Emergency Department (2 shifts)/Med-Surg (1 shift)

hcchospital; Bethany (MO); On-site; USD 60,000 - 95,000; Full time

Job summary

HCCH is seeking a Registered Nurse for the Emergency Department and Med/Surg to provide high-quality, direct patient care in a fast-paced setting. The RN will assess, plan, implement, and evaluate care using the nursing process in accordance with ED standards.

The role requires active Missouri RN licensure, ADN (BSN preferred), and BLS/ACLS/PALS/TNCC within specified timelines. 1–2 years of ED experience is preferred, with competency in EMR and resuscitation support.

Qualifications

• RN license/registration current in Missouri or eligible.
• ADN required; BSN preferred.
• BLS, ACLS, PALS, TNCC within required timeframes.
• 1–2 years emergency nursing experience preferred.

Responsibilities

• Assess ED patients to identify urgent needs and care actions.
• Prioritize and administer urgent interventions per assessments.
• Collaborate with ED team to develop care plans.
• Document all care in EMR per ED protocols.
• Educate patients and families on care plans and discharge instructions.
• Assist in resuscitation and airway management as needed.
• Maintain equipment and ensure safety in high-stress situations.
• Record progress notes accurately and participate in quality improvement.

Skills

Emergency/critical care

Communication skills

Calm under pressure

Multitasking

EMR proficiency

Education

ADN

BSN preferred

Tools

EMR systems

Job description

Job Title: Registered Nurse (RN), Emergency Department (ED) and Med/Surg
Department: Emergency Services

FLSA Classification: Non-Exempt - Eligible for Overtime
Employment Status: Full-Time

Location: Harrison County Community Hospital (HCCH)
Reports to: Director of Emergency Department

Job Summary/Objective:

The Registered Nurse (RN) in the Emergency Department (ED) and Med/Surg provides high-quality, direct patient care in a dynamic and fast-paced Emergency Room setting. This role is responsible for planning, delivering, and managing patient care using the nursing process and adhering to the standards of nursing practice. The RN assesses and prioritizes patients’ needs, initiates appropriate interventions, and collaborates with the interdisciplinary team to promote optimal patient outcomes. This role requires a current RN license and registration.

Essential Functions/Duties/Responsibilities:

• Conduct thorough assessments of patients presenting to the ED to identify immediate needs and appropriate care actions.
• Prioritize and administer urgent/emergency interventions based on patient assessments.
• Collaborate with medical providers and the ED team to develop individualized care plans.
• Implement and document all aspects of nursing care following ED protocols and guidelines.
• Provide education and updates to patients and families on care plans, procedures, and discharge instructions.
• Assist in resuscitation efforts, including advanced airway management and medication administration.
• Maintain and operate equipment as required, ensuring safety standards are met.
• Prepare, monitor, and manage patients in high-stress situations, including trauma and critical care scenarios.
• Accurately document all patient care, treatments, and progress notes in electronic medical records.
• Engage in quality improvement activities and participate in training as required to remain current with best practices in emergency nursing.

Skills / Abilities:

• Strong clinical skills and knowledge of emergency and critical care.
• Excellent communication and interpersonal skills to effectively interact with patients, families, and team members.
• Ability to remain calm and make sound decisions in high-pressure situations.
• Organizational and multitasking skills to manage multiple patients in a fast-paced environment.
• Proficiency with computers and electronic medical record (EMR) systems.

Education, Certificates, and License:

Education:

• Associate’s Degree in Nursing (ADN) required; Bachelor’s Degree in Nursing (BSN) preferred.

Certificates / License:

• Current Registered Nurse (RN) licensure in Missouri or the ability to obtain.

Certifications:

• Basic Life Support (BLS), active or within 30 days of hire
• Advanced Cardiac Life Support (ACLS), active or within 6 months of hire
• Pediatric Advanced Life Support (PALS), active or within 6 months of hire
• Trauma Nursing Core Course (TNCC) within 1 year of hire

Experience:

• 1-2 years of experience in emergency nursing preferred.
• Familiarity with emergency medical and trauma protocols is an advantage.
• Experience with electronic medical record (EMR) systems preferred.

Physical Requirements:

• Lifting: Regularly lift/move patients or equipment weighing up to 50 lbs.
• Mobility: Frequent walking, standing, and moving for extended periods.
• Posture: Bending, twisting, and reaching as needed during patient care.
• Dexterity: Fine motor skills for tasks such as administering injections, changing dressings, or operating medical equipment.

EEOC Statement:

Harrison County Community Hospital District provides equal employment opportunities to all employees and applicants and prohibits discrimination and harassment of any type, without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity, or any other characteristic protected by law.