Copy of Registered Nurse Emergency Room Full Time

Surgery Partners•McKinney, TX

20h

About The Position

The Emergency Department Registered Nurse (RN) provides direct and indirect care to patients with acute, urgent, and emergent medical conditions. The RN uses the nursing process to assess, plan, implement, coordinate, and evaluate patient care while collaborating with physicians, advanced practice providers, ancillary departments, and interdisciplinary teams. The role delivers safe, evidence-based, patient-centered care in accordance with hospital policies, regulatory standards, and professional nursing practice. The position works variable day and night shifts. The RN cares for patients across the lifespan and supports emergency assessment, stabilization, treatment, patient flow, documentation, education, quality and safety, and emergency preparedness. The role includes responding to emergency conditions and codes, supporting EMTALA compliance, and participating in departmental education and competency validation. The RN is expected to uphold the hospital's mission, vision, and values while providing compassionate, safe, high-quality care.

Requirements

Associate Degree in Nursing (ADN).
Current Texas Registered Nurse license in good standing.
At least three years of work experience as an Emergency Room nurse in an acute care hospital setting. Candidates or employees with less than three years of acute care hospital experience must have an education plan during the orientation period.
Basic Life Support (BLS) certification.
Advanced Cardiac Life Support (ACLS) certification.
Pediatric Advanced Life Support (PALS) certification required within the orientation period.
NIH Stroke Scale Certification required within the 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 remain composed and effective in high-stress situations.
Ability to meet the physical requirements of frequent standing, walking, bending, lifting, pushing, and pulling; move patients and equipment with appropriate assistance; and respond quickly to emergencies.
Visual and auditory acuity sufficient for patient assessment and monitoring.

Nice To Haves

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

Responsibilities

Perform comprehensive nursing assessments and triage of Emergency Department patients.
Prioritize care using the Emergency Severity Index (ESI) or another facility-approved triage system.
Develop, implement, and evaluate individualized plans of care.
Safely administer medications, blood products, IV therapies, and other treatments.
Monitor responses to treatment and promptly communicate changes in patient condition to providers.
Provide care to pediatric, adolescent, adult, and geriatric patients as applicable.
Assist with trauma resuscitation, stroke alerts, STEMI activations, code blue responses, rapid responses, and disaster management.
Initiate and maintain IV access and assist with advanced airway management as needed.
Perform and interpret cardiac telemetry, pulse oximetry, capnography, and hemodynamic monitoring.
Collaborate with physicians and multidisciplinary teams to facilitate patient evaluation, treatment, admission, transfer, and discharge.
Coordinate care activities to support patient flow and reduce length of stay.
Ensure appropriate documentation and communication during patient handoffs.
Participate in transfer processes and stabilization of patients who need a higher level of care.
Document assessments, interventions, patient responses, and outcomes accurately and promptly in the electronic medical record.
Maintain compliance with regulatory, legal, accreditation, and hospital requirements, and complete quality and safety documentation.
Educate patients and families about diagnoses, medications, procedures, discharge instructions, and follow-up care; assess understanding and readiness to learn.
Promote patient engagement and shared decision-making.
Follow infection prevention and control practices and report safety concerns, adverse events, and near misses.
Participate in performance improvement, patient safety, and quality initiatives.
Communicate and collaborate professionally with patients, families, physicians, and staff; advocate for patients.
Participate in departmental meetings, education, and competency validation, and maintain required certifications and licensure.
Rapidly assess and stabilize critically ill or injured patients and care for patients with cardiac emergencies, stroke symptoms, trauma injuries, respiratory distress, sepsis, behavioral health emergencies, and other medical or surgical emergencies.
Participate in disaster preparedness and emergency management activities.
Assist with procedural sedation and emergency procedures within scope of practice.
Support EMTALA compliance requirements and respond to hospital emergency codes as assigned.
Perform other responsibilities as directed by leadership.