The Emergency Room Registered Nurse provides emergency care in a 30-bed emergency department in College Station, Texas. The unit is a Level III Trauma facility and Primary Stroke Center with comprehensive capabilities. It includes two trauma bays, 24 acute care beds, a fast-track area known as “vertical care,” and a separate triage area staffed by a “first eyes nurse.” The department sees approximately 135 patients daily, with about 10–15% pediatric patients. Patient assignments vary by acuity: general acute care beds are typically 1:3–4, Level I traumas are 1:1 or 2:1, TNK patients are 1:1 for the first hour, and vertical care is 1:6–8. The role cares for typical emergency presentations, including nausea and vomiting, chest pain, fever, pediatric upper respiratory symptoms, geriatric patients with altered mental status, and trauma cases such as falls, motor vehicle accidents, assaults, and gunshot wounds. Procedures and care may include chest tube placement, rapid transfusions, and caring for intubated patients. Nurses monitor telemetry and draw labs as needed. The department uses PulseCheck or Picis electronic medical records. The care team includes an MD on-site 24/7, an additional MD from 9 AM to 2 AM, and NP or PA providers staffed 24/7. A free-floating charge nurse is available and may take assignments when necessary. Patient Care Technicians support secretarial work, basic patient care, and trauma cases. Staff may float between locations as needed without an assigned patient load. New hires complete a three-shift emergency-room orientation. The schedule combines self-scheduling and block scheduling, with a scheduler working with staff to finalize shifts. Weekend work is required every other weekend, and holidays rotate with core staff, including at least one major holiday. The unit has an active shared-governance culture and unit-based councils.
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Job Type
Full-time
Education Level
No Education Listed