Registered Nurse - Full-time & PRN - Night Shift

ProCare - Fairfield Emergency Room•Cypress, TX

10h•Onsite

About The Position

Under general supervision, the Registered Nurse provides emergency patient care using the nursing process of assessment, planning, intervention, implementation, and evaluation in accordance with established protocols and physician orders. The nurse works cooperatively with physicians and other clinical staff to deliver effective care and achieve desired patient outcomes. The role involves interacting professionally with patients and significant others, caring for people with a range of illnesses and injuries requiring emergency attention, and recognizing and treating life-threatening conditions. The nurse provides direct bedside care, performs triage and assessments, supports physicians during examinations and procedures, administers medications and IV therapy, monitors patients, documents care, and provides discharge education. The role also includes laboratory tasks as assigned, maintaining clinical records and supplies, supporting quality assurance and regulatory compliance, and observing patient safety, infection control, confidentiality, and facility policies. The facility operates 24/7; schedules may include nights, evenings, weekends, holidays, and all shifts. PRN employees are expected to work at least two shifts per month to maintain PRN status.

Requirements

Graduate of an accredited school or college of nursing.
Current registered nurse licensure in good standing in the State of Texas.
At least 1 year of RN emergency room experience.
Advanced Cardiovascular Life Support (ACLS) certification.
Pediatric Cardiovascular Life Support (PALS) certification; Emergency Nursing Pediatric Course (ENPC) may be accepted if approved by the Governing Board.
Current Healthcare Provider BLS or Professional Rescuer CPR certification.
Knowledge of accepted infection-control measures and patient safety.
Experience documenting patient findings in an electronic health record.
Ability to meet the physical demands of the role, including standing and walking for 6 to 12 hours, moving equipment, and occasionally lifting or moving more than 50 pounds.
Ability to work all shifts, including days, evenings, nights, weekends, and holidays.
Ability to communicate effectively, exercise sound judgment, work under pressure, adapt to changing conditions, and collaborate with patients, physicians, staff, and others.
Ability to maintain required certifications, licenses, clinical proficiencies, and annual training.

Responsibilities

Provide direct, individualized nursing care according to scientific nursing principles, established protocols, and physician orders.
Collect and document patient complaints, symptoms, and histories; report findings to healthcare providers.
Coordinate with healthcare team members to assess, plan, implement, and evaluate patient care.
Perform triage and physical and psychosocial assessments.
Provide basic life support and stabilize patients until the attending physician is available; respond to adverse monitoring findings.
Document nursing care, procedures, medication administration, and other required information accurately and promptly in patient records and clinical logs.
Assist physicians with examinations, diagnostic testing, treatments, and procedures, including critical-care interventions and moderate sedation.
Prepare and administer prescribed medications and IV therapy; monitor and report adverse reactions.
Perform 12-lead EKGs, venipuncture, IV initiation, blood draws, cardiac and pulse-oximetry monitoring, oxygen delivery, and nebulized treatments.
Clean and bandage wounds, apply splints, and provide basic bedside nursing care.
Review discharge instructions, take and document pre-discharge vital signs, and provide patient and caregiver education and training, including wound care, crutch use, nebulizer or inhaler use, and follow-up care.
Report suspected abuse and other reportable conditions to the appropriate agencies as required.
Maintain supplies and equipment, medication inventory, narcotic counts, pharmacy security, and required shift-change communication.
Perform assigned laboratory duties, including specimen collection, point-of-care testing, sending laboratory tests, reporting abnormal results, posting results, quality control, and proficiency testing.
Maintain patient confidentiality and comply with HIPAA, infection control, patient safety, regulatory, licensing, and accreditation requirements.
Participate in competency testing, periodic skills reviews, annual training, staff meetings, in-services, and drills as required.
Support quality assurance and risk management by reviewing charts, identifying deficiencies, reporting safety or policy violations, and assisting the Nurse Director with clinical duties and reports.
Maintain a clean, safe, and operational clinical environment; disinfect and store equipment properly and report defective equipment, hazards, or low supply levels.
Treat patients, visitors, and staff fairly and respectfully; uphold patient rights and maintain confidentiality.
Attend work reliably, complete assigned department operations, and perform other position-related duties as assigned.