Emergency Room Nurse Selfies

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When looking to hire qualified staff for any job position, it is extremely important that, as the marketer of the job, you are able to accurately describe the roles, responsibilities, and benefits associated with the particular profession at the particular institution if they were to get hired.
An accurately and efficiently formulated job description will ensure that only the most qualified and best suited individuals apply for your opening. This is especially true when hiring an Emergency Room (ER) nurse as there is a very specific and strict skill set they must possess in order to ensure the quality of service you provide to your patients at a hospital.
You will want to ensure that your job description is divided into several relevant parts so that it is easy to navigate through as well as simple to understand for which you should keep your description concise and to the point.
Following is an Emergency Room nurse job description template which you can learn from or use for your own purposes:
Each section of this sample job description for nurses is based off of countless hours of research, and analysis of what performs best on nurse job boards. Make sure to keep your job title concise and descriptive of the role. Do not use any jargon or internal language when posting your operating room nurse job on job boards. You want to make sure that the nurse reading this understands what the job is, and all of the language in the job description.
Feel free to copy the below emergency room nurse job description but make sure to add information specific to your organization, the culture, perks/benefits, and double-check that the skills below match your exact requirements.
Use this part of the job description to describe to the potential candidate what it would be like if they were to be hired for this position at your institution. Describe the work ethic, the company culture, the working hours, or any benefits that your health facility offers To the hired staff.
Currently, we are looking for Emergency Room nurses with the appropriate qualifications and skill sets, as well as the willingness to work with our health care team. We are looking for a motivated and knowledgeable ER nurse with experience in other hospitals or healthcare facilities. Our ideal ER nurse must have adequate procedural and patient safety knowledge, be able to apply it in real life clinical settings, and have the ability to multitask and problem solve.
{Below is a list of several skills and responsibilities of an emergency room (ER) nurse. }:
As a respected healthcare institution, we always want our staff and Emergency Room team members to be able to withhold a set of responsibilities particular to their role in the facility and maintain the required standard of caregiving. Following are some of the responsibilities you will be expected to handle as an ER nurse:
After you post your job to hire a nurse (RN) and start receiving applicants, you’ll want to make sure to carefully interview them to make sure they’re the best fit.
Additionally, if you’re looking for per diem or short term nursing assignments, you can post your job on Medely for free. Medely is one of the largest networks of nurses looking to schedule per diem shifts with your organization. Each nurse is put through a carefully conducted background check process and can be hired as easily as calling Uber from your phone.

As many of you know, I am not an emergency department nurse. However, I receive many questions about emergency nursing. In going along with our “what do nurses do” series, Susan DuPont, fellow nurse blogger and emergency nurse, will go over what emergency nurses do!
Emergency departments come in all shapes and sizes, and Susan works in a very large and busy hospital. When her Level I Trauma Center Emergency Department is full, they are at 123 beds (which includes hall beds), and no one gets sent out of their ED… people are flown into them. She sees the sickest of the sick! So let’s see what it’s like to spend a shift in Susan’s nursing shoes…
Let’s dive into what emergency nurses do. Click on any bullet point to jump to that section.
Besides being awesome, we see and do some pretty crazy things.
And not coincidentally, when someone finds out that I am an ER nurse, they always say, “I bet you’ve seen some really crazy things.”
But that is not all my day consists of. Mostly, I am running around managing multiple patients with a sharp eye on picking out life-threatening conditions.Many nurses will tell you that they did not like the ER; it’s hectic, very fast paced, and nerve-racking… But it is also exciting, more autonomous, and builds confidence. Not everyday will be excitement, not every day will be heroics, and yes, I will admit, that sometimes I feel like my job is putting out the fires closest to my feet.
But I wouldn’t have it any other way.
Wanna know if you have what it takes to be an emergency room nurse? Let me show you what a typical day in the life of an ER nurse is like.
In the ER, we have new people coming onto shift every 4 hours. You have many different opportunities for which time you’d like your shift to be. You can work 3 twelve hour shifts a week, 2 twelves and 2 eights, 5 eights, and you can come in all around the clock.
Once you have clocked in, you will have huddle where the charge nurse and managers hand out assignments and cover the current state of the department. This typically includes how many patients are suicidal, restrained, critically ill, and what is happening in the resuscitation bays.
Resus Bay: A resuscitation bay, or “resus bay,” is a special room in the emergency department for the sickest patients and the most time-sensitive interventions. From traumas to medical mysteries, any type of patient can be cared for in the resus bay(source).
It is important to listen to this information because you may potentially be taking care of one of these patients, but also because those patients require extra hands so be prepared to help out a lot.
We typically have a ratio of 4-6 patients to one nurse, however, this is not the rule, rather the hope. In the ER you cannot, by law, turn away a patient who comes in the doors. On the floor, you can refuse to take any more patients. If we can’t move patients upstairs, the waiting room fills up. When patients are waiting in the waiting room, the nurses that are in triage are responsible for these patients. Depending on how many nurses are assigned to the triage area, will determine the ratio. If you have 2 triage nurses and 20 patients, your ratio will be 1:10, if your waiting room fills up with 50 patients, the nurse to patient ratio becomes 1:25. That can be scary, but the scariest part is that they are solely relying on your ability to assess them correctly because a physician doesn’t see patients in the waiting room.
This is why, when a patient has a ready bed upstairs on the floor, you need to make haste getting that patient to the floor so we can pull one of those 50 people in the waiting room into a room to be seen by a physician.
You will see anywhere from 10-30 patients in your shift. The ER is fast moving, you will not have a lot of time to get to know your patients well. Movement is vital in the ER, or patients get backed up in the waiting room.
It is important to know a little bit about everything to care for every type of patient. This is why floor nurses are vital to the health care system. For example, I know how to recognize the need for a chest tube, set up for insertion of the chest tube, troubleshoot the chest tube and then I hand over the patient to nurses who care for patients with chest tubes. I do not, however, know long-term care of chest tubes, nor have I ever pulled one out. This is a big difference in ER nursing versus floor nursing.
As an ER nurse, you will be trained to recognize life-threatening situations, stabilize them, then get that patient to the proper place where they will be cared for long-term. Everything in the ER is short-term and fast-moving.
Having empty rooms in the ER is fairly rare. So if you have a patient assignment, you will be full capacity all the time. But not all nurses will have a specific assignment. From the time a patient comes into the ER, they will pass through many nurses.
This is a very different kind of report than what you probably get anywhere else. It consists of pertinent information and a plan of care.
Pertinent information is vastly different in the ER than it is on the floor. We do not cover things such as IV access, treatment team members, allergies, the ability to get up to the bathroom, etc. unless it is pertinent to the patient.
Couldn’t get IV access and needs IV access?…This.is.pertinent.
Does the patient have diarrhea and is quadriplegic?… This.is.pertinent.
Now, if a patient had a laceration repair and is going to be discharged home?… I do not need to know they are allergic to everything but Dilaudid because this.is.not.pertinent.
Giving pertinent information leaves out a lot of information that can be easily looked up or assessed if you really need to know it, but there is a very good reason for this type of report. It helps the oncoming nurse remember everything that was said and quickly triage each patient so they know who to see first. On the floor, you will likely get stable patients, in the ER, you get more variation on stability. If you think about it, we take care of the patients who are going to the med-surg floor along with the patients who are going to the ICU, cath lab, and OR, along with the patients that we haven’t figured out if they are sick or not.
When talking about the plan of care, it often includes, performing tests (labs, imaging, etc) and/or waiting for results to come up with a plan of care. If tests have already resulted then the team needs to either discharge, admit, or monitor.
Here is an example of getting a report in the ER:
“Room 1 is here with chest pain and a significant cardiac history. His initial EKG showed a long QTc and he has had 5 runs of V-tach with the longest run being 2 minutes. He received a bolus of 300mg Amiodarone and is now on an Amio drip. He also received 2 grams of mag and has been normal sinus rhythm with a normal QTc. We are waiting on Cardiology to come see the patient.
Room 2 is here with a small bowel obstruction. She has an NG tube already placed and is on low intermittent suction. She is admitted and waiting for a ready bed upstairs. She has been hypertensive that has been controlled with pain meds. Last BP was 130/85.
Room 3 just got here, they are complaining of right flank pain, I haven’t gotten blood work yet, they are in the bathroom getting you a urine sample, and a provider still needs to see the patient.
Room 4 is here with nausea and vomiting. They have received 2 liters of normal saline, 8 mg of zofran and need a PO challenge in an hour. They will be discharged if they can tolerate the PO challenge.”
No matter what, every patient you see will need to have an assessment done on them. However, the most important part of emergency nursing is which patient you’ll see first. This is a skill that takes time to learn and is carried out with a lot of teamwork.
I like to go into all my patients’ rooms and introduce myself, grab a set of vitals, do an ABC assessment and quickly review the plan of care. This should take no longer than 30 minutes to see all the patients. It is not a full assessment, rather it is to make sure that you have laid eyes on all your patients and can make your own judgment on who to see first.
Initially you decide who to see first based off of report, but then you lay eyes on all your patients and make that determination yourself. It is not that I don’t trust the judgment of my colleagues, rather I cannot go to court and explain, “I didn’t go see that patient for 45 minutes because the previous nurse said they were stable.” (We mentioned that in our previous post in this series from the ICU Nurse perspective.)
Your name is legally assigned to their care, you are responsible, you better be able to explain your actions and it cannot be based on someone else’s opinion. Especially in the ER where patients can become unstable very quickly.
Here is an example of me initially seeing a patient:
“Hello, my name is Susan, I have taken over as your nurse. I was told in report that we are waiting on lab results, as soon as the results come in, I will let you know. Do you have any questions?”
While I am talking to them, I am hooking them up to the monitor for continuous vital signs if they are not already hooked up. I update the whiteboard with my name, make sure they have their call light and as long as their ABCs are intact, and then I move on to the next patient.
I will then sit down at the computer and start compiling a to-do list. I order that to-do list based on timing, importance, and patient condition. If a patient has a breathing treatment due and another patient has IV antibiotics due, I will get both medications, go to the patient who needs a breathing treatment first (ABC’s!), grab a spirometer reading, start the breathing treatment and then go hang the antibiotics. After hanging the antibiotics, I will swing back and grab a post-treatment spirometer reading.
Now, I mentioned that I hook almost everyone up to the monitor. Some people say that is excessive, I say that is working smarter, not harder. To each their own. But, I will say that the patient who got a breathing treatment will need to have their pulse ox and heart monitored and the patient who got IV antibiotics should be monitored for a reaction, thus having them on the monitor will alarm you if something is going awry.
(As always, however, follow your policies and procedures at your facility regarding monitoring!)
Once I have made sure that all my patients are stable and have any time-sensitive tasks performed, I do my own full assessment of each patient.
Now, this is not like a head to toe assessment on the floor, rather I look at each body system and eliminate issues that are concerning and acute.
The bruise on their leg from tripping a week ago? Not really important to focus on.
The open laceration on their arm from broken glass? Important to chart details on.
Every single patient needs to have cardiac, respiratory, and neuro exams at a very minimum. If a patient is here for altered mental status, I do a detailed neuro exam. If they are here for chest pain, I do detailed cardiac and respiratory exams.
A good example of an assessment in the ER versus the floor is bowel movements. In the ER it is pertinent to ask if there has been any change in their normal bowel movements. If there has been a change a more detailed assessment needs to be performed. On the floor, it is pertinent to ask when the last bowel movement was, even if they haven’t had any changes in their bowel movements because on the floor you will be with the patient long enough to track their bowel movements.
In the ER you are trying to find out what has changed in their life to make them come to be seen. Spending time with a chest pain patient on if they have pooped today is not only time consuming, but it delays potential immediate life-saving care they should be receiving. They could be having a heart attack and time is tissue! Now if the patient is here for abdominal pain, you will ask when the last time is that they pooped. It is not the same assessment for every patient.
It needs to be said that if you come across something concerning during your assessment, you stop the assessment and get a physician. If I am doing a neuro exam and the patient is having facial drooping and slurred speech, I won’t continue with my assessment by asking them when their last bowel movement was. I get help. Time is tissue. If this patient is having a stroke, we don’t have time to assess further, I need to get this patient to the CT scanner and have a physician see the patient immediately.
If the patient is having a stroke, the best place for them is with nurses and doctors who specialize in caring for stroke patients. ER nurses specialize in recognizing life-threatening conditions, while floor, stepdown, and critical care nurses specialize in the care of those patients. Often times, you may have had the patient for an hour before they are assigned a bed in the neuro ICU and all you know is they had facial droop, slurred speech, CT was negative for a bleed and they received tPA. You have done the first neuro exam and they are going to the unit. This can make giving reports difficult. There will be a lot of questions you don’t know the answer to.
Sign up and instantly receive a checklist to assess a conscious neuro patient!
As an emergency nurse, you need to understand that there are limitations in place for patient safety and the floor nurses are just trying to keep your patient safe, so give them a break. And floor nurses give the ER nurses a break, they are standing in a pit of fire trying to keep the patients in the ER safe.
A primary assessment includes neuro, cardiac, and respiratory. This is done on every single patient no matter what they came into the ER for. The following is a list of basic assessments you will do on a patient in the ER. You will do a more detailed assessment if the situation warrants.
This is the ER nurses’ bread and butter. You must be able to recognize when to dive deeper into a particular assessment and what to ask or be looking for. There are many chief complaints that you will come across and it is your job to ask the right questions.
For example: a 65-year-old female presents to the ER with complaints of epigastric pain. She has been nauseous and feeling dizzy.
This patient will likely get a cardiac workup along with a GI workup and you need to focus the majority of the assessment there.
Secondary assessments are not always performed. These are case by case assessments. I personally try to do a secondary assessment on every patient I see, but sometimes it is just not possible. Secondary assessments include everything that is not in the primary or focused assessments.
You will either be receiving new patients, getting all testing done on patients, admitting patients, monitoring patients, or discharging patients. Any of these stages can happen at any time and you will likely have multiple patients in different stages throughout your day.
When I receive a patient in the ER, assuming the ABC’s are intact, I gather their story and discern a chief complaint. After reviewing their history, meds and getting vital signs, I assign the patient a level of urgency. Each ER has a different triage process but generally speaking patients are assigned a number that rates them on a scale between non-urgent to urgent to emergent.
After rating the patients’ level of urgency I will start my assessment. I always do a primary assessment and a focused assessment. If I am able or have the
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