RN Hospital / Emergency Department Nights

Emergency Department Registered Nurse

The Emergency Department Registered Nurse provides advanced, evidence-based nursing care to patients of all ages presenting with acute, urgent, and emergent conditions. This position requires current Mobile Intensive Care Nurse (MICN) certification, authorizing the RN to provide direct, real-time medical oversight and treatment orders to paramedics and other prehospital personnel in the field per county EMS Agency base hospital protocols. The MICN-certified ED RN partners with physicians, advanced practice providers, and the interdisciplinary care team to deliver rapid assessment, triage, stabilization, and treatment in a fast-paced, high-acuity environment, while also serving as a base hospital contact for incoming EMS traffic.

Perform rapid, comprehensive assessment and triage of patients presenting to the Emergency Department, prioritizing care based on acuity.

Initiate and manage emergent interventions, including airway management, IV access, medication administration, and resuscitation, per hospital protocols and scope of practice.

Develop and implement individualized, evidence-based plans of care in collaboration with physicians, advanced practice providers, and the care team.

Accurately and promptly document assessments, interventions, and patient response in the electronic medical record (Meditech).

Lead or participate in evidence-based practice, quality improvement, and patient-safety initiatives within the department.

Communicate effectively with patients, families, and the care team, providing education on diagnoses, treatment plans, and discharge instructions.

Ensure timely, accurate hand-offs during shift change, transfer, admission, or discharge.

Maintain compliance with Title 22, Joint Commission, CMS, and hospital policies related to patient care, safety, and documentation.

Respond to codes, rapid responses, and mass-casualty or disaster events per hospital emergency preparedness protocols.

Take meal and rest breaks as scheduled and clock in/out accurately in accordance with hospital timekeeping policy.

Perform other duties as assigned by the ED Manager or Director of Nursing.

Mobile Intensive Care Nurse (MICN) certification REQUIRED / MANDATORY. Current, active California Registered Nurse (RN) license, in good standing required.

Associate or Bachelor of Science in Nursing (ADN/BSN) required; Trauma Nursing Core Course (TNCC) required or must be obtained within 6 months of hire.

Certified Emergency Nurse (CEN) preferred.

Crisis Prevention Intervention (CPI) or equivalent de-escalation training preferred.

Minimum 2 years of Emergency Department or acute care RN experience required; Charge nurse, preceptor, or leadership experience preferred.

Experience with electronic medical record systems (Meditech preferred).

Excellent verbal and written communication skills with patients, families, physicians, and interdisciplinary team members.

Working knowledge of evidence-based practice and quality/performance improvement methodology.

Cultural competency and ability to provide patient-centered care to a diverse population.

Ability to stand, walk, and move continuously for the duration of a 12-hour shift.

Exposure to communicable diseases, bodily fluids, and hazardous materials consistent with an acute care/emergency setting.

Flexibility to work varying shifts, including nights, weekends, and holidays, and to respond to on-call or disaster-response needs as required.

Madera Community Hospital