Emergency Room RN Jobs in Texas
Emergency Room RN jobs in Texas represent one of the most active nursing markets in the country, with consistent demand from large hospital systems, Level I trauma centers, and freestanding emergency departments serving the state's fast-growing urban population, at every level from new graduate to senior charge nurse. Houston, Dallas, and San Antonio anchor the bulk of hiring, where systems like HCA Healthcare, Baylor Scott and White Health, and Texas Health Resources maintain extensive emergency operations. The most in-demand specialties are trauma nursing, pediatric emergency care, and critical care triage. Find a role that fits below and apply directly.
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Job Summary:
The Emergency Room Tech provides technical support for physicians and nurses in the Emergency Center. The purpose of this position is to assist and support the nursing and medical staff of the Emergency Department, to perform patient care, and environmental tasks, and manage supplies and equipment to ensure the patient-focused, cost-effective operation of the department.
The Emergency Room Tech will also be responsible for assisting the RN with performing education and observing chemical tests on patients or control specimens by clinical staff using the lab and correctly record appropriate results and uses and maintains all laboratory equipment correctly.
Essential Duties and Responsibilities:
- Assists the RNs and physicians in providing technical care of the patients by: Documenting vital signs, performing phlebotomy and IV starts, performing EKGs, transporting patients, placing patient on cardiac and vital sign monitors, performing Point of Care Testing, performing wound care, obtaining lab specimens, and documents all care/procedures provided.
- Performs urine drug screens and/or breathalyzer tests, once checked off or trained
- Assists the physician with physical exams, diagnostic and therapeutic procedures
- Applies a variety of orthopedic splints and fits patients for crutches
- Ensures that patient care areas, storage rooms, and equipment are clean and maintained
- Cleans equipment and workspace (including patient rooms, restrooms, waiting room, and nurse’s station)
- Assists with unloading supplies into Emergency Center
- Performs POC and QC lab testing
- Performs daily check of ABC equipment in each room
- Maintains temperature logs in Pharmacy and Lab
- Responsible for changing out Sharp’s containers
- Recognizes equipment malfunctions and refers for repair
- Performs patient care as directed by nursing or medical staff, documenting on the medical record
- Ensures an adequate supply of equipment needed for patient care and is responsible for stocking items such as: linens, wall mounts, thermometer probes and otoscope probes, patient care room drawers, vital sign machine, IV carts, ortho carts, urine cups and wipes, triage wound supplies, nourishment counter, patient and waiting room refrigerators
- Perform quality control procedures and maintain records on these checks
- Perform calibrations in compliance with manufacturer’s requirements
- Ensures proficiency testing specimens are performed in compliance with policy
- Monitors appropriate send out lab procedures
- Maintains current appropriate and needed policies and procedures
- Demonstrate knowledge of new testing methods, products and instrumentation; remain informed on all current technologies
- Demonstrate the values to team concept on a consistent basis
- Interact professionally with all department members, physicians, staff, administration and the Lab Manager/Lab Director
- Able to perform moderate and waived testing per Clinical Laboratory's and according to patient care unit's policies and procedures
- Able to interpret the results of moderate and waived tests and take appropriate action on test results
- Responsible for documenting correct information for compliance purposes
- Performs daily opening and closing duties as assigned.
- Along with all these duties you will be responsible to greet all patients as they arrive and check them in a professional manner.
Qualifications
Education & Experience:
- High school diploma or equivalent
- 1-3 years’ experience in an Emergency Room setting or
- 1-3 years’ experience as an Emergency Medical Technician EMT-P (or equivalent) required
Language/Math/Reasoning/Ability:
- Ability to read and comprehend simple instructions, short correspondence, and memos. Ability to write simple correspondence. Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization
- Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percent and to draw and interpret bar graphs
- Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situation
Computer Skills:
- Basic computer skills
Certificate/Licenses:
- Current Emergency Medical Technician (or equivalent) certification preferred
- BLS
See All 151+ Emergency Room RN Jobs in Texas
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Find Emergency Room RN JobsEmergency Room RN Jobs by City in Texas
Where Texas roles are concentrated, by current openings.
Emergency Room RN Job Market in Texas
A snapshot from current Texas openings, updated as new roles post.
Who's Hiring
- Medical City Healthcare21

- Emerus15

- HCA Houston Healthcare15

- Methodist Healthcare System11

- Houston Methodist8

Top Industries Hiring
- Healthcare & Medical Services13
- Human Resources1
- Technology & Software1
What Texas Employers Look For
The qualifications that appear most often in emergency room RN jobs across Texas.
- Active Registered Nurse license issued or recognized by the Texas Board of Nursing
- Current BLS and ACLS certification required at time of hire
- Minimum one to two years of emergency department or acute care experience preferred
- Completion of an accredited ADN or BSN nursing program from an accredited institution
- Triage experience and familiarity with Emergency Severity Index scoring systems
- Certification in Emergency Nursing (CEN) preferred for mid-level and senior positions
Emergency Room RN Jobs in Texas: Frequently Asked Questions
How do you become a emergency room rn in Texas?
To become an emergency room rn in Texas, you must first earn a nursing degree from an accredited ADN or BSN program, then pass the NCLEX-RN exam to obtain your Registered Nurse license through the Texas Board of Nursing. Texas participates in the Nurse Licensure Compact, so nurses licensed in other compact states can practice without obtaining a separate Texas license. After licensure, most employers expect current BLS and ACLS certifications before your first shift in the ED.
How much do emergency room RNs make in Texas?
Emergency room RNs in Texas earn a median of about $95,970 a year, based on May 2025 Bureau of Labor Statistics wage data, ranging from around $67,120 for the lowest 10% to over $127,950 for the top 10%. Pay rises with experience, specialty, and employer.
Which companies hire emergency room rns in Texas?
Employers hiring emergency room rns in Texas right now include Medical City Healthcare, Emerus, and HCA Houston Healthcare, based on current listings on Migrate Mate as of October 2026. Texas's large integrated health systems and the dense network of freestanding emergency centers across the state make it one of the highest-volume markets for ED nursing openings nationwide.
Which Texas cities have the most emergency room rn jobs?
San Antonio, Houston, and Fort Worth lead Texas for emergency room rn openings, reflecting the concentration of major hospital systems and Level I trauma centers serving the state's largest urban populations. Demand in smaller metros like El Paso and Fort Worth is driven by regional health systems that serve large catchment areas without the same depth of competing employers found in Houston or Dallas.
Are there remote emergency room rn jobs in Texas?
Yes, but they're rare. Emergency room nursing is fundamentally hands-on bedside work, so the vast majority of openings require in-person attendance in a clinical setting. About 0% of emergency room rn openings tied to Texas are remote or hybrid as of October 2026, and those positions are almost exclusively in adjacent areas such as telephone triage, nurse advice lines, or care coordination roles that draw on ED experience.
How can I get hired as a emergency room rn in Texas with little or no experience?
The most realistic entry path is applying to a formal new-graduate nurse residency program, which large Texas health systems like Baylor Scott and White Health, Texas Health Resources, and Memorial Hermann run specifically for nurses without clinical experience. These structured programs rotate new graduates through the emergency department alongside experienced nurses before independent practice. Completing clinical rotations in an ED during nursing school, obtaining your CEN preparation coursework early, and holding current ACLS certification before applying all strengthen a new-grad application significantly.
Where can I find and apply to emergency room rn jobs in Texas?
You can find and apply to emergency room rn jobs in Texas on Migrate Mate, which lists current openings tied to this role and state. Search the listings below to see what is available right now, find the roles that fit your experience and location, and apply directly to each one.
See All 151+ Emergency Room RN Jobs in Texas
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Find Emergency Room RN Jobs