Registered Nurse - Emergency Room - Nights

Qualifications

• 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, an education plan will be 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
• 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.
• Knowledg…