RN, Registered Nurse - Emergency Department
CHRISTUS St. Michael Health System
Texarkana, Texas
The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation.
Posted Sep 11 · New grads welcomed
- Shift and hours
- 12-hour shifts · 3 days per week Work Schedule: 3 Days - 12 Hours3 shifts · 36 hours a week
- Unit and setting
- Emergency Department · Hospital RN, Registered Nurse - Emergency Department
- License
- RN licenseRN License in state of employment or compact
- Term
- Permanent Work Type: Full TimeFull Time
Do you qualify?
- New grads
- Welcomed
- License
- RN License in state of employment or compact Check your license
- Certification
- BLS BLS required
- Certification
- Current PALS certification at time of hire for experienced RNs
- Certification
- Current ACLS certification at time of hire for experienced RNs
- Certification
- Crisis intervention training within 12 months of hireAfter hire · within 12 months of hire Crisis intervention training within 12 months of hire and maintain training annually thereafter.
- Certification
- TNCC certification within 6 weeks of hire for experienced RNs at trauma designated facilitiesAfter hire · within 6 weeks of hire
- Certification
- TNCC certification within 18 months of hire for new graduate nurses at trauma designated facilitiesAfter hire · within 6 weeks of hire
Preferred
- Education
- Bachelor of Science in Nursing Bachelor of Science Degree in Nursing, preferred
- Experience
- Related nursing specialty experience 1 year of experience in the related nursing specialty preferred
Your six-month RN application plan
Start about six months before graduation. Some programs open earlier; use each employer’s application dates.
6 months before
Shortlist units
Check application windows. Gather clinical experience, references and your expected graduation date.
Find residencies →4–6 months before
Apply as windows open
Apply before graduation when the program allows it. Keep the cohort date and license deadline with each application.
Explore new grad jobs →2–3 months before
Meet the unit manager
Ask about overtime, a shadow shift, preceptor continuity and the schedule after orientation.
Prepare your questions →Around graduation
Confirm your start
Coordinate NCLEX, the required license and your start date. Get relocation and repayment terms in writing.
Plan your license →
Why start this early?
Advocate describes a 6–9 month application runway for several regional RN programs. These milestones are a planning guide, not deadlines for every employer. See program calendars.
The role and schedule
- Charge
- Makes assignments and delegates to other care providers Makes appropriate assignments and delegates to other care providers as a means to help manage the clinical situation.
- Day to day
- Meets OneCHRISTUS Competencies Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
- Day to day
- Provides nursing care utilizing the nursing process
- Day to day
- Addresses psychological, emotional, cultural, and social needs of patients and families Addresses increasingly complex psychological, emotional, cultural, and social needs of patient and families in accordance with their level of practice.
- Day to day
- Administers medications and treatments and monitors side-effects and effectiveness Using the appropriate protocol, administers medications and treatments; monitors for side-effects and effectiveness of the treatment prescribed.
- Day to day
- Documents history, symptoms, medication, and care given Documents patient history, symptoms, medication, and care given.
- Day to day
- Assesses learning needs and educates patients, family members, and caregivers Assess learning needs and provides education to patients, family members and/or care givers; identify issues and resources.
- Hours stated
- 3 Days - 12 Hours
Support on this unit
The posting does not state the assignment size, and nothing published names it for this unit.
- Your preceptor
- A preceptor is assigned to you
The workplace
The anesthesia service covers a broad case mix at a Level 3 trauma center, without hearts or transplants, using digital Mindray machines, syringe pumps, Glide Scopes, and Epic charting. Inpatient rehab work sits on its own campus, the CHRISTUS St.…
Worth asking
- Can you walk me through base pay range and differentials?
- What should I expect for weekend, holiday, call, and rotation?
More questions to askFewer questions
- What orientation, preceptor time, and ongoing unit support are included?
- How are patient load, floating, and staffing support handled day to day?
Your fit
On your path
Emergency is open from year one. Fellowships take new grads. Watch their application dates.
Original listing
Posted on CHRISTUS St. Michael Health System’s careers page.
Read full text
The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, with the ability to on long-range goals or plans. Continues to develop the ability to cope with and manage contingencies of clinical nursing. Makes appropriate assignments and delegates to other care providers as a means to help manage the clinical situation.
Responsibilities
- Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
- Consistent with the ANA Scope and Standards of Practice, provides nursing care utilizing the nursing process, including assessment, diagnosis, planning, intervention and evaluation for assigned patients.
- Addresses increasingly complex psychological, emotional, cultural, and social needs of patient and families in accordance with their level of practice.
- Using the appropriate protocol, administers medications and treatments; monitors for side-effects and effectiveness of the treatment prescribed.
- Documents patient history, symptoms, medication, and care given.
- Assess learning needs and provides education to patients, family members and/or care givers; identify issues and resources.
Job
Requirements
Education/Skills
- Bachelor of Science Degree in Nursing, preferred
Experience
- 1 year of experience in the related nursing specialty preferred
Licenses, Registrations, or Certifications
- BLS required
- RN License in state of employment or compact
Position
Requirements
Education
- All newly hired experienced RNs must attend New Nurses Orientation within the first 30 days of hire.
- New hires are precepted by a designated trained staff member and initial on-boarding requirements are validated through successful completion of the designated organizational entry competency validation and an Emergency Department-specific competency validation.
- Yearly attendance at Annual Nursing Competency Day.
- Completion of all annual competency verification requirements.
- Crisis intervention training within 12 months of hire and maintain training annually thereafter.
- Completion of an evidence-based triage curriculum at:
- 12 months of hire for new graduate or inexperienced RNs (less than 1 year of nursing experience)
- 3 months of hire for experienced RNs (more than 1 year of nursing experience)
Licenses, Registrations, or
Certifications
- Current PALS certification at time of hire for experienced RNs or completion by the end of the clinical orientation period for new graduate nurses and maintain certification thereafter.
- Current ACLS certification at time of hire for experienced RNs or completion by the end of the clinical orientation period for new graduate nurses and maintain certification thereafter.
- Crisis intervention training within 12 months of hire and maintain training annually thereafter.
- For trauma designated facilities, current TNCC certification within 6 weeks of hire for experienced RNs or completion within 18 months of hire for new graduate nurses and maintain certification thereafter.
Credential Grace Periods
If additional credentials are required per the Position Requirements section, a grace period to obtain the certification will apply, dependent on your experience level.
- Any Candidate/Associate with at least one year of acute care clinical experience in a similar service line within the past three years is considered an Experienced Associate.
- Any Candidate/Associate who does not have at least one year of full-time acute care clinical experience in the same service line within the past three years is considered an Experienced Associate New to the Specialty.
Work Schedule
3 Days - 12 Hours
Work Type
Full Time
What's around it?
Texarkana, TXFrom Census ACS 2024.
Living costs about 16% below the US average
- Median rent
- $1,010/mo
- Household income
- $50,573/yr, all local households, not nurse pay