Registered Nurse, Emergency Department- 24 hrs, Rotating

Beth Israel Lahey Health; Milton (MA); On-site; USD 77,000 - 128,000; Full time

Job summary

Beth Israel Deaconess Hospital–Milton, part of Beth Israel Lahey Health, seeks an experienced Emergency Department nurse to deliver patient- and family-centered care in a fast-paced ED. You will work within the RN framework, using the Nursing Process and ENA standards to guide assessment, planning, and intervention while building strong clinical partnerships with physicians and care teams.

This role emphasizes autonomy, compassionate care, cultural sensitivity, and safe, timely patient outcomes

Qualifications

• 1 Year of acute care medical-surgical experience (or equivalent).
• BLS, ACLS, PALS certifications required or within hire/within 12 months.

Responsibilities

• Provides direct, patient-centered care using the Nursing Process.
• Assesses health status and interprets data to guide care.
• Plans, coordinates nursing interventions and evaluates outcomes.
• Communicates care plans and handoffs effectively across shifts.
• Maintains infection control and participates in ongoing education.
• Collaborates with physicians, PAs, technicians and teams.

Skills

Compassionate care

Communication

Clinical judgment

Team collaboration

Education

BLS (American Heart Association)

ACLS (American Heart Association)

PALS (American Heart Association)

Job description

When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.

Emergency Department | Beth Israel Deaconess Hospital–Milton

Where You’ll Work

You’ll join a community-based Emergency Department that delivers high-quality, compassionate care to a diverse patient population. Our ED is fast‑paced yet collaborative, fostering a close-knit team environment where adaptability, communication, and mutual respect are essential.

Care is delivered through a geographic, team-based model, with nurses working in small care teams supported by Emergency Department technicians. Nurses collaborate directly with an attending physician, allowing for efficient workflow, strong clinical partnership, and continuity of care.

This setting is well suited for nurses who appreciate hands‑on practice and meaningful engagement in patient care within a community hospital environment.

What You’ll Do

Provide direct, patient‑and family‑centered emergency care across a wide range of conditions

Practice using the Nursing Process and in accordance with Emergency Nurses Association (ENA) standards

Utilize nurse‑driven protocols and exercise independent clinical judgment

Collaborate closely with physicians, physician assistants, technicians, and specialty teams

Support patients and families not only clinically, but emotionally and holistically during vulnerable moments

Nurses are encouraged and supported to practice to the full scope of their license, with leadership that values nursing expertise as essential to patient outcomes.

Why You’ll Love Working Here

High level of nursing autonomy with strong medical and leadership support

A robust nursing culture built on trust, teamwork, and professional respect

Nursing and physician leadership that are fully integrated into daily practice

Community‑focused care with standards aligned to a major academic medical system

A workplace that values compassion, adaptability, and continuous growth

At BID Milton, we believe exceptional emergency care requires both clinical excellence and human connection—and we support our nurses in delivering both.

Job Description

Under the general supervision of the Nurse Manager, or designee, and with‑in the framework of the RN license, participates in the following activities:

Responsibilities

• Provides direct care to patients utilizing the Nursing Process to provide patient centered care:
• Systematically assesses the health status of the patient
• Analyzes and interprets data and makes nursing judgments regarding care
• Plans, implements and coordinates nursing interventions
• Evaluates outcome of nursing interventions
• Revises/updates plan of care
• Documents nursing process clearly and concisely
• Communicates nursing plan effectively
• Coordinates the care of patients and directs assistive personnel in order to provide safe, effective, equitable and timely patient centered care.
• Develops relationships with patients and families that maintain and communicate trust and respect.
• Demonstrates the ability to act as a patient advocate
• Demonstrates awareness of environmental forces on the health care of the patients and their families
• Considers specific cultural beliefs and practices when caring for patients.
• Utilizes interpreter services for patients with limited English proficiency
• Provides care appropriate to the age groups of patients regularly served; applies knowledge of growth and development when caring for patients of all ages
• Works in a collegial and collaborative relationship with other health care providers to determine the needs of the patients and their families and communicates effectively in the exchange of information to ensure quality and continuity of care.
• Effectively participates in all ‘Hand Off’ communication WITHOUT EXCEPTION: shift to shift, from ED to inpatient areas, RN to MD.
• Adheres to infection control protocols and policies
• Maintains annual mandatory education requirements, which include emergency skills and unit based competencies
• Identifies the need for continued growth and development by attending and/or participating in in-house or outside training programs to improve and augment skills and knowledge
• Performs safely and efficiently in emergency situations, assessing, planning and evaluating care to meet rapidly changing patient and family needs.
• Participates in activities that contribute to professional development of self; may participate in nursing/multidisciplinary committees, orientation programs and unit based Performance Improvement projects demonstrating an ability to act as Team Leader for small projects or work groups that create a collaborative and respectful team environment and orientation programs.
• Assumes role of Resource Nurse as necessary, understanding, coordinating and ensuring work flow through the department and maintaining contact with the Triage RN to appropriately prioritize and place the ED patient.
• Assumes the role of Triage RN as necessary, utilizing an ESI 5 Tier triage system to appropriately assess and prioritize the needs of the ED patient and maintains contact with the Resource RN to ensure safe and timely placement of the patient in the core
• Adheres to the hospital’s RESPECT standards; providing a high level of customer service to patients, visitors, staff and external customers
• Employee maintains competencies (position specific and hospital-wide) required for the specific patient population served.
• Performs all duties in accordance with safety and other laws, rules, and regulations set forth by appropriate regulatory and government agencies and in accordance with established department and hospital policies and procedures.
• May be required to perform similar or related duties as may be necessary on an emergency basis or as designated by the department manager or supervisor.
• The nature of the tasks/responsibilities required of employees in this position will likely expose them to blood and body fluids. Employees will be oriented to and required to understand and follow the standard precautions for infection control. A summary list of tasks and procedures that may cause exposure to blood and body fluids is listed in the attached Physical Abilities Job Description. Also identified is the protective gear that is available

A Physical Abilities Job Description is a component of this Job Description.

The above statements are intended to describe the general nature and level of work being performed. This list is not to be construed, as an exhaustive list of all responsibilities, duties and skills required of personnel so classified.

Qualifications

• 1 Year of acute care medical-surgical experience (or equivalent) required, Emergency nursing experience preferred
• American Heart Association Basic Life Support, certification required
• American Heart Association Advanced Cardiac Life Support; certification required
• American Heart Association Pediatric Advanced Life Support; certification preferred, required within twelve months of hire.
• Must be able to pass basic medication test prior to hire
• Must be able to pass basic tele test by end of orientation.

Pay Range

$37.08 - $92.84

The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law.

As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.

More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.

Equal Opportunity Employer/Veterans/Disabled