RN Emergency Room PRN Nights

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

Current Texas Registered Nurse license in good standing

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.

• 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.

• 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.

• 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.

• 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.

• 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.

• 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.

• 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.

• 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.

• 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.

• 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.

• 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.

• The Emergency Department RN is expected to uphold the hospitals mission vision and values while providing compassionate safe high-quality care to every patient every time. #100