Join St. Joseph Regional Medical Center in Lewiston, Idaho—where nationally recognized quality meets small-town heart. We’re proud to be recognized for excellence and patient safety, including an “A” Hospital Safety Grade from The Leapfrog Group, inclusion in Becker’s list of “Great Community Hospitals,” and U.S. News & World Report accolades for maternity care.
Here, you’ll find a teamwork-first culture, leaders who support you, and coworkers who genuinely have your back. New grads are welcome—we’re committed to training, mentoring, and helping you build confidence as you grow. And because we know great care starts with taking care of our people, we offer competitive benefits and a workplace you can feel good about.
If you’re looking for a place to do meaningful work, build a career, and feel proud serving your community—you belong at St. Joe’s.

Full-time Nights 

Job Summary

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

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 Registered Nurse 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