Registered Nurse - Emergency Department

Newport Hospital and Health Services Careers•Newport, WA

About The Position

The Registered Nurse provides skilled nursing care with initiative, flexibility, and responsibility while working with minimal supervision in the Emergency Department. The nurse prioritizes care according to patients’ physical and psychosocial needs and patient flow, communicates with providers about changes in condition and other needs, and responds promptly to changes in patient status or treatment response. The role may require floating to or assisting other areas, including Acute Care, Perinatal, Surgery, and Peri-Operative. Emergency Department duties include triaging patients using the Emergency Severity Index (ESI), cardiac monitoring and rapid recognition of dysrhythmias, managing critical drips and intubated patients, and acting as a Rapid Response Nurse. The nurse cares for critically ill patients with cardiac emergencies, strokes, sepsis, trauma, and behavioral or mental health crises, and collaborates with multidisciplinary teams and outside agencies. The position provides direct, age-appropriate patient care across the lifespan, including neonates, pediatric, adolescent, and geriatric patients. It includes assessment and reassessment, hemodynamic monitoring and intervention, pain management, documentation, patient and family education, and coordination of individualized plans of care. The nurse supports patient safety, communicates abnormal findings to providers, and addresses patients’ psychosocial, cultural, ethnic, and religious or spiritual needs. This is a part-time benefitted position scheduled for 48 hours per pay period on 12-hour night shifts. Compensation is based on relevant experience and internal equity. Successful candidates typically begin between the beginning and midpoint of the compensation range, with annual compensation increments. Newport Hospital & Health Services is an equal opportunity employer and provides reasonable accommodation for individuals with disabilities.

Requirements

Graduate of an accredited school of nursing.
Active Washington State or accepted multistate Registered Nurse license.
BLS, ACLS, PALS, and NRP certifications within 90 days of hire.
ESI (Emergency Severity Index) certification within 90 days of hire.
TNCC (Trauma Nursing Core Course) within one year of hire.
ENPC (Emergency Nursing Pediatric Course) within 18 months of hire.
One year of Emergency Department or other First Responder experience, or two years as an RN in an Acute Care setting.
Effective communication and judgment skills.
Ability to work effectively within a team and adhere to policies, procedures, and regulatory standards.

Nice To Haves

Bachelor of Science in Nursing (BSN).
Certified Emergency Nurse (CEN).
Trauma Certified Registered Nurse (TCRN).
Certified Pediatric Emergency Nurse (CPEN).
Five years of experience as an RN in the Emergency Department or Intensive Care Unit.

Responsibilities

Provide skilled nursing care with minimal supervision and prioritize care based on patients’ physical and psychosocial needs and patient flow.
Communicate with ordering providers about changes in patient status, clarification of orders, and other needs.
Respond promptly and accurately to changes in patient condition or response to treatment.
Float to or assist other assigned areas, including Acute Care, Perinatal, Surgery, and Peri-Operative.
Triage patients using the Emergency Severity Index (ESI).
Perform cardiac monitoring and rapidly identify dysrhythmias; manage critical drips and intubated patients.
Act as a Rapid Response Nurse and provide care for critically ill patients, including those experiencing cardiac emergencies, strokes, sepsis, trauma, and behavioral or mental health crises.
Provide direct patient care, evaluate outcomes, consult specialists as needed, and adjust nursing care processes to support optimal care.
Perform assessments and reassessments across the lifespan, including neonate, pediatric, adolescent, and geriatric patients.
Monitor hemodynamic status, interpret results, and intervene appropriately.
Assess and reassess pain, use appropriate pain management techniques, and educate patients and families about pain management.
Promote patient safety and reduce the likelihood of medical or healthcare errors.
Report abnormal findings and laboratory values to providers and document them appropriately.
Maintain accurate nursing documentation of patient histories, conditions, treatments, responses, and changes in assessment.
Treat patients and families with respect and dignity, identifying and addressing psychosocial, cultural, ethnic, and religious or spiritual needs.
Serve as a liaison among administration, patients, physicians, and other healthcare providers.
Develop individualized plans of care collaboratively with the multidisciplinary team, patient, and support network.
Develop teaching plans based on identified learning needs and evaluate learning effectiveness, including that of the support network.
Meet dress, identification, attendance, confidentiality, regulatory, education, and other professional requirements.
Participate in department performance improvement and continuous quality improvement activities.
Represent the District professionally, communicate courteously, and help maintain a clean, safe, and accident-free environment.