Emergency Department Registered Nurse Nights
GENERAL SUMMARY The Emergency Room Staff Registered Nurse (RN) is responsible for providing high-quality, patient-centered nursing care to individuals presenting with a wide range of urgent and emergent medical conditions. Working in a fast-paced environment, the ER RN assesses, plans, implements, and evaluates patient care while collaborating with physicians, advanced practice providers, and interdisciplinary healthcare teams to ensure timely and effective treatment. The ER RN applies critical thinking, clinical judgment, and evidence-based practices to stabilize patients, manage acute and traumatic conditions, and support patients and families during emergencies. This role requires the ability to prioritize care, respond quickly to changing patient conditions, and maintain compliance with hospital policies, regulatory standards, and patient safety protocols. The Emergency Room Staff RN also plays a key role in promoting a culture of teamwork, accountability, and compassionate care while supporting the hospital’s mission to deliver safe, efficient, and high-quality emergency services to the community. ESSENTIAL FUNCTIONS Assessment of Patients 1. Assesses physical, psychological, and social dimensions of patients, applies knowledge of illness, injuries, and diseases, and uses available resources in the assessment process. 2. Provides written assessment of patients on admission and subsequently in the nursing process. 3. Summarizes assessment data and makes a nursing diagnosis, which is charted and communicated to other patients and care providers. Care Planning 4. Initiates plan based on nursing diagnosis and applied knowledge of specific illnesses, injuries, diseases, human behavior, and appropriate standards of care. 5. Documents specific nursing orders, develops short and long-term goals specifying expected outcomes following intervention. 6. Utilizes all available resources in planning care and consults as necessary with clinical specialists, supervisors, physicians, etc. 7. Updates plan of care as necessary based on continuing assessments of the patient. Implementation of Care 8. Implements clinical and technical aspects of care and nursing orders in accordance with established policies and procedures. Intervenes using proper techniques, procedures, and safety precautions to meet the patient's individual needs. 9. Implements medical plan through passing medications and intervention with the physician's order. 10. Documents nursing interventions, patient responses, effectiveness, complications, etc.; communicates information to peers and physicians. Evaluates Nursing Care Provided 11. Reviews and evaluates the effectiveness of the intervention and implementation of plans 12. Determines the level of accomplishment of short and long-term goals and expected outcomes following intervention. 13. Reviews and evaluates personal nursing practice as compared to the standard of care and original plan of care as supported by peers and other resource personnel 14. Develops a discharge plan that uses all available resources. Assess the need for patient and family instructions 15. Reviews patient and family knowledge of disease, illness, and readiness to accept leaving and care for the patient at home 16. Identifies needs for care home, or alternatives such as out-patient treatment, extended care facility, etc. 17. Establishes and maintains interpersonal relationships with patients, visitors, and other hospital personnel, which assures confidentiality of patient information. 18. Participates in and supports research programs and activities, and also participates in nursing committees and other activities that promote the growth and development of nursing and/or patient care. KNOWLEDGE, SKILLS & ABILITIES · Technical Competencies · Regulatory & Accreditation Compliance · Clinical Data & Performance Measurement · Incident Reporting & Patient Safety Systems · Clinical Documentation & Chart Review · Policy & Procedure Development · Infection prevention & Patient Safety Collaboration · Regulatory Reporting · Education & Compliance Monitoring Core Competencies · Communication · Analytical thinking · Attention to detail · Collaboration · Accountability · Problem Solving · Organizational skills · Adaptability · Integrity & Professional Judgement · Continuous improvement mindset · Ability to work independently / under supervision EDUCATION & EXPERIENCE · Bachelor’s degree in nursing required · (2-5) years of clinical experience in an acute or ambulatory healthcare setting required · (2-5) years of experience in clinical performance review required · Demonstrated experience supporting regulatory compliance, accreditation, or survey readiness strongly preferred · Active Registered Nurse (RN) license in Illinois required and must be in good standing PHYSICAL DEMANDS The physical demand frequencies identified below represent an estimate of the time required to perform essential job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions. Frequency Definitions: · Seldom/Rarely: Less than 10% of the workday · Occasionally: Up to 33% of the workday · Frequently: 34–66% of the workday · Constantly: More than 66% of the workday Function Frequency Sitting Frequently Standing Frequently Walking Frequently Hand/Finger Dexterity Constantly Lifting up to 10 lbs. Frequently Lifting 10-25 lbs. Seldom/Rarely Lifting over 25 lbs. Seldom/Rarely Patient Handling (if applicable) Occasionally COMPLIANCE STATEMENT Employees must comply with all hospital policies and procedures, regulatory standards (including CMS, IDPH, Joint Commission, OSHA), and maintain confidentiality in accordance with HIPAA requirements. BACKGROUND SCREENING REQUIREMENT All employees are subject to criminal background screening in accordance with hospital policy and, where applicable, the Illinois Health Care Worker Background Check Act (225 ILCS 46). DISCLAIMER This job description is intended to describe the general nature and level of work performed. It is not intended to be an exhaustive list of all duties, responsibilities, or qualifications associated with the position. Duties may be modified at any time based on operational needs. image1.png Assessment of Patients 1. Assesses physical, psychological, and social dimensions of patients, applies knowledge of illness, injuries, and diseases, and uses available resources in the assessment process. 2. Provides written assessment of patients on admission and subsequently in the nursing process. 3. Summarizes assessment data and makes a nursing diagnosis, which is charted and communicated to other patients and care providers. Care Planning 4. Initiates plan based on nursing diagnosis and applied knowledge of specific illnesses, injuries, diseases, human behavior, and appropriate standards of care. 5. Documents specific nursing orders, develops short and long-term goals specifying expected outcomes following intervention. 6. Utilizes all available resources in planning care and consults as necessary with clinical specialists, supervisors, physicians, etc. 7. Updates plan of care as necessary based on continuing assessments of the patient. Implementation of Care 8. Implements clinical and technical aspects of care and nursing orders in accordance with established policies and procedures. Intervenes using proper techniques, procedures, and safety precautions to meet the patient's individual needs. 9. Implements medical plan through passing medications and intervention with the physician's order. 10. Documents nursing interventions, patient responses, effectiveness, complications, etc.; communicates information to peers and physicians. Evaluates Nursing Care Provided 11. Reviews and evaluates the effectiveness of the intervention and implementation of plans 12. Determines the level of accomplishment of short and long-term goals and expected outcomes following intervention. 13. Reviews and evaluates personal nursing practice as compared to the standard of care and original plan of care as supported by peers and other resource personnel 14. Develops a discharge plan that uses all available resources. Assess the need for patient and family instructions 15. Reviews patient and family knowledge of disease, illness, and readiness to accept leaving and care for the patient at home 16. Identifies needs for care home, or alternatives such as out-patient treatment, extended care facility, etc. 17. Establishes and maintains interpersonal relationships with patients, visitors, and other hospital personnel, which assures confidentiality of patient information. 18. Participates in and supports research programs and activities, and also participates in nursing committees and other activities that promote the growth and development of nursing and/or patient care.
