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Ems Rn Jobs in Texas (NOW HIRING)

Activate emergency response when indicated; manage patient continuously until EMS assumes care and ... Active RN license in the state of practice; compact license accepted where applicable * 2+ years of ...

... EMS assumes care and a full verbal handoff has been completed Documentation Complete all clinical documentation in Vellum's app during or immediately after each encounter Meet Vellum's internal ...

Responds to emergency situations until emergency medical services (EMS/911) arrive on scene Must haves: * Active Registered Nurse License in state position is held (Required) * Basic Life Support ...

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Ems Rn information

What is an EMS RN?

EMS RNs, or Emergency Medical Services Registered Nurses, are specialized nurses who provide critical care in pre-hospital and emergency settings. They often work alongside paramedics and EMTs, delivering advanced medical care during patient transport or at the scene of emergencies. Their responsibilities include performing assessments, administering medications, and managing life-saving interventions. EMS RNs require specific training in emergency and trauma care, and they play a vital role in stabilizing patients before they reach the hospital.

What are the key skills and qualifications needed to thrive as an EMS RN?

To thrive as an EMS RN (Emergency Medical Services Registered Nurse), you need advanced clinical assessment skills, emergency care expertise, and a current RN license with certifications such as ACLS, PALS, and often CEN or CCRN. Familiarity with pre-hospital care protocols, ambulance equipment, and electronic patient care reporting systems is typically required. Exceptional critical thinking, composure under pressure, and strong communication are vital soft skills for this fast-paced role. These abilities ensure rapid, accurate care and effective teamwork in high-stress, life-threatening situations.

What are some common challenges faced by an EMS RN and how can they be managed?

EMS RNs often encounter high-pressure situations, such as providing critical care in unpredictable environments and making quick decisions with limited information. Managing these challenges requires strong clinical skills, adaptability, and effective communication with other EMS team members and hospital staff. Staying current with continuing education and participating in simulation training can help EMS RNs build confidence and improve their ability to respond to emergencies efficiently.

What is the difference between Ems Rn vs Paramedic?

AspectEms RnParamedic
CertificationsRN license, EMS certificationParamedic certification, EMS license
Work EnvironmentAmbulance, hospitals, clinicsAmbulance, emergency scenes
Roles & ResponsibilitiesPatient assessment, IVs, medication administrationAdvanced airway management, rapid patient stabilization

While both Ems Rn and Paramedic work in emergency medical services, Ems Rn typically holds a registered nurse license and focuses on patient assessment and care in various settings. Paramedics are trained for advanced emergency procedures and rapid response in the field. Understanding these differences helps determine the appropriate role based on skills and certifications.

Can you work EMS as a nurse?

Emergency Medical Services (EMS) nurses are registered nurses (RNs) who provide pre-hospital emergency care in the field. They typically hold active RN licenses, have specialized training in emergency and trauma care, and may obtain certifications such as Advanced Cardiac Life Support (ACLS) and Pediatric Advanced Life Support (PALS). EMS nursing involves working in ambulances, helicopters, or other emergency response environments, often requiring flexibility and the ability to work in high-pressure situations.
Infographic showing various Ems Rn job openings in Texas as of August 2026, with employment types broken down into 3% As Needed, 57% Full Time, 13% Part Time, and 27% Contract. Highlights an 99% Physical, and 1% Remote job distribution.

Infusion Registered Nurse (RN)

Vellum Health

Midland, TX โ€ข On-site

Full-time

Re-posted 14 days ago


Job description


Position Summary

The Infusion Nurse is a mobile registered nurse who delivers on-site IV infusion therapy, blood transfusions, and type and screen draws directly at skilled nursing facilities (SNFs) and other designated client sites across an assigned regional pod. You will drive to client locations daily, set up and administer treatments, monitor patients during and after procedures, document care, and move to the next facility. This is a fully field-based role.

Mobile Clinical Delivery


  • Provide infusion services at assigned facilities within your region daily

  • Coordinate with facility staff (DON, charge nurse, or designee) upon arrival

  • Review patient orders and set up infusion workspace

  • Cover multiple facilities per day based on caseload and geography


IV Infusion Administration


  • Perform peripheral IV infusions per patient orders and RN scope of practice

  • Assess patients pre-infusion; monitor vitals throughout

  • Manage infusion pumps and supplies

  • Document all clinical observations in real time


Blood Transfusions (If Assigned and Training Requirements Completed)


The following responsibilities apply only to nurses who have completed Vellum's required transfusion training, demonstrated competency, and been formally assigned to the transfusion team by the Company.


  • Administer blood product transfusions on-site at SNFs

  • Complete pre-transfusion two-nurse verification where required

  • Monitor for adverse reactions throughout; intervene per Vellum transfusion reaction protocol

  • Complete all post-transfusion documentation per Vellum protocol


Type & Screen Collection


  • Perform venipuncture for type and screen specimens

  • Label, handle, and coordinate specimen transport per Vellum and facility protocols


Patient Assessment & Monitoring


  • Conduct nursing assessments before, during, and after all procedures

  • Monitor for adverse reactions, infiltration, and other complications

  • Activate emergency response when indicated; manage patient continuously until EMS assumes care and a full verbal handoff has been completed


Documentation


  • Complete all clinical documentation in Vellum's app during or immediately after each encounter

  • Meet Vellum's internal standards and payer-specific requirements to support accurate billing

  • Complete all charts same day; all documentation must be finalized within 24 hours of service delivery


Facility Coordination


  • Communicate with SNF staff on patient status, scheduling, and supply needs

  • Build positive working relationships to support client retention


Supply & Equipment Management


  • Maintain mobile supply kit per Vellum's supply management policy

  • Stock IV supplies, blood administration sets, specimen tubes, dressings, and emergency equipment

  • Submit resupply requests proactively — before a shortage occurs


Pod Lead Responsibilities (When Assigned)

Experienced nurses may be designated Pod Lead, performing all standard duties plus:

  • Schedule clinic days and coordinate logistics across pod territory

  • Coordinate PRN nurse scheduling to ensure full coverage

  • Orient and train new hires, including ride-alongs and competency validation

  • Report regularly to Regional Clinical Manager on performance and staffing

  • Conduct site visits for newly onboarded client facilities

  • Partner with Account Manager on client engagement and clinical inquiries


Qualifications


Required


  • Active RN license in the state of practice; compact license accepted where applicable

  • 2+ years of clinical nursing experience with direct IV therapy and/or infusion administration

  • Competency in peripheral IV insertion, central line access and maintenance, blood product administration, and venipuncture

  • Current Basic Life Support (BLS) certification

  • Strong independent clinical judgment

  • Excellent documentation skills with ability to complete thorough, accurate charts in a mobile environment

  • Valid driver's license, clean driving record, and reliable personal vehicle suitable for daily regional travel

  • Current auto insurance meeting Vellum's minimum coverage requirements

  • Physical ability to lift and carry supply bags (up to 30 lbs), stand for extended periods, and perform clinical procedures in varied facility environments


Preferred


  • CRNI (Certified Registered Nurse Infusion) or VA-BC (Vascular Access Board Certified) certification

  • Experience with blood product transfusion in non-hospital settings (SNF, home health, ambulatory)

  • Prior experience in home infusion, mobile health, or SNF-based clinical services

  • Experience with electronic scheduling/dispatch systems and mobile clinical documentation

  • Knowledge of Medicare/Medicaid documentation requirements for infusion services


Core Competencies

Competency | Description
Clinical Independence | Works autonomously at facilities without on-site Vellum support; confident in assessments, decisive in interventions, and clear on when to escalate
Efficiency Under Pressure | Manages time across multiple facilities daily; delivers safe, thorough care without sacrificing speed or documentation quality
Adaptability | Adjusts workflow to each facility's environment while consistently upholding Vellum clinical standards
Relationship Builder | Serves as the face of Vellum at every site; earns trust from DONs and charge nurses through reliability, professionalism, and clinical excellence — directly supporting caseload growth and client retention
Documentation Discipline | Completes every chart, same day, every time; understands that incomplete or inaccurate documentation results in delayed or denied reimbursement
Self-Management | Independently manages schedule execution, supply inventory, vehicle upkeep, and daily workflow without close supervision

Acknowledgment

I have read and understand the duties, responsibilities, and expectations of the Infusion Registered Nurse position at Vellum Health. I understand that this job description is not an exhaustive list of all duties and that additional responsibilities may be assigned as needed.