Registered Nurse PRN Emergency Room

Surgery Partners Careers•McKinney, TX

1d•Onsite

About The Position

This position will work variable day and night shifts. The Registered Nurse PRN Emergency Room is responsible for performing comprehensive nursing assessments and triage of patients presenting to the Emergency Department. They will prioritize patient care, develop and implement individualized plans of care, administer medications and treatments, and monitor patient responses. The role involves collaborating with physicians and multidisciplinary teams to facilitate timely patient care, ensuring appropriate documentation, and providing patient and family education. Additionally, the nurse will adhere to infection prevention and control practices, participate in quality and safety initiatives, and demonstrate professional communication and collaboration. Specific responsibilities include rapid assessment and stabilization of critically ill or injured patients, care for a wide range of emergency conditions, participation in disaster preparedness, and supporting EMTALA compliance.

Requirements

Associate Degree in Nursing (ADN) required.
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.
Basic Life Support (BLS) – required.
Advanced Cardiac Life Support (ACLS) – required.
Pediatric Advanced Life Support (PALS) – required within orientation period.
NIH Stroke Scale Certification required within orientation period.
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.
Visual and auditory acuity sufficient for patient assessment and monitoring.

Nice To Haves

Bachelor of Science in Nursing (BSN) preferred.
TNCC (Trauma Nursing Core Course) preferred.
ENPC (Emergency Nursing Pediatric Course) preferred.

Responsibilities

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.