ER Registered Nurse – High-Acuity Care & Impact

ScionHealth; Palestine (TX); Hybrid; USD 85,000 - 110,000; Full time

Job summary

Palestine Regional Medical Center in Palestine, TX, a 150-bed hospital, delivers high‑quality emergency care with Leapfrog A safety grade and Level IV trauma designation as part of ScionHealth. The RN in the ED provides direct and indirect patient care, collaborates with the interdisciplinary team, and upholds regulatory standards.

Role emphasizes patient assessment, rapid interventions, and education, with opportunities to grow within a community-focused hospital setting.

Qualifications

• Knowledge of emergency nursing protocols, trauma care, and critical interventions.
• Interpreting ECGs, managing IVs, and operating emergency equipment.
• Strong interpersonal, communication, and time management skills.
• Ability to adapt to rapidly changing clinical situations and multitask effectively.
• Proficient in EMR systems and clinical documentation tools.
• Able to lift up to 50 lbs and perform extended standing, walking, bending, and reaching.
• Demonstrates professionalism, clinical judgment, and a commitment to continuous learning.

Responsibilities

• Performs triage and prioritizes patient care based on acuity
• Conducts age-appropriate assessments and reassessments of all patients
• Administers medications, performs procedures, and manages critical drips
• Assists physicians with exams and procedures in the emergency department
• Monitors hemodynamic status and interprets cardiac rhythms
• Documents care, treatment, assessments, and education accurately and timely
• Applies infection control and sterile technique practices consistently
• Educates patients and families about care plans and discharge instructions
• Collaborates with providers and interdisciplinary team for optimal care delivery
• Responds calmly and professionally in high-stress, life‑threatening situations

Skills

Emergency nursing protocols

ECG interpretation

IV management

Interdisciplinary collaboration

EMR documentation

Patient education

Adaptability

Professionalism

Education

Associate degree in Nursing

BSN preferred

Nursing Diploma program accepted

Tools

EMR systems

Job description

Description

Join Palestine Regional Medical Center in Palestine, TX, a 150-bed hospital that has recently earned the prestigious Leapfrog “A” Safety Grade, the Platinum Award for quality from parent-company ScionHealth, and certification as a Chest Pain Center and Level IV Trauma facility. Palestine Regional provides a range of comprehensive care, including the latest in diagnostic, therapeutic, and rehabilitative services, both on an inpatient and outpatient basis. Palestine Regional is an integral part of the local community, giving you the chance to grow your career while making a real impact close to home.

Job Summary

The Registered Nurse (RN) – Emergency Department provides direct and indirect patient care in a high-acuity emergency care setting. The RN utilizes the nursing process of assessment, planning, intervention, and evaluation to provide safe and effective care for patients across the lifespan. Collaborates with the interdisciplinary team and contributes to quality outcomes through clinical excellence, compassionate service, and adherence to regulatory standards.

Essential Functions

• Performs triage and prioritizes patient care based on acuity
• Conducts age-appropriate assessments and reassessments of all patients
• Administers medications, performs procedures, and manages critical drips
• Assists physicians with exams and procedures in the emergency department
• Monitors hemodynamic status and interprets cardiac rhythms
• Documents care, treatment, assessments, and education accurately and timely
• Applies infection control and sterile technique practices consistently
• Educates patients and families about care plans and discharge instructions
• Collaborates with providers and interdisciplinary team for optimal care delivery
• Responds calmly and professionally in high-stress, life-threatening situations

Knowledge/Skills/Abilities/Expectations

• Knowledge of emergency nursing protocols, trauma care, and critical interventions
• Skilled in interpreting ECGs, managing IVs, and operating emergency equipment
• Strong interpersonal, communication, and time management skills
• Ability to adapt to rapidly changing clinical situations and multitask effectively
• Proficient in EMR systems and clinical documentation tools
• Able to lift up to 50 lbs and perform extended standing, walking, bending, and reaching
• Demonstrates professionalism, clinical judgment, and a commitment to continuous learning

Qualifications

Education

• Associate degree in Nursing required
• Bachelor of Science in Nursing (BSN) preferred
• Graduation from an accredited Nursing Diploma program accepted.

Licenses/Certifications

• Current state RN license or compact state equivalent required
• Basic Life Support (BLS) required within time frame stated in facility policy
• Advanced Cardiovascular Life Support (ACLS) required within time frame stated in facility policy
• Pediatric Advanced Life Support (PALS) required within time frame stated in facility policy
• Crisis Prevention Intervention (CPI) required within time frame stated in facility policy
• NIH Stroke Scale Certification required within time frame stated in facility policy
• Trauma Nursing Core Course (TNCC) preferred or required within time frame stated in facility policy
• Advanced Stroke Life Support (ASLS) preferred

Experience

• Emergency nursing experience in an acute care setting preferred
• Demonstrated ability to function under pressure and respond effectively to critical situations