ED Critical Care RN — Evening/Night Shift

County of San Mateo; San Mateo (CA); On-site; USD 157,000 - 186,000; Full time

Job summary

County of San Mateo is seeking one full-time, one part-time, and one Relief Registered Nurse for our Emergency Department on evening/night shifts. We value strong foundations in emergency or critical care nursing and a collaborative, team-oriented work environment.

Ideal candidates will demonstrate clinical judgment, adaptability, and a willingness to learn, with experience in fast-paced ED/CCU settings and a commitment to serving diverse communities.

Qualifications

• One year of direct Emergency Department and/or Critical Care nursing experience or a minimum of 300 clinical rotation hours in an Emergency Department and/or Critical Care setting.
• Strong foundational understanding of emergency nursing, including patient assessment, triage, prioritization, workflow, and response to changing patient conditions.
• Demonstrated critical-thinking and clinical decision-making skills.
• Experience caring for patients with multiple co-morbidities and complex care needs.
• Experience working with diverse and underserved populations.
• Knowledge of current regulatory requirements.
• A willingness to learn, receive feedback, and develop emergency nursing skills within a reasonable orientation and training period.

Responsibilities

• Complete patient assessments and triage; record patient histories, symptoms, and observations.
• Establish, implement, and evaluate individualized nursing care plans.
• Administer treatments and medications and operate medical equipment.
• Assess and monitor patient progress, reactions, symptoms, and changes in condition.
• Determine medical or psychiatric emergency needs and provide appropriate intervention.
• Monitor life-support equipment and patients requiring restraint or seclusion while maintaining patient safety.
• Participate in patient case conferences and rounds.
• Serve as a team leader by organizing and assigning work and assisting with the orientation and training of nursing staff and students.
• Provide nursing care in accordance with established policies, protocols, and procedures.
• Identify patient care or quality concerns, assist with data gathering, propose solutions, and participate in quality assurance activities.
• Educate patients and families and coordinate referrals, resources, and discharge planning to support continuity of care.
• Maintain required records and prepare reports.
• Participate in educational programs and other activities to maintain clinical expertise.
• Participate in non-clinical assignments, including special projects and committees, as needed.
• Perform related duties as assigned and as required by the work setting.

Skills

Critical-thinking

Communication

Teamwork

Adaptability

Job description

County of San Mateo is seeking one full-time, one part-time, and one Relief Registered Nurse for our Emergency Department on evening/night shifts. We value strong foundations in emergency or critical care nursing and a collaborative, team-oriented work environment.

Ideal candidates will demonstrate clinical judgment, adaptability, and a willingness to learn, with experience in fast-paced ED/CCU settings and a commitment to serving diverse communities.