Registered Nurse - Emergency Department

HCA Healthcare•Fort Worth, TX

About The Position

The Registered Nurse provides holistic, individualized care to patients with emergent needs in the Emergency Department under the supervision of the nurse manager. The RN makes decisions and takes actions within the scope of nursing practice, maintains a safe and therapeutic environment, demonstrates competence, follows facility policies and standards, and supervises other staff as designated. Care must comply with the Nurse Practice Act, ENA standards, state board of nursing requirements, and other governing regulations. The RN assesses and prioritizes patients, documents formal assessments for patients presenting at ESI Levels 1, 2, or 3, and reassesses patients according to their acuity before and after medical screening. The role includes providing evidence-based, culturally competent care to pediatric, adolescent, adult, and geriatric patients; documenting care consistently; identifying situations requiring an urgent or emergent response; and communicating through the appropriate chain of command. The RN also contributes to department clinical, financial, and administrative objectives, collaborates with department leaders on operational issues, participates in shared governance, and maintains required licensure and certifications.

Requirements

Graduate of an accredited school of nursing.
Associate’s degree in Nursing required; a BSN is preferred.
Registered Nurse license eligible for practice in the State of Texas required.
BLS and ACLS certifications from an HCA-approved vendor required.
ENPC required within 6 months of hire.
TNCC required within 6 months of hire.

Nice To Haves

Minimum of two years of nursing experience preferred.
Emergency room clinical experience preferred.
BSN preferred.
CEN, CPEN, or TCRN preferred.

Responsibilities

Provide holistic, individualized patient care in response to emergent and identified needs.
Make decisions and take actions within the domain of nursing practice and promote a safe, therapeutic environment for patients and care providers.
Provide specialized care using appropriate knowledge, skills, and demonstrated nursing competence.
Follow facility policies, procedures, and standards of care, along with applicable Nurse Practice Act, state board of nursing, ENA, and other governing agency requirements.
Supervise other staff as designated within the department.
Adhere to therapeutic standards and measure health outcomes against patient care goals and standards; address problems using multidisciplinary team strategies.
Follow infection-control policies, medication administration and storage procedures, and controlled-substance regulations to protect patients and employees.
Apply hospital policies and procedures specific to Emergency Department nursing and work independently while prioritizing responsibilities.
Demonstrate emergency nursing skills and knowledge of the developmental needs of pediatric, adolescent, adult, and geriatric patients.
Provide and document quality patient care consistently according to hospital standards and policies/procedures.
Accept accountability and responsibility as a member of nursing services.
Document formal assessments for patients presenting to the department at ESI Level 1, 2, or 3, prioritize patients as they arrive, and reassess their conditions and symptoms based on acuity before medical screening and as appropriate afterward.
Deliver culturally competent care and service in day-to-day interactions with patients, customers, coworkers, and peers, and help maintain a positive, motivating environment.
Participate in shared governance.
Identify situations requiring an emergent or urgent response and communicate them to the appropriate leadership level using the chain of command.
Assist in achieving the department's clinical, financial, and administrative objectives.
Collaborate with department leaders on significant operational issues and barriers related to nursing practice.
Maintain required registered nurse licensure and certifications.
Provide evidence-based nursing care to assigned patients.

Benefits

Comprehensive medical, prescription drug, dental, vision, behavioral health, and telemedicine plans.
Wellbeing support, including free counseling and referral services.
Paid time off and paid family leave.
Long- and short-term disability coverage and leaves of absence.
401(k) plan with a 100% match on 3% to 9% of pay, based on years of service.
Employee Stock Purchase Plan.
Flexible spending accounts.
Preferred banking partnerships, retirement readiness tools, rollover support, and financial wellbeing counseling.
Tuition assistance, student loan assistance, certification support, dependent scholarships, and a partnership with Galen College of Nursing.
Fertility and family-building benefits and adoption assistance.
Life insurance and supplemental health protection plans.
Auto and home insurance, legal counseling, identity theft protection, and consumer discounts.