Registered Nurse - Emergency Care Center - Texarkana, TX
- BLS
- ACLS
- PALS
- NRP
- TNCC
- RN license
How this pay compares
This posting does not state an hourly rate. Open emergency room nurse jobs in Texas post a median of $48.61 an hour, the middle half $47.25–$58.09, across 117 jobs that state their pay. Emergency room nurses employed in Texas earn a median of $46.14 an hour (source: BLS Occupational Employment and Wage Statistics), according to the Bureau of Labor Statistics (May 2025) (source: BLS Occupational Employment and Wage Statistics).
Emergency room nurses in Texas: pay by town and employer
The Registered Nurses & LPNs job market: pay, applicant demand and hiring, researched nightly
Medicare rating of Christus St Michael Health System
Medicare gives Christus St Michael Health System 3 of 5 stars (Jul 2026; Texas's hospitals average 3.4). 81% of its patients said their nurses always communicated well (the middle US hospital: 79%). Medicare did not cut its pay for patient harm in fiscal 2026. Its central line bloodstream infections ran 21% below predicted by Medicare's measure. Patients' ratings of their care, not employees' of the job. Its other hospitals · Texas hospitals by rating.
What this hospital paid
By Christus St Michael Health System's report to Medicare, its registered nurse hours averaged $50.94 an hour in 2022 pay periods, its own and contract staff together, before benefits, against $54.99 an hour across Texas's hospitals. An average over every such hour, not this job's pay: the posting states its own. What Texas hospitals pay nurses.
Public Service Loan Forgiveness
Medicare lists Christus St Michael Health System as owned by a non-profit body, and CHRISTUS Health also runs for-profit hospitals, so which entity employs you decides whether the work counts toward PSLF. The federal PSLF Help Tool confirms an employer by the EIN on your W-2. Every PSLF-eligible hospital hiring.
What Texas law says about nurse staffing and overtime
- Nurse staffing committee or plan: Texas hospitals must keep a nurse staffing committee, at least 60 percent direct care nurses, that recommends the nurse staffing plan. Tex. Health & Safety Code § 257.004(a) (source: Tex. Health & Safety Code § 257.004(a))
- Limits on mandatory overtime: Hospitals may not require nurses to work mandatory overtime or use on-call time as a substitute, with exceptions for disasters, declared emergencies, unforeseen events and procedures in progress (covers registered and vocational nurses in hospitals). Tex. Health & Safety Code § 258.003 (source: Tex. Health & Safety Code § 258.003)
Registered nurse and LPN jobs in our research
- How long these jobs stay listed: Median days to removal 28.0 days · Still listed at 7 days 80.7%
- Applicant demand per open job on this site (1.00x is the average job): Index 0.45x · Clicks 136
- How often these jobs state their pay: Jobs stating any pay 54.8% · Stating an hourly rate 34.1%
From every open job we read and every apply click on this site, as of 11 Nov 2026. Every figure for Registered nurse and LPN jobs
About the job
Summary
The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, with the ability to on long-range goals or plans. Continues to develop the ability to cope with and manage contingencies of clinical nursing. Makes appropriate assignments and delegates to other care providers as a means to help manage the clinical situation.
Responsibilities
- Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
- Consistent with the ANA Scope and Standards of Practice, provides nursing care utilizing the nursing process, including assessment, diagnosis, planning, intervention and evaluation for assigned patients.
- Addresses increasingly complex psychological, emotional, cultural, and social needs of patient and families in accordance with their level of practice.
- Using the appropriate protocol, administers medications and treatments; monitors for side-effects and effectiveness of the treatment prescribed.
- Documents patient history, symptoms, medication, and care given.
- Assess learning needs and provides education to patients, family members and/or care givers; identify issues and resources.
Job Requirements:
Education/Skills
- Bachelor of Science Degree in Nursing, preferred
Experience
- 1 year of experience in the related nursing specialty preferred
Licenses, Registrations, or Certifications
- BLS required
- RN License in state of employment or compact
Position Requirements:
Education
- All newly hired experienced RNs must attend New Nurses Orientation within the first 30 days of hire.
- New hires are precepted by a designated trained staff member and initial on-boarding requirements are validated through successful completion of the designated organizational entry competency validation and an Emergency Department-specific competency validation.
- Yearly attendance at Annual Nursing Competency Day.
- Completion of all annual competency verification requirements.
- Crisis intervention training within 12 months of hire and maintain training annually thereafter.
- Completion of an evidence-based triage curriculum at:
- 12 months of hire for new graduate or inexperienced RNs (less than 1 year of nursing experience)
- 3 months of hire for experienced RNs (more than 1 year of nursing experience)
Licenses, Registrations, or Certifications
- Current PALS certification at time of hire for experienced RNs or completion by the end of the clinical orientation period for new graduate nurses and maintain certification thereafter.
- Current ACLS certification at time of hire for experienced RNs or completion by the end of the clinical orientation period for new graduate nurses and maintain certification thereafter.
- For trauma designated facilities, current TNCC certification within 6 weeks of hire for experienced RNs or completion within 18 months of hire for new graduate nurses and maintain certification thereafter.
Credential Grace Periods:
If additional credentials are required per the Position Requirements section, a grace period to obtain the certification will apply, dependent on your experience level.
- Any Candidate/Associate with at least one year of acute care clinical experience in a similar service line within the past three years is considered an Experienced Associate.
- Any Candidate/Associate who does not have at least one year of full-time acute care clinical experience in the same service line within the past three years is considered an Experienced Associate New to the Specialty.
Credential
Grace Periods for
Experienced Associates
Grace Periods for
New Graduates & Experienced Associates New to the Specialty
Basic Life Support (BLS) No grace period. AHA or Red Cross accepted at time of hire. No grace period. AHA or Red Cross accepted at time of hire.
Advanced Cardiac Life Support (ACLS) Within 30 days of hire. Within 90 days of hire.
Pediatric Life Support (PALS) Within 30 days of hire. Within 90 days of hire.
Trauma Nurse Core Curriculum (TNCC) Within 60 days of hire. Within 18 months of hire.
Trauma Care After Resuscitation (TCAR) Within 60 days of hire. Within 18 months of hire.
Neonatal Resuscitation Program (NRP) Within 30 days of hire. Within 60 days of hire.
AWHONN INTERMEDIATE FHM (Fetal Heart Monitoring) Within 30 days of hire. Within 60 days of hire.
STABLE (Neonatal Education) Within 30 days of hire. Within 60 days of hire.
Work Schedule:
3 Days - 12 Hours
Work Type:
Full Time
From CHRISTUS Health's job posting, checked 13 Nov 2026. The employer's own page is the final word on requirements and availability.
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About CHRISTUS Health
CHRISTUS Health is a Catholic health system with hospitals and clinics in Texas, Louisiana and New Mexico.
Based in Irving, TXHires in Texas, Louisiana, New MexicoPay on its listings: 0.8% of its open jobs state an hourly rate
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