ANTICIPATED END DATE: 31 Dec 2026

JOB PURPOSE

The 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.

QUALIFICATIONS

- Current 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 Conditions

- Rotating 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 Structure

Will report directly to the ED nurse manager with accountability to Professional Practice and Clinical Educators/Resource Nurse.

KEY RESPONSIBILITIES

ER (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 Duties

- Respond 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 Employment

COMPETENCIES

Competencies 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 pressure.
- Commitment to ongoing professional development.
- Strong communication and interpersonal skills.
- Ethical decision-making and advocacy for patients and families.
- Cultural competence and trauma-informed care.
- Teamwork and conflict resolution in high stress environments.
- Coordination and leadership during codes, ACT calls and rapid responses.
- Adaptability to different environments.

If a candidate's primary language of communication is not English, an English Language Proficiency Evaluation is required for all postings (Reading, Writing and Oral).

Interested? Apply Today!

Horizon Health Network (Horizon) only accepts on-line applications.

About Horizon's Recruitment Process

We thank all applicant who apply; however, only those selected for further consideration will be contacted. All interested applicants are encouraged to apply as an equivalent combination of education, training and experience may be considered.

Horizon's recruitment screening process may include language proficiency testing, clerical testing and/or behavioral assessment. If you are selected for testing, you will be contacted via the email address provided on your application. The official results will be shared with the candidate, Human Resources and the requesting manager electronically and language results will be placed on the personnel file for Horizon's hiring purposes.

Diversity Statement

Horizon is committed to enhancing our diverse and inclusive setting for our employees and patients. We believe in a healthcare system that equally supports all people regardless of race, ethnicity, national origin, social background, religion, gender identity or expression, age, disability, or sexual orientation. An environment based on a commitment to diversity and inclusion supports our goal of safe and quality patient care.

📌 Upper River Valley Registered Nurse Class A (RNCA) PCN 1153969 (Waterville)
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📍 Waterville