Registered Nurse - ED

EvergreenHealth Monroe; Monroe (WA); On-site; USD 68,000 - 126,000; Full time

Benefits offered by this job

Medical coverage and vision/dental

Flexible Spending Account

Life/AD&D and disability insurance

Retirement plans (457(b) and 401(a)

Paid Time Off

Employee Assistance Program

Cafeteria discounts

Free parking

Job summary

EvergreenHealth Monroe is seeking an experienced Registered Nurse for our Emergency Department. You will provide high-quality, rapid assessment and care for acutely ill or injured patients in a busy ED environment.

The role requires WA RN licensure, BLS and ACLS, and the ability to work rotating shifts including nights. We offer cross-training opportunities and a strong team-focused culture in a semi-rural hospital setting in Monroe, WA.

Qualifications

• Must hold Washington State Registered Nurse license and be a graduate of an accredited nursing program.
• Current BLS and ACLS certification required; TNCC and PALS/ENPC strongly preferred or obtainable within defined timeframe.
• NIHSS course within 90 days of hire; TNCC within 365 days; ENPC or PALS with pediatric focus may apply.

Responsibilities

• Provide accurate triage and rapid assessment in a high-volume ED.
• Deliver individualized patient care with instruction from physicians and the care team.
• Document care plans, vital signs, and discharge instructions clearly and timely.
• Participate in performance improvement activities and patient education.
• Collaborate with ED staff and external providers to ensure smooth transitions of care.

Skills

BLS

ACLS

TNCC

PALS/ENPC

NIHSS

Education

WA RN license + nursing degree

Job description

Nursing

Full Time , 1800-0630

Posted 10/21/2026

Wage Range: $49.41 - $91.43per hour. The amounts listed are the base pay range; additional compensation may be available for this role. Job offers are determined based on a candidate's years of relevant experience, applicable education and internal equity.

EvergreenHealth Monroe, a small semi-rural acute care hospital has an excellent opportunity for an experienced REGISTERED NURSE to fill a position in our Emergency Department Unit. Working together, we exist to serve the changing health care needs of our community. We will provide personalized patient care known for quality and excellence with a healing environment through caring relationships. Multiple opportunities for cross-training to other nursing departments for further nursing professional development exist. Come join our dynamic nursing team and learn all that EvergreenHealth Monroe has to offer!

Benefit Information

Choices that care for you and your family

At EvergreenHealth Monroe, we appreciate our employees’ commitment and contribution to our success. We are proud to offer a suite of quality benefits and resources that are comprehensive, flexible, and competitive to help our staff and their loved ones maintain and improve health and financial well-being.

• Medical, vision and dental coverage w/premiums as low as $0!
• Flexible Spending Account
• Life, AD&D and Disability insurance
• Retirement plans (457(b) and 401(a) with employer contribution)
• Generous Paid Time Off/Vacation/Holidays
• Employee Assistance Program
• Cafeteria Discounts
• Free parking

MISSION

EvergreenHealth Monroe will advance the health of the community it serves through our dedication to high-quality, safe, compassionate, and cost-effective health care.

OUR VISION

EvergreenHealth will create an inclusive community health system that is the most trusted source for health care solutions

OUR VALUES

• Compassion - We care for and about our patients, families, and each other
• Respect - We respect the beliefs and values of everyone we encounter
• Excellence - We strive for excellence in all we do
• Collaboration - We work in partnership and believe every voice makes a difference
• Accountability - We are accountable to one another and to our community

JOB SUMMARY of ESSENTIAL FUNCTIONS

Adheres to Hospital Policies and Procedures and Philosophy of Care. Consistently exhibits professional conduct that is a behavior-based expression of the hospital’s Standards of Excellence. Responsible for organizing and administering professional individualized care to patients with multiple issues; medical, trauma, and psychiatric. Functions under the direction of the medical staff in accordance with the objectives, policies, and procedures of the hospital and the Washington State Nurse Practice Act. Demonstrates knowledge and skills required to respond rapidly to changing patient needs using the principles of growth and development to assess each patients’ age-specific needs when providing care. Participates in patient teaching including the review of the discharge instructions. Actively participates in unit and hospital-wide performance improvement projects.

EDUCATION, TRAINING, AND EXPERIENCE; CERTIFICATION/LICENSURE

Graduate of an accredited school of nursing, and current Washington State Registered Nurse (RN) license. Requires current Basic Life Support (BLS) certification and Advanced Cardiac Life Support (ACLS) certification, NIHSS course within 90 days of hire date and Pediatric Advanced Life Support (PALS) certification or Emergency Nursing Pediatric Course (ENPC) certification, Trauma Nursing Core Course (TNCC), Neonatal Resuscitation Program (NRP) certification within six months of hire date. New graduates or new to specialty nurses must obtain a TNCC within 365 days of employment.

SPECIAL EQUIPMENT, SKILLS, OR OTHER REQUIREMENTS

Ability to assess (triage) the patient and prioritize the level of care, involve the patient and family members in decision making, and organize and prioritize required interventions relating to patient care in the emergency department. Uses communication board effectively for room assignments and tasks that need to be completed. Effective communication skills: with the ED physician, department co-workers, hospital peers, pre-hospital personnel, patients, and family members. Able to document appropriately and completely: to age-specific, injury and illness to include vital signs, pain assessments appropriate to age, interventions, and discharge instructions. Knowledge in caring for cardiac patients: assessment, rapid intervention, and thrombolytic treatments. Ability to assess and care for patients across the age continuum (neonates to geriatrics). IV therapy skills, pediatric to adult and medication management appropriate to hospital policy Use protective and safety gear as following hospital guidelines, hepa mask, gowns goggles, and gloves. Ability to safely use equipment specific to the emergency department. Level one fluid warmer, Broslow pediatric cart, Zoll defibrillators, orthopedic pneumatic cuff, Sigma Spectrum IV pumps as directed. Requires scrubs as appropriate attire and adheres to other dress code issues specific to personal hygiene, piercing, tattoos and colognes. Attendance and punctuality following hospital policy. Expected to have continuing education, keeping skills and knowledge of practice current. Use of personal protective equipment as appropriate, documentation of immunization/immunity against hepatitis B, and training related to blood-borne pathogens are required.

WORK ENVIRONMENT AND HAZARDS

Hazards include risk of exposure to a communicable disease, hazardous substances, and risk of physical injury from patients and operation of equipment.

WORK CONTACT GROUP

Communication and interaction with all service lines within the hospital setting, including sales reps and education providers. Appropriate Communication and interactions with pre-hospital providers, fire service, medics, ambulance companies, Monroe Correctional employees, law enforcement, and members of the community.

SPECIAL PHYSICAL DEMANDS

Must be able to lift a minimum of 25 pounds, and transfer and transport patients. Must be able to bend, stoop, push and pull. Walks and stands for most of the working day. Must possess visual, tactile, and manual dexterity.

SUPERVISED BY

Director of Clinical Services, Clinical Nurse Manager, and Administrative Supervisor

SUPERVISES

None

ESSENTIAL FUNCTIONS/TECHNICAL

1. Accurate patient triage, assessment of needs to include history, pain assessment , medication reconciliation and level of care needs,
2. Follows policy for care and discharge of neuralgic and impaired patients, to include appropriate discharge assessment and ongoing vital signs.
3. Delivers individualized patient care consistent with established standards of care, policies and procedures, and other regulatory standards.(Does job without showing or verbalizing prejudices about frequent ED patients)
4. Makes effective nursing judgments including those for cardiac codes, emergent cardiac patients and traumatized patients.
5. Determines the effectiveness of patient care through patient interview, assessment, and documentation of pain assessments and medication treatments responses.
6. Appropriately delegates tasks but retains ultimate responsibility.
7. Maintains the role of patient advocate.
8. Initiates or participates in performance improvement activities for the patient, department or organization.
9. Uses universal precautions appropriately, using hand washing, hepa filter mask, gown goggles and gloves as EHM policy requires
10. Identifies patient's family members or significant other's needs for education and provides education through out ED visit and appropriate discharge instructions.
11. Maintains complete, accurate, concise documentation of patient status, nursing interventions and patient responses (Vital signs a minimum of Q 1 hour or on discharge.
12. Assumes leadership functions including assessing staffing needs for sick call coverage or high volumes.
13. Actively participates in assessing and communicating the patient's needs to the physicians and that support the health care team.
14. Completes unit based competencies. Including staff meetings and on line learning.
15. Demonstrates proficiency in department specific nursing skills and appropriate use of equipment new and old.
16. Uses an understanding of the principles of growth and development to assess each patient's age specific needs and provide age specific assessment, care and documentation.
17. Communicates assessment data and findings (calls report prior to transfers) to other members of the health care team for patients admitted to this hospital or transferred to another facility.
18. Gives concise and accurate change of shift report with documentation on these patients complete and up to date.
19. Provides or assists with orientation of new and existing staff.

This position is covered by a collective bargaining agreement between EvergreenHealth Monroe and SEIU Healthcare 1199NW.