ED Registered Nurse (MID Shift)

Summary / Objective

The Emergency Department Registered Nurse (ED RN) provides comprehensive, patient-centered nursing care in collaboration with providers and the interdisciplinary healthcare team. The ED RN coordinates and delivers care in the Emergency Department setting using the nursing process to assess, plan, implement, and evaluate safe and effective patient care. This role promotes patient confidentiality, comfort, advocacy, and safety while practicing within the scope of professional nursing standards and regulatory requirements.

Essential Functions

• Provides nursing care utilizing all components of the nursing process, including assessment, diagnosis, planning, intervention, and evaluation.
• Identifies patient and family learning needs and implements education strategies while addressing barriers to learning.
• Applies critical thinking skills and evidence-based practice to deliver care appropriate to the patient’s functional, developmental, and clinical needs.
• Identifies actual and potential risks and demonstrates leadership during emergent or crisis situations.
• Performs accurate and timely nursing assessments and communicates concise, problem-focused reports to providers based on assessment findings.
• Assigns appropriate triage levels using the Emergency Severity Index (ESI) based on patient presentation and anticipated diagnostic and treatment needs.
• Demonstrates competency in emergency department equipment, medication administration, IV therapy, and use of automated dispensing systems, including medication scanning and shift narcotic counts.
• Safely prepares and administers medications and infusions, including admixtures, procedural sedation support, and post-treatment monitoring.
• Coordinates follow-up care activities, including laboratory monitoring, positive culture follow-up, diagnostic imaging coordination, and patient disposition.
• Utilizes monitoring systems, nurse call systems, and emergency response protocols appropriately.
• Participates in organ donation processes and post-mortem care in accordance with hospital policy, when applicable.

Competencies

• Demonstrates effective communication and collaboration with members of the healthcare team to achieve optimal patient outcomes.
• Attends and participates in required in-service education, mandatory training, and departmental meetings in accordance with hospital policy.
• Communicates clearly and effectively in verbal and written formats.
• Demonstrates the ability to understand and respond appropriately to patient, family, and team communication.
• Maintains attention to detail and situational awareness in a fast-paced environment.

Supervisory Responsibilities

None

Work Environment

• Fast-paced emergency department environment with frequent interruptions and variable patient acuity.
• Requires frequent interaction with physicians, advanced practice providers, patients, families, and interdisciplinary team members.
• Requires cultural sensitivity and the ability to provide care to a diverse patient population.

Physical Demands

• Ability to stand and walk for extended periods.
• Ability to lift, push, pull, and carry patients and equipment with or without assistance.
• Ability to use hands and fingers to handle, control, or feel objects, tools, or controls.

Travel Required

None

Required Education and Experience

• Current Registered Nurse (RN) license in the State of California.
• Basic Life Support (BLS) certification – required.
• Advanced Cardiac Life Support (ACLS) certification – required.
• Pediatric Advanced Life Support (PALS) certification – required.
• Minimum of one (1) year of Emergency Department or emergency services experience preferred.

Preferred Education and Experience

• Bachelor of Science in Nursing (BSN) preferred.
• Prior experience in Emergency Department, Critical Care, or Critical Access Hospital settings.