Registered Nurse - Emergency Dept.

Parkland Health

About The Position

The Registered Nurse in the Emergency Department coordinates patient care delivery for a designated patient population or health condition using Parkland’s nursing professional practice model and the nursing process. The RN assesses patients, identifies nursing diagnoses, develops and implements individualized plans of care, and evaluates patient responses. The role supports safe transitions through the healthcare encounter while avoiding preventable complications or delays, and delegates interventions according to the Texas Nursing Practice Act, patient condition, and employee competencies. The RN delivers patient-centered emergency care, performs ongoing assessments and interventions, administers medications and manages IV access, conducts point-of-care testing, and provides emergency resuscitation management. The role includes patient and family education, accurate documentation, collaboration with the healthcare team, and contributing to process improvement and compliance with applicable standards and regulations.

Requirements

Graduate of an accredited school of nursing.
Completion/proof of Nurse residency is required.
Current RN license or valid temporary permit with the Texas Board of Nursing, or a valid Compact RN license.
Current healthcare provider BLS for Healthcare Providers certification card from the American Heart Association, American Red Cross, or Military Training Network at hire, maintained thereafter; the card must have an expiration date more than 30 days from the date of hire.
Current ALS or ACLS certification from the American Heart Association, American Red Cross, or Military Training Network at hire, maintained thereafter; the card must have an expiration date more than 30 days from the date of hire.
Current PALS or ENPC certification from the American Heart Association, American Red Cross, or Military Training Network, maintained thereafter; the card must have an expiration date more than 30 days from the date of hire.
TNCC or ATCN certification card within 90 days of employment.
Provide care in accordance with the Texas Nurse Practice Act, established protocols, multidisciplinary plans of care, and clinical-area standards.
Demonstrate continuous assessment, consultation with team members as required, and patient-centered nursing care.
Demonstrate effective interpersonal skills and good oral and written communication skills, including effective communication with patients.
Demonstrate patient-centered and patient-valued behaviors.
Demonstrate knowledge of nursing standards of care for the specialty care area, as applicable.

Nice To Haves

A minimum of 14–18 months of registered nursing Emergency Room/Department experience providing direct bedside patient care in a high-acuity, fast-paced hospital environment is highly preferred. Med/Surg, ED Observation/Clinical Decision Units, clinical rotations as part of a degree program, and LVN experience are excluded.

Responsibilities

Advocate for patients by attending to their needs, rights, confidentiality, and religious and cultural preferences.
Maintain positive working relationships with Parkland customers, employees, and other internal and external stakeholders; serve as a resource for patients and healthcare team members.
Use effective verbal and non-verbal communication to foster therapeutic relationships and a wellness-promoting environment.
Provide care education and training to patients and family members, and may serve as a resource on specific clinical care issues.
Maintain knowledge of and comply with rules, regulations, policies, laws, guidelines, accreditation requirements, and health-plan program requirements affecting nursing practice.
Maintain knowledge of sanitation, infection control, safety, supplies, equipment, and appropriate resource utilization.
Perform appropriate patient assessments and continuous surveillance as indicated; recognize changes in condition and provide appropriate interventions.
Consult with team members, notify providers of changes in patient condition, and implement orders in a timely manner.
Exercise independent judgment in providing safe care to stable, critically unstable, and critically stable patients.
Manage patients with cardiovascular, dental, ear, nose and throat, endocrine, environmental, facial, genitourinary, hematologic, communicable and infectious disease, ocular, orthopedic, respiratory, toxicological, and trauma-related conditions.
Assess relevant body systems and document findings appropriately.
Administer medications using the six rights; maintain and manage IV access; perform point-of-care testing; follow safe infection-control practices; perform invasive hemodynamic monitoring; and provide emergency resuscitation management.
Complete accurate, timely patient-care records and other hospital documentation that meets Emergency Department and Parkland standards and objectives.
Identify opportunities to improve work processes and patient and customer satisfaction; make recommendations and implement and monitor results as appropriate.
Stay current with nursing developments and trends through seminars, workshops, professional journals, and professional organizations; maintain Texas RN licensure and other required licenses or certifications, and apply gained knowledge to work practices.
Seek direction from more experienced staff and team members as needed; may help direct non-nursing staff.
Provide appropriate handoff when relinquishing care and participate in information exchanges that support Emergency Department and Parkland standards, missions, goals, and objectives.