Registered Nurse -Emergency Room

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. #100