ER Registered Nurse (Days)

Exceptional Healthcare Inc.•Rapid City, SD

1d•Onsite

About The Position

Exceptional Healthcare is seeking experienced Emergency Department Registered Nurses for its new community hospital in Rapid City, South Dakota. Nurses will join the founding team and provide direct and indirect care in the emergency setting, working with initiative, flexibility, responsibility, and minimal supervision. A core responsibility is safely, rapidly, and accurately triaging every patient who enters the emergency care system. The role includes assessing and treating patients across age groups, coordinating care with physicians and specialists, monitoring patient conditions and responses to treatment, documenting care, and supporting patient and family education. The facility is described as a modern standalone hospital with laboratory, radiology, and pharmacy support, as well as 24-hour in-house respiratory therapist coverage. The posting advertises a $15,000 sign-on bonus and lists comprehensive insurance, 401(k) matching, paid time off, and career-development opportunities. The posting identifies the position as a day-shift role in its title and introductory sections, but its schedule section describes night shifts with 12-hour rotations, including weekends and holidays.

Requirements

Graduate of an accredited nursing program.
3 to 5 years of ER experience.
Current nursing license.
Current BLS, ACLS, and PALS certifications.
Strong leadership and problem-solving skills.
Proficiency with electronic medical records (EMR) systems.

Responsibilities

Determine care priorities based on patients’ physical and psychosocial needs and factors affecting patient flow.
Communicate changes in patients’ status, symptoms, and diagnostic results to Emergency Department physicians.
Respond quickly and accurately to changes in patient condition or response to treatment.
Maintain awareness of ER operational policies and procedures relevant to the role.
Apply current professional nursing knowledge and skills in accordance with recognized nursing standards, Patient Bill of Rights standards, and the Nurse Practice Act.
Provide direct patient care, evaluate outcomes, consult specialists as needed, and adjust nursing care to support optimal outcomes.
Perform head-to-toe assessments and policy-required reassessments for pediatric, adolescent, geriatric, and general-population patients.
Use the triage process to ensure timely, appropriate care and accurately assign triage categories.
Assess and reassess pain, use appropriate pain-management techniques, and educate patients and families about pain management.
Monitor patients’ hemodynamic status and correctly interpret results.
Use cardiac monitoring knowledge to identify dysrhythmias.
Perform waived point-of-care testing according to laboratory and unit policies and procedures.
Interpret waived-test results and take appropriate action.
Maintain current knowledge of medications and administer them appropriately for patients’ ages and clinical conditions.
Maintain accurate, ongoing nursing documentation of histories, conditions, treatments, responses, and changes in assessment.
Provide care in a manner that promotes patient safety and reduces the likelihood of medical or healthcare errors.
Interact professionally with patients and families and involve them in developing plans of care.
Develop teaching plans based on identified learning needs, evaluate their effectiveness, and include family in teaching as appropriate.
Maintain a safe, comfortable, therapeutic environment for patients and families in accordance with ER standards.
Ensure adequate supply levels and proper functioning of equipment.
Support cost containment through appropriate ordering and conservation of supplies and equipment.