RN, Emergency Department

Ocean Beach Health•Ilwaco, WA
•Onsite

About The Position

Ocean Beach Health is hiring a full-time Registered Nurse for its Emergency Department at a community-based critical access hospital. The emergency nurse provides patient-focused care for acute injuries and illnesses in a fast-paced, high-stress environment. The role includes rapid assessment, treatment, monitoring, stabilization, and coordination with physicians and other medical professionals. It requires sound clinical judgment, technical skill, adaptability, and the ability to make timely decisions to support patient outcomes. The nurse also responds to emergencies across campus and in outside areas, manages critical-care-level patients, supports transfers, educates patients and families, maintains accurate electronic health records, and contributes to unit readiness, infection control, confidentiality, and ongoing education. The position may assist in other care areas as needed. Ocean Beach Health describes itself as a mission-driven nonprofit offering a supportive, collaborative work environment and opportunities for professional growth. The role is based on the Long Beach Peninsula in Pacific County, Washington.

Requirements

  • Graduate of an accredited school of nursing with an Associate Degree in Nursing.
  • Current license to practice as a Registered Nurse in Washington State.
  • Three years of experience as an emergency department nurse.
  • ACLS certification.
  • PALS certification.
  • TNCC certification required within six months of hire.
  • Healthcare Provider CPR/BLS certification.
  • NIH Stroke Scale training certificate within 30 days of hire.
  • Ability to work independently and as part of a team.
  • Ability to be flexible and work well under pressure.
  • Good verbal and written communication skills.
  • Sound nursing knowledge and assessment skills.

Nice To Haves

  • Bachelor's or Master's of Science in Nursing.
  • Certified Emergency Nurse certification.
  • Experience in a trauma, stroke, or cardiac facility.

Responsibilities

  • Rapidly and accurately triage patients using the Emergency Severity Index.
  • Conduct focused assessments of patients of all ages and determine the severity of their conditions.
  • Perform or assist with emergency procedures, including CPR, tourniquet application, airway adjunct insertion, and cardiac defibrillation; assist with intubation, central line insertion, and chest tube insertion as needed.
  • Continuously monitor and document vital signs and interpret clinically significant changes.
  • Explain medical conditions, treatment plans, and discharge instructions to patients and families.
  • Coordinate care with physicians, surgeons, and other healthcare professionals.
  • Operate emergency medical equipment, including defibrillators, ventilators, and intravenous pumps.
  • Document patient information, treatments, and responses in electronic health records.
  • Respond to and manage rapid-response emergencies, including trauma, cardiac arrest, and respiratory distress, across campus and in outside areas.
  • Independently run ACLS/PALS codes within the scope of nursing practice.
  • Assess danger, mitigate risk, and de-escalate behavioral health emergencies; apply chemical or physical restraints if needed.
  • Follow infection-control protocols.
  • Provide critical-care-level management for patients on multiple titratable medications, manage ventilators, and respond independently to clinical changes.
  • Organize and prepare patients for transfer to other facilities or units.
  • Keep current with medical knowledge and emergency-care techniques, and complete assigned education on time.
  • Protect patient privacy and confidentiality.
  • Advocate for patients by communicating their needs, care requirements, and medical status to those involved in their care, and escalate concerns through the chain of command.
  • Participate in developing and maintaining hospital policies, procedures, quality-improvement and safety programs, and environmental and safety programs.
  • Follow the hospital attendance policy and attend mandatory meetings and in-services.
  • Assist with orientation or precepting new employees and graduates as needed.
  • Perform outdate checks, monitor supplies, and keep units and rooms ready for emergencies, including resetting and cleaning rooms.
  • Assist in other care areas when needed and perform nursing activities such as medication passes, admission charting, and assessments.

Benefits

  • Medical insurance.
  • Dental insurance.
  • Vision insurance.
  • Generous paid time off.
  • 10 paid holidays.
  • Eight hours of paid volunteer time annually.
  • Retirement plan with a 5% employer match after one year.
  • Short-term disability.
  • Employee Assistance Program (EAP).
  • Potential eligibility for the Public Service Loan Forgiveness (PSLF) program.
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