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Registered Nurse Staff-ER-Night Shift

Southern Illinois Healthcare · Harrisburg, IL · $31.25–$49.06 an hour · Full time

Posted Jul 13, 2026 · We last checked this listing on Oct 6, 2026

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Likely interview questions for this role

Written from this job description, not a generic list. Each one notes what the interviewer is really checking.

About your past

Tell me about a time a patient got worse in the ER and you were the first to notice.

What they are checking: Whether they reassess often and act fast when a patient changes, which saves lives in emergency care.

The posting mentions TNCC or TNS and ECRN requirements. Where are you with those, and what trauma experience do you have?

What they are checking: Whether they are ready to meet trauma and emergency radio certification requirements on time.

How do you keep your documentation accurate during a chaotic shift?

What they are checking: Whether they keep timely charting habits, since ER records support care, transfers and legal review.

How do you stay safe and alert working nights in a busy emergency department?

What they are checking: Whether they have real strategies for night shift fatigue in a job where mistakes are dangerous.

What would you do

It's 2 a.m. at Harrisburg and three patients walk in at once: chest pain, a child with a fever and an intoxicated adult with a head wound. How do you triage?

What they are checking: Whether they can triage quickly by acuity in a small night ER with limited staff.

How do you handle an aggressive patient on a night shift with limited security?

What they are checking: Whether they use de-escalation and safety steps that protect themselves, staff and other patients.

A family member keeps demanding updates while you're managing a critical patient. What do you do?

What they are checking: Whether they can set kind boundaries and still keep families informed during an emergency.

About the work

Walk me through your first ten minutes with a patient you suspect is having a STEMI.

What they are checking: Whether they know time-critical steps like ECG timing, labs, medications and transfer planning.

Many critical patients will need transfer to a larger hospital. How do you keep them stable while you wait?

What they are checking: Whether they can manage unstable patients for longer stretches when transfer takes time in a rural setting.

How do you care for a pediatric patient when you mostly see adults?

What they are checking: Whether they are comfortable with pediatric dosing and assessment, which PALS covers for ER nurses.

Practice this interview out loud.

Offer builds a real interview for this exact role at Southern Illinois Healthcare from your resume and this job description, asks the questions one at a time, and tells you what landed. The first one is free.

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The full job description

As published by Southern Illinois Healthcare.

Current SIH employees need to apply for positions through our internal job portal. Log in to Workday to apply through the Jobs Hub. Position Summary • Responsible for providing professional nursing care for SIH patients. Education • Associate, Diploma, Bachelor’s degree or Master’s in Nursing Licenses and Certification • Current Illinois Registered Nurse license • Current CPR/BLS Card • Current ACLS card (within 6 months of hire) • Intensive Care Unit: 10114, 20114 • Progressive Care Unit: 10116, 20110 • Stepdown ICU: 10118 • Cardiac Services: 10310 • Cardiac Catheterization: 10340 • Cardiac Care Decision Unit: 10342 • OP Cardiovascular Center: 10344, 20344 • Electrocardiology: 10336, 20336 • Interventional Imaging: 10367 • SDS Procedure Room: 10317, 20317, 30317, 40317 • Current ACLS & PALS card (within 6 months of hire) • Emergency Room: 10306, 20306, 30306, 40306 • Recovery Room: 10314, 20314, 30314, 40314 • TNCC or TNS (within 1 year of hire or residency graduation) - required effective 6/2026 • Emergency Room: 10306, 20306, 30306, 40306 ​ ​ • ​ ECRN (within 24 months of hire of residency graduation) - required effective 6/2026 • Emergency Room: 10306, 20306 • ​ ACLS, Fetal Monitoring – Monitoring, & NRP (within 6 months of hire) • Birthing Center: 10300 • ​ NRP (within 6 months of hire) • Mother Baby: 10154 • Neonatal Intensive Care Unit: 10152 • NRP & PALS (within 6 months of hire) • Pediatrics: 10160 • ONS • CTC-Infusion Center: 10328 (Fundamentals within first 6 months) and Chemotherapy Certificate Course (within 1 year, renewed every 2 years) • SJ-Infusion: 40329 (Fundamentals within first 6 months, renewed every 2 years) or ONS Chemotherapy Certificate (renewed every 2 years) ​ Experience and Skills • Technical Experience: NA Role Specific Responsibilities • Assess patients to determine mental, physical, and spiritual needs • Establish a compassionate environment to provide emotional, psychological, and spiritual support to patient and families • Assesses, plans, implements, and evaluates an individual plan of care in collaboration with the multidisciplinary health care team. • Provide in health teaching and counseling to promote, attain, and maintain the optimum health level of patients • Demonstrate ability to use clinical judgement in conjunction with critical thinking to recognize, act upon, and report changes in patient condition. • Complete, accurate and timely documentation in patient medical record • Provide input into the development of policies and procedures to support patient safety and quality of care • Supervision and delegation responsibilities of licensed practical nurse and/or unlicensed assistant personnel • Serve as an advocate for the patient by communicating and collaborating with other health service professionals • Timely completion of required education, competencies, and licensure. • Float to other SIH nursing units within competency level Compensation (Commensurate with experience): $31.25 To $49.06 To access our Benefits Guide/Plan Information, please click the link below: http://www.sih.net/careers/benefits

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