RN - Flex - Emergency Department, Nights

Why the ED Boarder RN Role?
This unique position supports admitted patients who remain in the Emergency Department while awaiting an inpatient bed assignment. These patients have been evaluated and admitted by the appropriate inpatient service and require continued acute care nursing management until transfer to their assigned unit.

This role does not provide care for active Emergency Department patients. Instead, the Boarder RN focuses exclusively on acute care (non‑ICU) level admitted patients boarding in the ED, ensuring continuity of care, safety, and patient experience during this transition period.

What Makes This Role Unique?

Continuity of Care: Provides inpatient-focused nursing care to admitted patients while awaiting room placement on an acute care unit.

Patient Advocacy: Ensures appropriate monitoring, medication administration, documentation, and communication with admitting services, consults, dietary, etc.

Reduced ED Throughput Pressure: Does not carry an active ED assignment, allowing focused, high-quality care for boarding patients.

Collaborative Practice: Works closely with ED physicians, hospitalists, specialists, case management, inpatient nursing teams, ancillary areas, and consultants.

Flexible Skill Utilization: When ED census is low, RNs will float to other acute care inpatient units within the hospital to support staffing needs (no floating outside of the hospital).

Scope of Responsibilities
The ED Boarder RN will:

Provide comprehensive nursing care to admitted patients awaiting inpatient bed placement.

Perform assessments, medication administration, monitoring, and documentation per inpatient standards of care.

Coordinate care with admitting providers and interdisciplinary teams.

Facilitate safe and efficient patient handoff to receiving inpatient units.

Maintain compliance with hospital policies, regulatory standards, and evidence-based practice.

Float to acute care inpatient units as needed when ED boarding volume is low.

Patient Populations May Include, but are Not Limited to:

Trauma - Ortho patients

Medical-surgical conditions

Cardiac monitoring patients

Neurological conditions

Post-procedural patients

Patients requiring ongoing IV therapy, monitoring, and care management

This role supports Baylor Scott & White’s mission by promoting patient safety, throughput efficiency, quality outcomes, and an exceptional patient experience during a critical transition of care.

Requirements of the Ideal Candidate

Graduate of an accredited RN School of Nursing

ADN required; BSN preferred

Licensed to practice professional nursing by the Texas Board of Nursing

Minimum 2 years of RN experience preferred (Acute Care or Hospital experience preferred)

Basic Life Support (BLS) required

Ability to adapt to dynamic care environments and collaborate across departments

Qualifications

Grad of an Accredited Program

Specialized field of study should be nursing.

RN license.

Must have BLS certification or get it within 30 days of starting in this role.

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