Job Description

Emergency Department Registered Nurse (RN)

Full-Time | Permanent Position

Community Hospital

South Texas

Emergency Department (24-hour ER)

Full-Time, Permanent

12-hour night shifts, 7:00 PM 7:00 AM, on a 4-on/4-off rotation

$35.00 $55.00 per hour, based on experience

Director of Nursing / ER Nurse Manager

A community hospital in South Texas is seeking a dedicated, full-time Emergency Department Registered Nurse to join its 24-hour ER team. As a small, community-focused rural hospital, this facility offers the chance to build lasting relationships with patients and colleagues while delivering hands-on, high-impact emergency care. This is a permanent, night-shift position working a predictable 4-on/4-off rotation.

• Provide direct, immediate nursing care to patients presenting with a wide range of emergent, urgent, and trauma-related conditions.
• Perform rapid patient assessment, triage, and prioritization in a fast-paced, low-staff rural ER environment.
• Administer medications and treatments per physician orders and hospital protocol; monitor for effectiveness and adverse reactions.
• Initiate and maintain IV access, cardiac monitoring, and other emergency interventions as required.
• Collaborate closely with ER physicians, LPNs, CNAs, and support staff to coordinate patient care and safe, timely transfers when higher-level care is needed.
• Accurately document patient assessments, interventions, and outcomes in the electronic health record.
• Provide clear, compassionate communication and education to patients and family members during high-stress situations.
• Respond to Code Blue, trauma, and other emergent hospital-wide events as part of the response team.
• Maintain compliance with infection control, safety, and regulatory standards at all times.
• Support a small-hospital team environment by assisting with department upkeep, supply checks, and cross-coverage as needed.

• Current, unencumbered Texas RN license (or active Compact/Multistate RN license).
• Associate Degree in Nursing (ADN) required; Bachelor of Science in Nursing (BSN) preferred.
• Minimum 1 year of Emergency Department, ICU, or acute care nursing experience preferred; new graduates with strong critical-care clinical rotations will be considered.
• Current BLS (Basic Life Support) certification required at hire.
• Current ACLS (Advanced Cardiac Life Support) required within 30 90 days of hire (grace period based on experience).
• Current PALS (Pediatric Advanced Life Support) required within 30 90 days of hire.
• TNCC (Trauma Nursing Core Course) required within 60 days 18 months of hire, based on experience level.
• Comfortable working independently and adapting quickly in a small rural hospital with limited on-site specialty support.

• Competitive hourly pay: $35 $55/hour based on experience.
• Predictable 4-on/4-off scheduling - no rotating shift patterns.
• Health, dental, and vision insurance.
• Retirement plan with employer contribution.
• Paid time off and holiday pay.
• Continuing education and certification reimbursement.
• A close-knit, small-town hospital culture where staff know each other by name.

This position is with a non-profit, community-based hospital in South Texas, providing Med-Surg, ICU, and 24-hour Emergency Department care, along with several outlying rural health clinics. The facility is committed to delivering quality, patient-centered healthcare to its community while supporting staff with a close-knit team culture.

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