First Priority ER is a Freestanding Emergency Room in New Braunfels, TX. Seeking a PRN-RN for a Day shift and Night shift position.
Education required
Graduate of an accredited School of Nursing
Must possess and maintain a current license to practice in Texas
Two (2) years’ experience in an ER setting required
Two (2) years’ experience in the Freestanding ER preferred.
Maintain current BLS, ACLS, PALS (or ENPC in lieu of PALS), CEN encouraged
Physical demands
Must be able to work in confined spaces and under varying levels of physical and mental stress.
The RN must be capable of bending, lifting up to 50 pounds, and standing for extended periods of time.
Must demonstrate the willingness and ability to meet all requirements of a 12-hour shift, with or without reasonable accommodations.
Position goal
The RN performs the functions of assessing, planning, implementing, and evaluating the care of patients scheduled for procedures in the ER.
The RN is responsible for meeting standards of practice; managing all assigned personnel, supplies, and equipment in the ER; and promoting collaboration with physicians and departmental staff.
The RN functions in all nursing areas within the ER as needed.
The RN provides proficient, age-specific, and appropriate nursing care to all patients.
The RN adheres to required infection control practices, isolation procedures, and aseptic techniques in the delivery of patient care.
STANDARD I: Nursing Process
Assists with patient assessments, prepares patients for procedures, and reviews charts for completeness.
Ensures proper patient identification by checking the identification band and confirming the patient’s verbal self-identification.
Reviews patient charts to ensure all required information has been obtained.
Documents any patient allergies to medications and/or food.
STANDARD II: Behavioral and physiological status
Assists in reducing patient anxiety.
The RN assesses the patient’s level of consciousness and evaluates their psychological status.
The RN provides privacy, maintains a quiet environment, and offers emotional support to the patient.
STANDARD III: Professional responsibility and Policy and Procedures
Follows all policies, protocols, and procedures established to ensure safe and effective patient care.
Documents patient care accurately, including supplies used and any other data required by ER policy.
Administers medications as ordered by the physician and in accordance with ER policies and procedures.
Organizes the delivery of care in compliance with established ER policies and procedures.
STANDARD IV: General Duties
Reports to work regularly and on time and complies with schedule changes as needed.
Maintains the confidentiality of patient information and records.
Manages potentially stressful situations resulting from schedule changes.
Assesses and evaluates patients in accordance with established policies and procedures and communicates abnormal vital signs or symptoms to the physician.
Assists in maintaining a clean and organized department.
Assists with patient discharge from the facility.
Performs all quality assessment activities assigned to the position.
Collects laboratory samples and performs lab testing in accordance with established policies and procedures.
STANDARD VI: Education and Training
Maintains accountability for continuously improving nursing knowledge and skills (nursing competence).
Introduces self to patients and/or family members and explains procedures.
Participates in training and continuing education programs.
Seeks out new learning experiences for professional development.
Ensures completion of annual in-service requirements, including updates in CPR, back safety, fire safety, universal precautions, and Code Blue; CPR certification is renewed every two (2) years.
Reviews and adheres to the Policy and Procedure Manual.
Administers medications as ordered by the physician.
Provides patients with discharge instructions, both verbal and written.
The RN understands and follows the chain of command for reporting incidents.
Performs other duties as necessary to support the proper function of the department in accordance with policies and procedures.
Neighborhoods+Downtown New Braunfels ($250K–$500K) is the walkable dining-and-shopping core; Westpointe ($250K–$400K) is the entry-level New Braunfels ISD option; Mission Hill ($280K–$450K) is pitched for I-35 convenience. River Chase ($300K–$500K) is newer construction with a waterpark-community feel and strong NBISD zoning; Gruene ($350K–$700K) is historic river-town fabric minutes from the Guadalupe. Vintage Oaks ($400K–$800K, with some river/Hill Country and Copper Ridge listings $600K–$1M+) is 1–5 acre estate lots with resort pools, a lazy river, and trails, about 25 minutes to San Antonio off-peak and car-dependent. Active master-planned growth includes Veramendi, Meyer Ranch, and Overlook at Creekside.
Downtown New Braunfels ($250K–$500K) is the walkable dining-and-shopping core; Westpointe ($250K–$400K) is the entry-level New Braunfels ISD option; Mission Hill ($280K–$450K) is pitched for I-35 convenience. River Chase ($300K–$500K) is newer construction with a waterpark-community feel and strong NBISD zoning; Gruene ($350K–$700K) is historic river-town fabric minutes from the Guadalupe.
Vintage Oaks ($400K–$800K, with some river/Hill Country and Copper Ridge listings $600K–$1M+) is 1–5 acre estate lots with resort pools, a lazy river, and trails, about 25 minutes to San Antonio off-peak and car-dependent. Active master-planned growth includes Veramendi, Meyer Ranch, and Overlook at Creekside.
Getting around+There is no public transit; outside downtown/Gruene the city is fully car-dependent. Local average commute is cited around 22 minutes, but I-35 congestion is the real constraint: downtown San Antonio 35–55 minutes, San Antonio Medical Center 40–55 minutes, JBSA-Randolph 25–35 minutes, JBSA-Lackland 50–65 minutes (poor for a daily drive), and Austin 50–70 minutes. Peak backups concentrate on I-35, Loop 337, Highway 46, and I-35 feeders; Vintage Oaks is about 25 minutes to San Antonio off-peak and Gruene about 30. Daily Austin commuting is widely described as challenging; local work (including Resolute Health Hospital) or hybrid/remote fits far better. San Antonio International is about 40–50 minutes; Austin-Bergstrom about 55–70.
There is no public transit; outside downtown/Gruene the city is fully car-dependent. Local average commute is cited around 22 minutes, but I-35 congestion is the real constraint: downtown San Antonio 35–55 minutes, San Antonio Medical Center 40–55 minutes, JBSA-Randolph 25–35 minutes, JBSA-Lackland 50–65 minutes (poor for a daily drive), and Austin 50–70 minutes.
Peak backups concentrate on I-35, Loop 337, Highway 46, and I-35 feeders; Vintage Oaks is about 25 minutes to San Antonio off-peak and Gruene about 30. Daily Austin commuting is widely described as challenging; local work (including Resolute Health Hospital) or hybrid/remote fits far better. San Antonio International is about 40–50 minutes; Austin-Bergstrom about 55–70.
Outdoors+Daily outdoor life is built around the spring-fed Comal River (about 68–72°F year-round, roughly a 2.5-hour tube float with the Tube Chute) and the Guadalupe, especially May through October. Landa Park is the in-town green space on the water; Schlitterbahn is the destination waterpark; Canyon Lake is the nearby weekend lake. Parks are described with large lawns, shade trees, picnic areas, golf, and splash pads; Vintage Oaks and other master-planned communities add miles of trails, pools, and lazy rivers. Nearby day trips include Natural Bridge Caverns and Natural Bridge Wildlife Ranch.
Daily outdoor life is built around the spring-fed Comal River (about 68–72°F year-round, roughly a 2.5-hour tube float with the Tube Chute) and the Guadalupe, especially May through October. Landa Park is the in-town green space on the water; Schlitterbahn is the destination waterpark; Canyon Lake is the nearby weekend lake.
Parks are described with large lawns, shade trees, picnic areas, golf, and splash pads; Vintage Oaks and other master-planned communities add miles of trails, pools, and lazy rivers. Nearby day trips include Natural Bridge Caverns and Natural Bridge Wildlife Ranch.
Check the commute at your shift’s start and end, upfront housing costs, and whether moving assistance must be repaid if you leave.
Living in New Braunfels
New Braunfels sits on I-35 between San Antonio (~30 miles) and Austin (~50 miles) as a mid-sized Comal County river town—neither a quiet Hill Country hideaway nor a dense San Antonio suburb. What is genuinely distinct is how the Comal and Guadalupe shape ordinary life from May through October: tubing the spring-fed Comal (about 72°F year-round) past the Tube Chute, Landa Park on the water, live music at Gruene Hall (called the oldest dance hall in Texas), Wurstfest, Schlitterbahn, and Canyon Lake weekends. A nurse can work in town at Resolute Health Hospital or drive 40–55 minutes to San Antonio’s Medical Center; there is no transit, and I-35, Loop 337, and Highway 46 clog at peak, so a daily Austin run (50–70 minutes) is a real cost. Most housing sits in the $250s–$550s (median values cited around $324,000–$357,000; median rent about $1,368), with Veramendi, River Chase, and Westpointe for newer or entry-level NBISD/Comal ISD homes and Vintage Oaks or river lots at a premium. Locals call people friendly and the outdoor calendar unmatched, but the city has more than doubled, summers are long and very hot, humidity and allergies bite, tourist weekends crowd the rivers, and utilities plus traffic are the usual complaints.