Registered Nurse -Emergency Room-Day PRN

Methodist McKinney Hospital•McKinney, TX

2d•Onsite

About The Position

The Emergency Department Registered Nurse provides comprehensive nursing care to patients presenting to the Emergency Department, including rapid assessment, triage, stabilization, treatment, and care coordination. The role supports patients across the lifespan and responds to a broad range of conditions, including cardiac emergencies, stroke symptoms, trauma, respiratory distress, sepsis, behavioral health emergencies, and other medical or surgical emergencies. The nurse collaborates with physicians and multidisciplinary teams to coordinate evaluation, treatment, admission, transfer, and discharge; supports timely patient flow; documents care accurately in the electronic medical record; and provides patient and family education. The role includes participation in emergency procedures, hospital codes, disaster preparedness, quality and safety initiatives, and compliance with applicable hospital, regulatory, and accreditation requirements. The Emergency Department 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; if the candidate or employee has less than three years of acute care hospital experience, an education plan will be in place during the orientation period.
Basic Life Support (BLS) certification.
Advanced Cardiac Life Support (ACLS) certification.
Pediatric Advanced Life Support (PALS) certification within the orientation period.
NIH Stroke Scale Certification 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 maintain composure and effectiveness in high-stress situations.
Ability to perform 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).
Trauma Nursing Core Course (TNCC) certification.
Emergency Nursing Pediatric Course (ENPC) certification.

Responsibilities

Perform comprehensive nursing assessments and triage of Emergency Department patients.
Prioritize patient care using the Emergency Severity Index (ESI) or a facility-approved triage system.
Develop, implement, and evaluate individualized plans of care.
Safely and accurately administer medications, blood products, IV therapies, and treatments.
Monitor patient responses to treatment and promptly communicate changes in 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, disaster management, procedural sedation, and other emergency procedures within scope of practice.
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, or discharge.
Coordinate care activities to support patient flow and reduce length of stay.
Ensure appropriate documentation and communication during patient handoffs.
Participate in transfers and stabilization of patients requiring 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, hospital, CMS, and Texas Department of State Health Services requirements.
Complete required 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, and serve as a patient advocate.
Follow infection prevention and control practices; identify and report safety concerns, adverse events, and near misses.
Participate in performance improvement, patient safety, quality initiatives, departmental meetings, education, and competency validation.
Maintain required certifications, licensure, and competency in emergency nursing and hospital-required skills.
Support EMTALA compliance, participate in disaster preparedness and emergency management, and respond to hospital emergency codes as assigned.
Demonstrate professional communication and collaboration with patients, families, physicians, and staff.
Support departmental goals for patient satisfaction, throughput, quality metrics, and clinical outcomes.
Perform other responsibilities as directed by leadership.