Registered Nurse (RN), Lead – Emergency Room | Full-Time

Holly Thompson

Why Blue Mountain Hospital District & Grant County?

The Blue Mountain Hospital District (BMHD) is located in Grant County, Oregon, at the heart of the John Day River, in beautiful, rural, Eastern Oregon.  Our District is comprised of a Critical Access Hospital (CAH), Family & Rural Medicine Clinic, Home Health and Hospice, Emergency Medical Services, an Intermediate Care Center and all of the supporting ancillary departments necessary to care for the health and wellness of our community.

Our District spans from John Day to Prairie City, nestled in a valley surrounded by the Blue Mountains.  The Strawberry Mountain Range and John Day River Valley offers a variety of outdoor activities, from abundant hiking/mountain biking/horse riding trails, to high and low lakes and ponds.  Our area is known to be a “go to” place not just for recreation, but also for big game hunting and fishing!

We offer competitive wages, great benefits and currently offer a sign on bonus for this position. Join our family-like team and settle into a lifestyle that is hard to beat!

For more information on our area, visit our Grant County Chamber of Commerce page at:

Job Summary:

The Department Lead is responsible for general organization and work flow of the Emergency Department, encouraging input from department staff.  The Department Lead will work full time, inclusive of both clinical nursing and administrative duties.  The hours for this position will include 36 hours of clinical nursing duties and 4 hours of administrative duties per week.  Administrative duties will be accomplished during designated administration time and may require flexibility based on staffing needs.

Essential Functions and Responsibilities:

As an RN, Department Lead

  • Assess and evaluate the organization of supplies, equipment, unit needs and initiates changes, as deemed necessary, working with departmental staff and nursing leadership.  The lead will also follow up on changes until fully implemented.
  • Contribute to policy development and updates.
  • Environmental Rounding- ensures that equipment and department is clean and items in good repair. Submits monthly environmental rounding reports.  Notifies nursing leads of needed items and repairs.
  • Participate with interviews of prospective new hires.
  • Ensure that cart checks, medication drawer checks are completed monthly and outdated supplies are removed.
  • Develop quality improvement projects and indicators for department, collect data and submit monthly report to Clinical Lead.
  • Assist with promoting staff development, assessing educational needs.
  • Encourage ideas from team members and work collaboratively with them on implementation when feasible.  The Lead will promote positive team dynamics and work to improve the patient experience.
  • Participate in related hospital committees when possible, as needed.

As an RN

  • Provide professional nursing care within the Emergency Department; coordinates care planning with other disciplines.
  • Determine priorities of care based on physical and psychosocial needs of patients, as well as factors influencing patient flow through the system.
  • Communicate with ED physicians regarding changes in condition or response to treatment.
  • Perform general nursing duties in all departments.
  • Participate in performance improvement and continuous quality improvement (CQI) activities and initiatives.

Working Conditions

Because patients need round-the-clock care, working hours may include days, nights, weekends and holidays.  The number of patients assigned per shift will vary due to patient census.  RNs spend considerable time walking, bending, stretching and standing, and assist with patient transfers.  RNs must guard against back and other injury as they assist in patient lifts and transfers.  They must follow proper body mechanics and procedures for lifting/ moving patients.  RNs may face hazards from exposure to chemicals, body fluids and infectious diseases.

Core Accountabilities:

Promote the Mission, Vision and Values of Blue Mountain Hospital District and perform duties in accordance with the Strategic Plan and Nursing Department objectives. Arrive and depart work on time and as scheduled.


Establish and maintain solid working relationships, through communication, cooperation and positive interaction with all team members and physicians.

  • Approachability – build rapport by making the effort to be cooperative and adaptive, put others at ease, and support team members.
  • Listening – practice active listening; display patience when listening to the views of others, and discuss differing opinions with an open mind.
  • Problem-Solving – work with others to find solutions when issues arise.
  • Staff Meetings – must attend department staff meetings.
  • Establish and maintain cooperative working relationships with others including physicians, nurses, administrators, manager, vendors, and other team members.

Customer Service

Exhibit professional behavior while being caring and compassionate.

  • Customer Focus – dedicated to meeting the expectations of the internal customer. Demonstrate sensitivity, empathy, concern and respect for others.  Act with patient care in mind, gain trust and respect by building, maintaining effective relationships and including the patient in care decisions.
  • Maintain confidentiality in accordance with Blue Mountain Hospital District policies and federal HIPAA regulations.
  • Represent the organization in a positive and professional manner at all times.
  • Present a neat and professional appearance.

Effective Use of Resources

Maximize resources while minimizing waste and controlling expenses.  This includes the effective use of work time and supplies, working safely, following established work practices, and seeking ways to improve operations.

  • Improvement – recommend procedures that reduce costs and streamline operations while improving quality.
  • Maintain a neat, clean and professional work area.


Demonstrate ability to maintain a high level of output without sacrificing quality.

  • Able to demonstrate and maintain consistent and efficient performance.
  • Able to work with small products with repetitive motion and dexterity.
  • Demonstrate critical thinking and determine appropriate course of action in complex situations.
  • Able to manage multiple and simultaneous responsibilities and prioritize work.
  • Ability to complete work assignments accurately and in a timely manner.
  • Complete annual education requirements timely and on-schedule.


Self-motivated and contribute to new ideas.

  • Improvements – initiate improvements and apply new methods of working to help achieve goals.
  • Learning on the go – develop an action plan when facing new problems, and be open to change.

Additional Knowledge, Skills and Abilities:

  • Emergency Department nursing experience
  • Proven ability to work as part of a team
  • Demonstrates excellent judgment, critical-thinking and decision-making skills
  • Ability to prioritize and organize
  • Self-motivated, able to work independently
  • Completes on-going nursing education requirements

Education/ Certification/ Licensure:


  • Graduate of an accredited School of Nursing. ADN required; BSN prefered
  • Must maintain a license as a Registered Nurse in good standing with the Oregon State Board of Nursing.
  • Must maintain current BLS,ACLs, PALS and TNCC certifications.