ER Nurse

E.R. Nurse

Emergency room nurses are equipped to deal with patients with severe injuries, trauma, and other unstable medical conditions. A career in E.R. nursing is a high-energy and demanding role in the nursing profession.

Emergency room nurses are registered nurses who care for patients of all ages. In the fast-paced emergency department, nurses assess, monitor, and treat patients experiencing a medical crisis.

Job Outlook

Today there are many jobs available for the emergency nurse due to an aging population and a greater number of uninsured people in the United States. In fact, the Bureau of Labor Statistics reported that employment of registered nurses in general is expected to increase by 26 percent over the next several years.


The geographical location where the E.R. nurse is employed impacts the nurse’s salary. In some southern parts of the United States, emergency room nurses reported earning around $57,000 per year, while in the northeastern parts of the United States emergency nurses reported earning between $66,000 and $68,000 per year.

Unique Work Environment

Although E.R. nurses have an exciting job, there are parts of the job that can be challenging. Nurses in this area must be effective problem solvers, familiar with a wide range of illnesses and medical conditions, have excellent assessment skills, and work effectively with all members of the health care team in a fast-moving, high-stress atmosphere.

Sometimes working in the E.R. can be physically and emotionally demanding. E.R. nurses are at risk for acquiring occupational injuries, including back and neck injuries, exposure to a blood-borne or airborne pathogens, or unmanaged stress that results from caring for severely injured or ill patients.

E.R. Nurse Education

Before you can work as an emergency room nurse, you need to be a registered nurse. You can become a registered nurse by completing an accredited nursing program, then obtaining a license to practice in the state where you practice. There are three primary paths you can take to earn a nursing degree: a diploma program, associate’s degree program, bachelor’s degree program, or a masters in nursing.

  • A diploma program in nursing can be obtained from a vocational school or community college. This program takes about 18 months to two years to complete.
  • An associate’s degree program in nursing can be completed in about two to three years from a community college.
  • A bachelor’s degree program in nursing takes four years to complete from a college or university.
  • A masters in nursing (MSN) typically takes two years to complete from a college or university, but that can vary by program. Some online MSN programs can be completed faster.

E.R. Nurse License

After graduating from an accredited nursing program, you will need to pass the National Council Licensure Examination for Registered Nurses to obtain a license to practice as a registered nurse.

Experience and Certifications

Most employers in E.R. departments require that registered nurses have at least one and preferably two years experience in critical-care nursing before working in the emergency room. Spending time volunteering or observing in the E.R. department can help prepare you for a position as an emergency room nurse.

Nurses working in the E.R. may also need to obtain additional certifications and skills. Many E.R. departments require emergency nurses to hold current certifications in both advanced cardiovascular life-support and pediatric advanced life-support techniques. Some E.R. departments expect their nurses to obtain additional certifications in EKG interpretation skills, phlebotomy skills, central line insertion skills, advance cardiac monitoring, and trauma nursing.

After working as a nurse in the emergency room for two years, E.R. nurses can further their education by passing the Certified Emergency Nurse test offered by the Emergency Nurses Association. Nurses who pass this test may be eligible for a salary increase or job promotion. E.R. nurses may also pursue advanced nursing careers, because of the many patient types they have cared for and advanced assessment skills they develop.