Registered Nurse Emergency Department

CommonSpirit Health; Silverdale (WA); On-site; USD 101,000 - 178,000; Full time

Job summary

Virginia Mason Franciscan Health operates St. Michael Medical Center's Emergency Department, the state’s second largest, offering 52 private rooms and a helicopter-capable trauma center.

RNs provide comprehensive care, perform procedures, and coordinate post-discharge needs within a high-acuity environment. The ED team works across physicians, ED techs, social workers and other professionals to deliver exceptional patient care in a level III trauma setting, with a focus on safety, culture, and

Qualifications

• Graduation from an accredited school of nursing.
• WA RN license upon hire.
• BLS CPR certification upon hire.
• ACLS within 60 days of hire.
• PALS within 12 months of hire.
• ENPC or equivalent Pediatric Advanced Life Support course within 12 months.

Responsibilities

• Provide high-quality, individualized patient care in fast-paced ED.
• Perform skilled nursing procedures and administer medications per physician orders.
• Collaborate with interdisciplinary team to optimize patient outcomes.
• Document care using the nursing process and ensure timely patient status updates.
• Support rapid assessment and treatment in a Level III Trauma Center environment.

Skills

ED nursing

Clinical assessment

Patient care planning

Education

Bachelor of Science in Nursing (BSN)

Tools

EMR/EHR

Job description

Job Summary and Responsibilities

As a Registered Nurse (RN), you will be a pivotal healthcare professional, delivering compassionate, high-quality care that truly impacts our patients' well‑being and recovery. Every day, you will leverage your expertise to provide individualized, comprehensive care, making critical assessments, performing skilled procedures, and meticulously implementing patient care plans. You'll collaborate seamlessly within an interdisciplinary team, contributing to a dynamic environment focused on optimal patient outcomes. St. Michael Medical Center Emergency Department is the second largest in the state of Washington, and offers 52 state‑of‑the‑art private treatment rooms. The open floor model allows for greater visibility, patient safety, and supports our team nursing approach. Doctors, Nurses, ED Techs, and Social Workers collaborate to provide our patients with the best in emergency care. Critical patients can be transferred and received by helicopter with a helipad located on the hospital rooftop. We are certified by the Joint Commission as a Cardiac and Stroke Center and are designated as a Level III Trauma Center with 2 private bays for providing critical care. The front end process includes 6 Fast track and 5 triage rooms with assigned doctors and nurses to support rapid assessment and treatment. Our staff pride themselves in providing excellent emergency care to the community in which we live and serve. St. Michael's serves as the primary acute and emergency care site for the Kitsap Peninsula.

• Adheres to the department’s and hospital’s policies and procedures, including safety, risk management and regulatory standards. Keeps abreast of trends, developments and regulatory requirements impacting matters within designated scope of responsibility.
• Administers, oversees and documents the administration of medications (e.g., topically, orally, intramuscularly, subcutaneously and intravenously) as ordered by the healthcare practitioner and in accordance with hospital policy.
• Assesses patient to include physical, psychosocial, cultural, behavioral/emotional, developmental and spiritual needs. Gathers data relevant for patient care. Implements appropriate patient interventions and evaluates outcomes. Plans care appropriately based on needs identified during initial and on‑going assessments. Provides holistic, comprehensive, and professional nursing care to patient within the scope of practice. Implements appropriate patient interventions and evaluates outcomes. Prepares patient for discharge and assists with coordinating post discharge needs.
• Cultural Sensitivity and Competence: Demonstrates proper use of available communication tools/materials for effective communication and understands how the culture(s) of patient populations can affect communication, collaboration and the provision of care, treatment and services. Patient Populations Served: Demonstrates knowledge and proper skills associated with the department’s defined specific populations served.
• Demonstrates competent professional practice and engages in opportunities for professional growth. Demonstrates self accountability to meet stated deadlines for all mandatory requirements.
• Documents care delivered and patient status utilizing the nursing process in accordance with FHS standards of care, for example, changes in patient condition, patient responses to intervention and reassessments of pertinent findings. Receives and assures appropriateness, accuracy, timeliness and execution of physician orders.

Job Requirements

• Graduation from an accredited school of nursing., upon hire
• New graduate or RNs without E.D. or Critical Care experience AND successful completion of the E.D. Residency Program.
• Registered Nurse: WA, upon hire
• Basic Life Support (AHA) - CPR, upon hire
• Advanced Cardiac Life Support, within 60 Days of hire
• Pediatric Advanced Life Support, within 12 - months of hire
• Emergency Nursing Pediatric Course, within 12 - months of hire
• Trauma Nurse Core Course, within 12 - months of hire

Preferred

• Bachelor Of Science Nursing and One year of related work experience in an acute care setting, upon hire and
• Previous E.D. experience current within the last 2 years or
• Critical care experience current within the last 2 years or
• Neonatal Resuscitation Program, upon hire and
• Certified Emergency Nurse, upon hire

Where You'll Work

Virginia Mason Franciscan Health has a rich history of providing exceptional healthcare, dating back to 1891. Building upon a legacy of compassionate care and innovation, our organization has evolved through strategic partnerships and integrations to expand our reach and services across the Puget Sound area. Today, as Virginia Mason Franciscan Health, we remain deeply committed to healing the whole person – body, mind, and spirit – in the communities we serve. This commitment is strengthened by the diverse expertise and shared values brought together through our growth. Our dedicated providers offer a full spectrum of health care services, from routine wellness to complex disease management, all grounded in rigorous research and education. Our comprehensive network of 10 hospitals and nearly 300 care sites strategically located across the greater Puget Sound region reflects our ongoing commitment to accessibility and comprehensive care.

• St. Michael Medical Center: Ranked #13 in Washington (tie)! Recognized as High‑Performing in 10 procedures and conditions In U.S. News & World Report

We are proud of our pioneering medical advances and numerous awards and accreditations that reflect our dedication to excellence. When you join Virginia Mason Franciscan Health, you become part of a team that delivers top‑quality, professional healthcare in modern, well‑equipped facilities, and contributes to a legacy of service built on collaboration and shared purpose.

Pay Range

$48.36 - $85.71 /hour