Emergency Room (ER) - Registered Nurse (RN) Full Time Day Or Night Shift

Join Exceptional Healthcare’s New Community Hospital in Rapid City, SD.

Be part of history in the making! Exceptional Healthcare is building a new Community Hospital, a state‑of‑the‑art facility bringing high‑quality care to Rapid City and surrounding communities.

We are seeking dedicated full‑time Emergency Department Registered Nurses to join our founding team.

Hiring ALL Shifts!

Join the (Night/Day) Shift Patient Care Team. We’re seeking an experienced ER Nurse (Nights) at our NEW Community Hospital. At Exceptional Health Care, you’ll become a critical lifeline of our healthcare team. During your shift, you’ll provide direct and indirect patient care in the emergency care setting and provide care that reflects initiative, flexibility, and responsibility indicative of professional expectation with a minimum of supervision. We require all of our Emergency Room (ER) Registered Nurses (RN) to triage safely, rapidly, and accurately, every patient that enters the emergency care system.

Why Work With Us?

Comfortable patient ratios that allow for true patient connection

Greater autonomy, closer team alignment, and genuine connections

Opportunities for a path to clinical leadership

Cross training opportunities

Quicker throughput processes

Less administrative friction and direct communication with leadership

A modern standalone facility with full spectrum Med Lab, Radiology, and Pharmacy support

In‑house Respiratory Therapist (24 hr coverage)

Key Qualifications:

Graduate of an accredited nursing program.

3 to 5 years of ER experience.

Current nursing license and certifications – BLS, ACLS & PALS .

Strong leadership and problem‑solving skills.

Proficient in electronic medical records (EMR) systems.

What You’ll Do:

Determine priorities of care based on physical and psychosocial needs, as well as factors influencing patient flow through the system.

Communicate with Emergency Department physicians about changes in patient’s status, symptomatology, and results of diagnostic studies.

Able to respond quickly and accurately to changes in condition or response to treatment.

Maintain awareness of current ER operational policies and procedures which impact position responsibilities.

Demonstrate current comprehensive and professional knowledge and skills in conformance with recognized nursing standards including the Patient Bill of Rights standards for patient care and the Nurse Practice Act.

Provide direct patient care, evaluate outcomes, consult with other specialists as required and adjust nursing care processes as indicated to ensure optimal patient care.

Able to perform a head‑to‑toe assessment on all patients and reassessments as per policy, including pediatric, adolescent, and geriatric patients and the general patient population.

Able to use triage process to ensure timely and appropriate care to patients and accurately assign triage categories.

Able to adequately assess and reassess pain, utilize appropriate pain‑management techniques, and educate the patient and family regarding pain management.

Able to monitor hemodynamic status of patient and correctly interpret the results.

Demonstrate knowledge of cardiac monitoring to identify dysrhythmias.

Able to perform waived testing (point‑of‑care testing) per Clinical Laboratory’s and according to patient care unit’s policies and procedures.

Able to interpret the results of waived tests and take appropriate action on waived test results.

Maintain current knowledge of medications and their correct administration based on age of the patient and his/her clinical condition.

Maintain accurate and continued nursing documentation including patient histories, conditions, treatments, responses, and assessment of changes.

Perform all aspects of patient care in an environment that optimizes patient safety and reduce the likelihood of medical/health care errors.

Interact professionally with patient and family and involve patient and family in the formation of the plan of care.

Formulate a teaching plan based on identified learning needs and evaluate effectiveness of learning, including family in teaching as appropriate.

Maintain a safe, comfortable, and therapeutic environment for patients and families in accordance with ER standards.

Ensure an adequate stock of supplies and proper functioning of equipment.

Assist in cost containment through appropriate ordering and conserving of supplies and equipment.

Schedule:

Night shifts with 12‑hour rotations, including weekends/holidays.

Perks and Benefits:

Comprehensive health, dental, and vision insurance.

401(k) matching and financial wellness programs.

Paid time off (PTO) and work‑life balance support.

Career growth and leadership development opportunities.

Why Choose Us?

At Exceptional Healthcare, we believe in empowering our nurses to lead with confidence. As an Emergency Room (ER) Registered Nurse (RN), you’ll play a key role in fostering care to our patients. We believe in a culture of excellence and teamwork, and provide a dynamic and supportive work environment. Equipping you with state‑of‑the‑art facilities, ongoing education, and strong leadership support to help you excel in your role.

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