Registered Nurse - Emergency Department

Job Title: Registered Nurse - Emergency Department

We are seeking a compassionate, skilled, and highly responsive Registered Nurse - Emergency Department to provide high-quality nursing care to patients experiencing urgent, critical, and emergency medical conditions. The Registered Nurse - Emergency Department will assess patients, prioritize care based on clinical needs, administer medications, monitor vital signs, assist with emergency procedures, and coordinate treatment with physicians and other healthcare professionals. The Emergency Department Registered Nurse must be able to remain calm under pressure, respond quickly to changing patient conditions, and provide safe, efficient, and patient-centered nursing care in a fast-paced clinical environment.

The Registered Nurse - Emergency Department will perform comprehensive patient assessments, identify changes in patient status, initiate appropriate nursing interventions, and communicate important clinical information to the healthcare team. The Registered Nurse will care for patients with injuries, acute illnesses, cardiac conditions, respiratory problems, infections, trauma, and other emergency medical concerns. The Emergency Department Nurse will support physicians during examinations, diagnostic procedures, resuscitation efforts, and emergency interventions while maintaining accurate medical records and protecting patient confidentiality.

Job Duties

• Provides comprehensive nursing care to patients presenting with behavioral health, psychiatric, substance use, and emotional crisis needs. Utilizes evidence-based assessment, intervention, de-escalation, and therapeutic communication techniques to promote patient safety, stabilization, and appropriate disposition. Collaborates with emergency physicians, psychiatrists, advanced practice providers, social workers, case managers, security personnel, and interdisciplinary teams to ensure high-quality behavioral health care in a fast-paced emergency setting.
• Completes assessments as established by scope of practice and unit standards, including behavioral health and suicide risk assessments.
• Addresses physical, psychological, social, cultural, and spiritual needs of patient and family throughout the continuum of care.
• Formulates, coordinates, and provides plan of care as established in unit standards including, patient and family education, family needs and discharge planning throughout hospitalization with members of the interdisciplinary team.
• Provides direct patient care including, treatments, medications, and diagnostic studies according to policy and procedure.
• Evaluates effectiveness of nursing interventions and revises plan of care based upon patient response to interventions.
• Initiates collaboration with physicians, ancillary personnel, and other interdisciplinary team members and acts to proactively resolve and facilitate patient needs.
• Problem solves, troubleshoots and takes corrective measures in the care and handling of equipment.
• Participates in unit-based decision-making regarding the utilization of evidence- based practice.
• Actively participates as a team member working toward team goals of the unit and organization and is accountable for unit and system specific metrics.
• Actively participates in patient quality and safety education programs and other activities designed to improve departmental and organizational quality and safety.
• Provide therapeutic interventions and crisis stabilization.
• Monitor for withdrawal, self-harm, aggression, elopement risk, and worsening psychiatric symptoms.
• Utilize verbal de-escalation techniques during crises.
• Maintain compliance with suicide precautions, observation levels, and safety protocols.
• Serve as a behavioral health resource for emergency department staff.

Qualifications

• Active Registered Nurse (RN) license in good standing.
• Graduation from an accredited nursing program.
• Previous emergency department, acute care, critical care, or hospital nursing experience preferred.
• Strong knowledge of emergency nursing practices and patient assessment techniques.
• Knowledge of medication administration, intravenous therapy, wound care, and emergency procedures.
• Ability to recognize and respond appropriately to rapidly changing patient conditions.
• Strong clinical judgment and critical-thinking skills.
• Excellent verbal, written, and interpersonal communication skills.
• Ability to work effectively with physicians, nurses, patients, families, and interdisciplinary healthcare teams.
• Familiarity with electronic medical records and computerized healthcare systems.
• Current Basic Life Support (BLS) certification.
• Advanced Cardiac Life Support (ACLS) certification preferred.
• Pediatric Advanced Life Support (PALS) certification may be required depending on patient population.
• Trauma nursing or emergency nursing certification is preferred.

Experience

• 1 year of behavioral health experience required, 2 years preferred.

Benefits of working at Geisinger

• Full benefits (medical, dental and vision) starting on day one
• Three medical plan choices, including an expanded network for out-of-area employees and dependents
• Pre-tax savings plans with healthcare and dependent care flexible spending accounts (FSA) and a health savings account (HSA) with employer contribution
• Company-paid life insurance, short-term disability, and long-term disability coverage
• 401(k) plan that includes automatic Geisinger contributions
• Generous paid time off (PTO) plan that allows you to accrue time quickly
• Up to $5,000 in tuition reimbursement per calendar year
• MyHealth Rewards wellness program to improve your health while earning a financial incentive
• Family-friendly support including adoption and fertility assistance, parental leave pay, military leave pay and a free Care.com membership with discounted backup care for your loved ones
• Employee Assistance Program (EAP): Referrals for childcare, eldercare, and pet care; Access free legal guidance, mental health visits, work-life support, digital self-help tools and more
• Voluntary benefits including accident, critical illness, hospital indemnity insurance, identity theft protection, universal life and pet and legal insurance
• Shared governance structure that empowers our Surgical Technologists
• Professional opportunities for growth and advancement
• Support and mentorship from a full range of dedicated leaders
• Community involvement through our Employee Resource Groups
• Employee referral incentive program