About this role
ANTICIPATED END DATE: 31 Dec 2026JOB PURPOSEThe ER Registered Nurse provides high-quality, patient centered care in the Emergency Department (ER) as the primary area of responsibility. The role also includes orientation and cross-training in the Intensive Care Unit (ICU), with the expectation of providing clinical coverage in the ICU as needed.QUALIFICATIONSCurrent registration in good standing with the Nurse's Association of New Brunswick.Bachelor's Degree preferred or equivalent combination of education and experience.Minimum 2 years Acute Care Nursing experience; ICU and/or ER nursing strongly preferred.Critical Care or Emergency Nursing Certification considered an asset.Current BLS, ACLS and BCMI required; TNCC, PALS, ENPC, and/or NRP considered and asset. Willingness to obtain necessary certification within 1 year of hire.NB Critical Care Course or equivalent. Willingness to take same.Demonstrated ability to perform under pressure with strong assessment, prioritization, and critical thinking skills.Excellent communication and teamwork skills.Commitment to evidence-based practice and continuous quality improvement.Working ConditionsRotating shifts, including days, evenings, nights, weekends and holidays.Frequent standing, walking, lifting, and repositioning of patients; use of specialized equipment.Exposure to infectious diseases, biohazards, hazardous medications, and emotionally stressful situations.Fast-paced, high-acuity environment requiring rapid decision-making and multi-tasking.Reporting StructureWill report directly to the ED nurse manager with accountability to Professional Practice and Clinical Educators/Resource Nurse.KEY RESPONSIBILITIESER (Primary Care)Maintain competence in emergency nursing skills.Provide care to patients across the lifespan, including triage, stabilization, and treatment.Assist with resuscitations, trauma care, and urgent procedures.Support seamless transfer of patients from ER to other units as necessary.Familiarity with pediatric and obstetrical emergencies.Stabilization and initial management of acute/critical presentations (trauma, MI, stroke, sepsis, overdose and psychiatric emergencies).ICU (Secondary Area)Deliver specialized nursing care to the critically ill patients, including assessment, monitoring, intervention, and evaluation.Manage advanced therapies and equipment (ventilators, hemodynamic monitoring, vasoactive infusions et cetera)Collaborate with physicians, respiratory therapists, and other members of the healthcare team to implement individualized care plans.Respond promptly to changes in patient condition, initiating emergency interventions when necessary.Provide education updates, and psychosocial support to patients and families.Hospital-Wide DutiesRespond to ACT calls to provide critical care expertise at the bedside outside of ICU.Assist with intra- and inter-facility transfers, ensuring safe stabilization, documentation and communication.Maintain accurate and timely documentation in patient records.Adhere to hospital policies, procedures, and best practice guidelines.Contribute to patient safety, infection control, and continuous quality improvement initiatives.Participate in professional development, staff and personal education, and interdepartmental collaboration.Employees are responsible to be aware of and understand Horizon's Terms of EmploymentCOMPETENCIESCompetencies Identified by Horizon Health Network:Advanced assessment skills (neuro, cardio, respirator, renal and multi-system).Proficiency with invasive and non-invasive monitoring (arterial lines, central lines et cetera).Ventilator management and advanced airway support.Medication administration and titration.Hemodynamic monitoring and interpretation.Proficiency with ACLS and resuscitation protocols.Post-operative critical care management.Pain and sedation management.End-of-life care, palliative measures, and family support in critical situations.Strong clinical decision making and critical thinking under