Certificationrequiredwithin orientation period.

Essential Duties and Responsibilities

Clinical Care

• Performs comprehensive nursing assessments and triage of patients presenting to the Emergency Department.

• Prioritizes patient careutilizingthe 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.

• Assistswith emergency procedures including trauma resuscitation stroke alerts STEMI activations code blue responses rapid responses and disaster management.

• Initiates andmaintainsIV access andassistswith 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 tofacilitatetimelypatient evaluation treatment admission transfer or discharge. #100

• Coordinates patient care activities to support efficient patient flow and reduce length of stay.

• Ensuresappropriate documentationand communication during patient handoffs.

• Participates in transfer processes and stabilization of patients requiring a higher level of care.

Documentation

• Documentsassessments interventions patient responses and outcomes accurately andtimelywithin the electronic medical record.

• Maintains compliance with regulatory legal and accreditation requirements.

• Completes required quality and safety documentation.

Patient and Family Education

• Provides educationregardingdiagnoses 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.

• Identifiesandreportssafety 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.

• Assistswith procedural sedation and emergency procedures withinscopeof 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.

• Proficiencyin electronic medical record documentation.

• Ability tomaintaincomposure and effectiveness duringhigh-stresssituations.

Physical Requirements

• Frequent standing walking bending lifting pushing and pulling.

• Ability to lift and move patients and equipment withappropriate 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 EmergencyDepartmentRN is expected to uphold the hospitals mission vision and values while providing compassionate safe high-quality care to every patient every time. #100

Required Experience:

IC