Emergency Department-Nights

hcchospital; Bethany (MO); On-site; USD 65,000 - 90,000; Full time

Job summary

Harrison County Community Hospital in Missouri is seeking an experienced Registered Nurse (RN) for the Emergency Department. You will provide direct patient care in a fast-paced ED, assess needs, implement interventions, and collaborate with the care team to ensure high-quality outcomes.

The role requires an active RN license in Missouri (or eligibility), ADN is required with BSN preferred, and BLS, ACLS, PALS, TNCC certifications.

Qualifications

• ADN required; BSN preferred.
• Active Missouri RN license or eligibility.
• BLS, ACLS, PALS, TNCC required or within defined timeline.
• 1–2 years of emergency nursing experience preferred.

Responsibilities

• Assess and prioritize ED patients and initiate appropriate interventions.
• Provide direct patient care and collaborate with the ED team.
• Document care in the EMR and maintain accurate progress notes.
• Participate in resuscitation and high-stress trauma care.
• Educate patients and families on care plans and discharge instructions.
• Maintain equipment and adhere to ED protocols.

Skills

Emergency nursing

Clinical decision-making

Communication skills

EMR proficiency

Calm under pressure

Education

ADN required

BSN preferred

Tools

EMR systems

Job description

Job Title: Registered Nurse (RN), Emergency Department (ED)
Department: Emergency Services

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

Salary Grade/Level/Family/Range:

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

Job Summary/Objective:

The Registered Nurse (RN) in the Emergency Department (ED) 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.