Registered Nurse - Emergency

Competition #:891954

Job Title:Registered Nurse - Emergency

Job Category:Nursing

Work Type:Full-Time Permanent

Positions Available:3

Union Affiliation:ONA

Posted Date:11/05/22

Closing date:10/06/22

Salary Range:As per ONA agreement.

FTE Assignment (FT=1.0, Casual =0.000001):1.0

The St. Michael's Hospital emergency department (ED) serves a large and diverse inner city population and supports a number of important tertiary programs such as trauma, neurosurgery, vascular surgery, Code STEMI, and Code Stroke. We offer unique services designed to meet the needs of our population, including: geriatric emergency management, social work, community peer support, emergency psychiatry, and a needle exchange program for injection drug users. We also house the Rotary Transition Centre, a 24-hour facility that provides temporary refuge to patients who no longer require hospital care but require one or more supports to ensure safe return to the community.

Our ED currently sees ~80,000 patients per year. We are in the midst of a large-scale renovation to create a Best in Class Emergency Department. Our new acute zone is comprised of 36 individual rooms, and our brand-new trauma bay opened in January 2020. Our new spaces maximize patient safety, experience, access and flow, while also optimizing staff and team experience.  Staff wellness is our priority.


The RN works within a changing environment and in inter-professional teams to advocate for and promote wellness while ensuring the delivery of safe, effective and ethical nursing care. The RN shares his/her knowledge and expertise with others and contributes to the advancement of nursing practice excellence. The RN continually enhances his/her practice and competencies through ongoing learning, education, experience and reflective practice.

The primary role of the RN is to provide holistic, evidence-based, culturally appropriate, patient-centered quality care in accordance with the College of Nurses of Ontario standards and SMH’s mission, vision, values and policies.  The RN optimizes the patient’s experience and care outcomes by:

  • Being accountable for one’s decisions and professional practice; 
  • Establishing a therapeutic relationship with the patient;
  • Collaborating with other members of the patient’s care team; and,
  • Coordinating and communicating patient care activities.

The RN has 4 key areas of responsibility:

Patient Care: 

  • Acquires information to assess patient care and learning needs
  • Develops a plan of care and integrates nursing activities with other inter-professional activities
  • Engages in critical inquiry and reflection to select evidence-based interventions
  • Organizes nursing care and assigns or changes nursing care activities where appropriate
  • Evaluates the effectiveness of the plan of care and adjusts the plan as needed
  • Anticipates, recognizes and addresses rapidly changing situations
  • Provides health education to patients and their families using effective teaching strategies
  • Documents observations, assessments and care provision
  • Contributes to discharge and transition planning
  • Refers patient to other agencies or services as needed

Collaboration & Coordination:

  • Serves as the primary resource for organizing and coordinating patient care activities
  • Establishes and maintains respectful, collaborative, therapeutic and inter-professional relationships
  • Coordinates and communicates patient care activities for a safe and seamless transition and appropriate transfer of accountability
  • Participates in hospital committees and other groups


  • Aligns behavior with SMH’s vision, mission and values and Code of Conduct
  • Supports the advancement of professional practice
  • Utilizes effective judgment in assigning patient care activities
  • Engages in self-reflection, performance review and ongoing learning
  • Participates in mentoring, teaching and/or coaching students, co-workers and other regulated and unregulated health professionals 
  • Embraces change that leads to improved nursing practice and better patient outcomes
  • Advocates for a safe and healthy work environment


  • Participates in or supports research projects
  • Supports and participates in evidence based practice implementation and quality improvement initiatives  


  • Must have Current General Class (Practicing) Registration with the College of Nurses of Ontario 
  • Minimum of 2 years of recent medical-surgical experience required, emergency experience is preferred
  • Current BLS certification required
  • Completion of Coronary Care 1 or willingness to complete within the first year of employment is required
  • Completion of Coronary Care 2 and ACLS is preferred
  • Completion of ACTN or TNCC is preferred
  • Ability to work collaboratively with other professions/disciplines in a team environment and advocate effectively
  • Excellent communication skills particularly with vulnerable populations
  • Demonstrated conflict management skills 
  • Proven planning, priority setting, time management, organization and coordination skills
  • Excellent attendance record