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Registered Nurse - Emergency Services PRN/Nights

Palestine Regional Medical Center

Palestine, TX

RN

Posted Jul 30

Shift
Nights
Unit
ER

What the listing says

Role

Schedule
Nights
Term
Per Diem
Setting
Hospital
Accepts
RN

Ratio not posted. Ask in the interview.

Pay

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About this role

Facility Palestine Regional Medical Center Req ID 557417 Post Date 07/30/2026

Join Palestine Regional Medical Center in Palestine, TX, a 150-bed hospital that has recently earned the prestigious Leapfrog “A” Safety Grade, the Platinum Award for quality from parent-company ScionHealth, and certification as a Chest Pain Center and Level IV Trauma facility. Palestine Regional provides a range of comprehensive care, including the latest in diagnostic, therapeutic, and rehabilitative services, both on an inpatient and outpatient basis. Palestine Regional is an integral part of the local community, giving you the chance to grow your career while making a real impact close to home.

Job Summary

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The Registered Nurse (RN) – Emergency Department provides direct and indirect patient care in a high-acuity emergency care setting. The RN utilizes the nursing process of assessment, planning, intervention, and evaluation to provide safe and effective care for patients across the lifespan. Collaborates with the interdisciplinary team and contributes to quality outcomes through clinical excellence, compassionate service, and adherence to regulatory standards.

Essential Functions

  • Performs triage and prioritizes patient care based on acuity
  • Conducts age-appropriate assessments and reassessments of all patients
  • Administers medications, performs procedures, and manages critical drips
  • Assists physicians with exams and procedures in the emergency department
  • Monitors hemodynamic status and interprets cardiac rhythms
  • Documents care, treatment, assessments, and education accurately and timely
  • Applies infection control and sterile technique practices consistently
  • Educates patients and families about care plans and discharge instructions
  • Collaborates with providers and interdisciplinary team for optimal care delivery
  • Responds calmly and professionally in high-stress, life-threatening situations

Knowledge/Skills/Abilities/Expectations

  • Knowledge of emergency nursing protocols, trauma care, and critical interventions
  • Skilled in interpreting ECGs, managing IVs, and operating emergency equipment
  • Strong interpersonal, communication, and time management skills
  • Ability to adapt to rapidly changing clinical situations and multitask effectively
  • Proficient in EMR systems and clinical documentation tools
  • Able to lift up to 50 lbs and perform extended standing, walking, bending, and reaching
  • Demonstrates professionalism, clinical judgment, and a commitment to continuous learning

Qualifications

Education

Associate degree in Nursing required Bachelor of Science in Nursing (BSN) preferred Graduation from an accredited Nursing Diploma program accepted.

Licenses/Certifications

Current state RN license or compact state equivalent required Basic Life Support (BLS) required within time frame stated in facility policy Advanced Cardiovascular Life Support (ACLS) required within time frame stated in facility policy Pediatric Advanced Life Support (PALS) required within time frame stated in facility policy Crisis Prevention Intervention (CPI) required within time frame stated in facility policy NIH Stroke Scale Certification required within time frame stated in facility policy Trauma Nursing Core Course (TNCC) preferred or required within time frame stated in facility policy Advanced Stroke Life Support (ASLS) preferred

Experience

Emergency nursing experience in an acute care setting preferred Demonstrated ability to function under pressure and respond effectively to critical situations

Sourced from a public job board.

Requirements

  • Associate degree in Nursing required
  • Bachelor of Science in Nursing (BSN) preferred
  • Graduation from an accredited Nursing Diploma program accepted.
  • Current state RN license or compact state equivalent required
  • Basic Life Support (BLS) required within time frame stated in facility policy
  • Advanced Cardiovascular Life Support (ACLS) required within time frame stated in facility policy
  • Pediatric Advanced Life Support (PALS) required within time frame stated in facility policy
  • Crisis Prevention Intervention (CPI) required within time frame stated in facility policy
  • NIH Stroke Scale Certification required within time frame stated in facility policy
  • Trauma Nursing Core Course (TNCC) preferred or required within time frame stated in facility policy
  • Advanced Stroke Life Support (ASLS) preferred
  • Emergency nursing experience in an acute care setting preferred
  • Demonstrated ability to function under pressure and respond effectively to critical situations

Place

City
Palestine, TX
Median rent
$1,062/mo

rent and tenant-paid utilities

Local household income
$44,981/yr

all local households, not nurse pay

State price level
3% below the national average

Texas index 97.1, where 100 is the national average.

Address
2900 S LOOP 256, PALESTINE, TX, 75801
CMS overall rating
1 of 5 stars (Care Compare, Sep 2026)
Beds
148

Palestine, TX is a small East Texas town known for its historic downtown square and the Texas State Railroad. With a relaxed pace of life and friendly community, Palestine offers nurses a quieter alternative to big-city living while still providing essential healthcare opportunities in a close-knit setting.

Map showing the location of Palestine, TX
Approximate location in Palestine, TX. · © Mapbox © OpenStreetMap· Open the live map

Cost figures from U.S. Bureau of Economic Analysis.

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Emergency is open from year one. Fellowships take new grads. The windows matter.

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  • Can you walk me through base pay range and differentials?
  • What should I expect for weekly hours, weekend, holiday, call, and rotation?
  • What orientation, preceptor time, and ongoing unit support are included?
  • How are patient load, floating, and staffing support handled day to day?
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