Registered Nurse RN - FSED Emergency Room ER

HCA Houston Healthcare; Houston (TX); On-site; USD 90,000 - 120,000; Full time

Benefits offered by this job

Medical, dental, vision benefits

Wellbeing support

Paid time off

401(k) with match

Tuition assistance

Fertility and family building support

Job summary

HCA Houston Healthcare Southeast’s North Channel ER in Houston, TX is seeking a Registered Nurse for our 24/7 freestanding ER. You will deliver high-quality emergency care, collaborate with physicians, and follow established nursing models to stabilize patients and coordinate care.

The role requires ER experience, Texas RN license, and current BLS/ACLS/PALS or ENPC/TNCC, with opportunities to grow within a leading healthcare system and participate in advanced protocols and on-site diagnostics.

Qualifications

• Nursing degree from an accredited program (Diploma/ASN/BSN).
• Texas RN license or multi-state compact; must obtain Texas license within 90 days if out-of-state.
• Current BLS, ACLS, PALS/ENPC, TNCC and NIH Stroke certifications.
• ER clinical experience required, 1 year in ER or freestanding ER setting.

Responsibilities

• Identify patient condition (physical, cognitive, emotional) prior to care.
• Plan, implement, and evaluate general nursing care with discharge planning for fast-paced setting.
• Carry out physician orders and assist in examinations or procedures; administer medications per policy.
• Monitor patient status, maintain records, and report critical changes through chain of command.
• Comply with hospital policies and infection control; contribute to performance improvement.
• Coordinate patient/family teaching and respect diverse values.
• Adhere to Texas Nurse Practice Act and related regulations.

Skills

ER nursing

Patient care

Advocacy

Team collaboration

Education

BSN preferred

Texas RN License

Tools

BLS

ACLS

PALS/ENPC/TNCC

NIH Stroke Certification

Job description

Work Schedule: 3 days per week, 3p-3a/Rotating Weekends

Location: HCA Houston ER 24/7 – North Channel - 6191 E Sam Houston Pkwy N., Houston TX 77049

Advance your emergency nursing practice within an autonomous, high-impact environment at HCA Houston ER 24/7 – North Channel, located at 6191 E Sam Houston Pkwy N., Houston, TX 77049. This dedicated position is intentionally designed to attract elite Freestanding Emergency Room, FSED, Standalone ER, Satellite Emergency, Trauma, CEN, Flight / Transport, Emergency Department, ED, Emergency Room, and ER RNs who thrive on clinical agility and rapid assessment. Operating as a full-service, 24/7 freestanding emergency care center—and a direct department of HCA Houston Healthcare Southeast—our facility delivers full-scale adult and pediatric emergency care, rapid protocols for acute injuries and illnesses, on-site laboratory testing, and advanced imaging (including CT scans, X-rays, and ultrasound). Our nurses collaborate closely with board-certified emergency physicians to stabilize patients and facilitate seamless, direct ambulance admissions to HCA-affiliated hospitals when inpatient care is required. Your clinical practice at this location is backed by the elite credentials of our parent hospital system, including multiple HCA Healthcare Unit of Distinction Awards for outstanding nursing performance. Furthermore, our comprehensive emergency service line is recognized with top-tier accolades, including the Healthgrades Patient Safety Excellence Award and Critical Care Excellence Award, alongside the American Heart Association's Stroke Gold Plus Quality Achievement Award and Coronary Artery Disease STEMI Receiving - Gold Plus performance honors.

Job Summary And Qualifications

As a Registered Nurse, you will be responsible for delivering high-quality, patient-centered care in line with the requirements of the department and the standards of practice for the relevant state and specialty. Collaborating with medical providers and the care team, you will provide personalized, comprehensive, and compassionate care, following established nursing models such as "Assess, Perform, Teach, and Manage." You will also act as an advocate for patients, families, and caregivers, embodying the organization's vision, mission, and values to ensure an outstanding patient experience and positive clinical outcomes.

What you will do in this role:

• Identify the patient's functional, cognitive, physiological, and psychological condition, including family expectations and treatment perceptions prior to emergency care.
• Assess, plan, implement, and evaluate general nursing care alongside interdisciplinary discharge planning tailored to the fast-paced freestanding environment.
• Carry out physician orders, assist with emergency examinations or procedures, and safely administer medications while adhering strictly to controlled substance policies.
• Observe patient clinical status, maintain accurate medical records, and immediately communicate critical changes in condition through the established unit chain of command.
• Comply with hospital policies, age-specific competencies, and universal infection control precautions while contributing to facility performance improvement initiatives.
• Plan and coordinate patient and family teaching, evaluate their understanding of instructions, and support diverse cultural, psychosocial, and spiritual values.
• Maintain full professional accountability by knowing and following all regulations set forth in the Texas Nurse Practice Act and relevant nursing statutes.

What qualifications you will need:

• Graduate of an accredited diploma, associates, or baccalaureate degree registered nursing program.
• Bachelor’s Degree in Nursing preferred.
• Current Registered Nurse License in the State of Texas or Multi-State Compact License (Employees with RN Compact License are required to obtain Texas RN License within 90 days of hire date)
• Current BLS, ACLS, PALS or ENPC, TNCC and NIH Stroke certifications required.
• 1 year of clinical ER experience as a licensed RN in hospital or FSER setting required.

Benefits

HCA Houston Healthcare Southeast, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
• Wellbeing support, including free counseling and referral services
• Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
• Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
• Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
• Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Learn More About Employee Benefits

Note: Eligibility for benefits may vary by location.

"There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr.

HCA Healthcare Co-Founder

HCA Houston Healthcare Southeast is a full-service 340+ bed acute care hospital in Pasadena, Texas. We have been a leader of medical care in Pasadena for more than 50 years. With board-certified physicians, registered nurses and expert technicians, the community has come to rely on us for top-quality, comprehensive and compassionate healthcare. HCA Houston Southeast is the only hospital in Pasadena with both Chest Pain Center Accreditation with Primary PCI and Resuscitation by the American College of Cardiology and full accreditation by The Joint Commission on the Accreditation of Healthcare Organizations. We are members of HCA Houston Healthcare, the most comprehensive family of hospitals in the region and part of the leading provider of healthcare in the country, HCA Healthcare. Together we are stronger, smarter and more accessible in providing the patient-centered care you need close to home.

HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

Be a part of an organization that leverages our size to make a real impact in our industry! Our Talent Acquisition team is reviewing applications for our Registered Nurse Emergency opening.

#RNJobs #ERNurse #FreestandingER #TexasNursingJobs #Hiring

- VT1