RN Emergency Department

JOB DESCRIPTION

(Relief, Nights) ST. CHARLES HEALTH SYSTEM

Title: RN – Emergency Department

Reports to position: Department Manager/Director

Department: Varies

Date last reviewed: July 2025

OUR VISION: Creating America’s healthiest community, together

OUR MISSION: In the spirit of love and compassion, better health, better care, better value

OUR VALUES: Accountability, Caring and Teamwork

Departmental Summary

The Emergency Department RN positions include bedside RNs on various units throughout St. Charles Health System. These departments provide 24/7 specialized care to patients during emergency visit through discharge or hospitalization.

Position Overview

The RN provides quality patient and family centered care as a member of the health care team in accordance with SCHS mission, philosophy, policies, and procedures. Applies standards for professional nursing practice and focuses clinical care to enhance the experience for patients, families, and all others. As a nurse, this position will oversee the work of other caregivers, providing specific care to assigned patient(s) throughout the shift, as required under the scope of the RN licensure.

Essential Functions and Duties

Maintains and demonstrates an in-depth knowledge of nursing principles, practices, standards, and techniques and applies this knowledge in accordance with St. Charles Health System policies and procedures and within laws and regulations governing nursing practice in the State of Oregon. Assesses the patient’s condition and needs using critical thinking and clinical judgment: sets outcomes; implements appropriate nursing actions and collaborates with other disciplines to meet the patient’s/family’s physical, emotional, spiritual, social, and intellectual needs; and evaluates patient’s progress. Calculates dosages and administers medications accurately in accordance with St. Charles Health System policies and procedures for medication administration. Documents all patient care with proficiency in compliance with hospital policies, procedures and regulatory agencies. Demonstrates awareness of and supports St. Charles departmental and operating unit goals through participation in continuous quality improvement and departmental activities. Participates in activities that promote professional growth and development of self and others. Communicates (both written and orally) effectively and maintains professional relationships with caregivers, medical staff, patients, and guests. Identifies work-related problems with possible solutions and implements solution(s) within scope of practice, as appropriate. Supports the vision, mission and values of the organization in all respects. Supports Value Improvement Practice (VIP- Lean) principles of continuous improvement with energy and enthusiasm, functioning as a champion of change. Participates in creating a healing environment that supports all aspects of the care environment and the wholeness of each individual, patient and caregiver. Participates in creating intentional relationships and demonstrates focused attitudes and behaviors that enhance the care experience. Provides a therapeutic presence in service to others by purposefully responding to the needs of patients in a caring way, including introducing oneself and explaining role in patient’s care, asking the patient his or her preferred name, sitting with the patient to determine his or her care goals, active listening, communicating effectively and appropriately through touch, eye contact, etc. Provides and maintains a safe environment for caregivers, patients and guests Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies and procedures, supporting the organization’s corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings. Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient and accurate. Performs stand by callback as assigned. Varies by department. May perform additional duties of similar complexity within the organization, as required or assigned.

Education

Required: As required by RN licensure. Preferred: BSN

Licensure / Certification / Registration

Required: Current Oregon RN license. AHA Basic Life Support for Healthcare Provider certification. Procedural Sedation competency within 6 months of hire. Preferred: Department specific acute care certification. (i.e. CEN, CPEN, TCRN)

BEND

Additional Requirements: ACLS and PALS. TNCC or ATCN Certification within 6 months of hire. Procedural Sedation competency within 6 months of hire. Preferred: N/A

REDMOND

Additional Requirements: ACLS and PALS. TNCC or ATCN Certification within 6 months of hire. NRP and Procedural Sedation competency within 6 months of hire. Preferred: N/A

PRINEVILLE

Additional Requirements: ACLS, TNCC or ATCN, PALS within 6 months. NRP and Procedural Sedation competency within 6 months of hire. Preferred: 1 year recent Critical Care or ED RN experience

MADRAS

Additional Requirements: ACLS, TNCC or ATCN, PALS within 6 months. Procedural Sedation competency within 6 months of hire. NRP Preferred: 1 year recent Critical Care or ED RN experience

EXPERIENCE

BEND & REDMOND: Required: 1 year of Emergency Department experience within the last 3 years, or the completion of the SCHS fellowship program. Preferred: 1 year Triage experience, 1 year Trauma nursing in a Level 1 or 2 Trauma Center.

MADRAS & PRINEVILLE: Required: N/A Preferred: 1 year recent Critical Care or ED RN experience

PERSONAL PROTECTIVE EQUIPMENT

Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely.

ADDITIONAL POSITION INFORMATION

General: Must have excellent communication skills and ability to interact with a diverse population and professionally represent SCHS. Excellent organizational and multitasking skills. Strong teamwork and collaborative skills. Strong analytical, problem solving and decision making skills. Basic to intermediate ability and experience with computer applications, specifically electronic medical records system and MS Office.

PHYSICAL REQUIREMENTS

Continually (75% or more): Standing and walking, keyboard operation, use of clear and audible speaking voice and the ability to hear normal speech level.

Frequently (50%): Sitting, lifting/carrying/pushing or pulling 1-25 pounds. The use and operation of a motor vehicle for Home Health and Wound Caregivers.

Occasionally (25%): Bending, stooping/kneeling/crouching, climbing ladder/step-stool (varies by area), reaching overhead, lifting/carrying/pushing or pulling 25-50 pounds, grasping/squeezing, ability to hear whispered speech level.

Rarely (10%): Climbing stairs.

Never (0%): Climbing ladder/step-stool (varies by area), operation of a motor vehicle.

Exposure to Elemental Factors

Rarely (10%): Wet/slippery area, chemical solution. Never (0%): Heat, cold, noise, dust, vibration, uneven surface.

Blood-Borne Pathogen (BBP) Exposure Category Risk for Exposure to BBP

Schedule Weekly Hours: 0 Caregiver Type: Relief Shift: Third Shift (United States of America)

Is Exempt Position? No

Job Family: REGISTERED NURSE EMERGENCY SERVICES

Scheduled Days of the Week

Variable; includes every other weekend and holidays

Shift Start & End Time

1900-0730

About St. Charles Health System

St. Charles Health System is a private, nonprofit organization, dedicated to providing high-quality care and the latest in health care technology to the communities it serves. Headquartered in Bend, Ore., St. Charles is an integrated delivery system, with a strong focus on population health, that provides a full range of evidence-based health care services within a 32,000-square-mile area in Central and Eastern Oregon. The health system owns and operates a trauma level II, tertiary referral center in Bend, a trauma level III, type B rural hospital in Redmond, and trauma level IV critical access hospitals in both Prineville and Madras. As the largest employer in Central Oregon, St. Charles Health System and St. Charles Medical Group care for our communities in more than two dozen outpatient clinics and in more than 20 specialty areas of medicine.