Registered Nurse (RN) II Emergency Room

Position Details Full Time Evening Shift – Kirby location. Job Summary At Houston Methodist, the Registered Nurse (RN) II position is a licensed staff nurse, an experienced clinician, and functions at the Competent to Proficient stage of Benner's model of clinical practice. The RN II provides professional nursing care to a diverse patient population, conducts nursing assessments, assists with exams and treatment, patient education, and maintains medical records. The RN II provides direct patient care effectively and efficiently for patients with varied and complex needs. This position communicates and collaborates with physicians and the interprofessional health care team to facilitate, coordinate, and maintain compassionate, efficient quality care and achieve desired treatment outcomes. The RN II demonstrates clinical competence when providing care, using technology, administering medications, performing procedures, and managing emergencies, while acting as a patient and family advocate to monitor and maintain patient rights. The RN II assumes leadership roles with progressive responsibility, including but not limited to participating in or leading unit and shared governance initiatives, serving as charge nurse or preceptor to students or new employees, and possibly contributing to service line or hospital-wide initiatives in partnership with management. FLSA Status Non‑exempt. Responsibilities People Essential Functions Uses therapeutic communication, including active listening and teaching, to establish a relationship with patients, families, and the interprofessional health care team to collaborate on the plan of care. Contributes to teamwork by awareness of overall unit acuity, consistently offering assistance, and responding positively to requests for assistance. Collaborates to foster healthy relationships in the work environment. Seeks guidance from and offers guidance to the interprofessional health care team, when appropriate, and applies feedback to improve patient outcomes. Implements staff education specific to patient populations and unit processes; coaches and mentors other staff and students. May include preceptorship. Uses peer‑to‑peer accountability toward improvement of department score for turnover/retention/employee engagement on unit‑based scorecard. Service Essential Functions Follows the patient and family‑centered care standards, as outlined in the Houston Methodist Professional Nursing Practice document. Conducts nursing assessments, assists with exams and treatment, and maintains medical records. Practices in a manner congruent with cultural diversity and inclusion principles. Develops, updates, and communicates the plan of care, including discharge, in partnership with the patient, family, and interprofessional health care team, using the nursing process. Prioritizes care based on the patient’s needs, abilities, and preferences. Advocates on the patient/family’s behalf to identify and resolve clinical and ethical concerns, utilizing appropriate resources. Provides patient teaching based on learning needs, uses appropriate resources, incorporating planning for care after discharge. Consistently evaluates the patient’s comprehension and adapts teaching methods accordingly. Helps drive improvement of the department score for patient satisfaction on the unit‑based scorecard, through peer‑to‑peer accountability to service standards. Quality/Safety Essential Functions Follows the standards of care related to the nursing process, as outlined in the Houston Methodist Professional Nursing Practice document. Follows the standards related to regulatory requirements and professional practice as outlined in the Houston Methodist Professional Nursing Practice document. Identifies areas of practice improvements with research‑based evidence to achieve core measures and patient safety outcomes, supported by accurate documentation. Provides and modifies care to complex patients and coordinates care with the interprofessional team based on evaluation of the patient’s condition, supported by accurate documentation. Utilizes clinical judgment, using an evidence‑based analytical approach. Improves quality and safety scores on the unit‑based scorecard, through peer‑to‑peer accountability, reporting near misses, and collaborating with the interprofessional health care team. Finance Essential Functions Displays self‑motivation to independently manage time effectively, document care promptly, minimize incidental overtime, and prioritize daily tasks. Provides input into the unit resource utilization including unit capital and operational budget needs. Contributes toward meeting department financial targets on the unit‑based scorecard through decreasing length of stay, optimizing efficiency, and other areas according to department specifications. Growth/Innovation Essential Functions Identifies and presents areas for innovation, efficiency, and improvement in patient care or unit operations using evidence‑based practice literature. Offers innovative solutions through evidence‑based practice/performance improvement projects and shared governance activities. Champions new care pathways or service line implementation to improve service to the community. Identifies trends for improvement opportunities or practice changes and supports initiatives. Researches the change and presents options to shared governance and leadership. Qualifications Education Graduate of an education program approved by the credentialing body for the required credential(s) indicated below in the Certifications, Licenses, and Registrations section. Experience Twelve months registered nurse experience in a healthcare environment. Licenses and Certifications Required RN – Registered Nurse – Texas State Licensure – Texas Board of Nursing_PSV Compact Licensure – Must obtain permanent Texas license within 60 days (if establishing Texas residency). BLS – Basic Life Support or Instructor (AHA) – American Heart Association. ACLS – Advanced Cardiac Life Support or Instructor (AHA) – American Heart Association. PALS – Pediatric Advanced Life Support or Instructor (AHA) – American Heart Association within 4 months. NIHSTROKE – National Institute of Health Stroke Scale Certification (AHA) – American Heart Association within 4 months. NVCRISIS – Nonviolent Crisis Intervention or Instructor (CPI) – Crisis Prevention Institute within 4 months. Preferred Magnet – ANCC Recognized Certification. ENPC – Emergency Nursing Pediatric Certification (ENA). TNCC – Trauma Nursing Core Course or Instructor (ENA). Additional Requirements Work Attire Uniform: No. Scrubs: Yes. Business professional: No. Other (department approved): No. On‑Call On Call: Yes. Travel May require travel within the Houston Metropolitan area: Yes. May require travel outside Houston Metropolitan area: No. #J-18808-Ljbffr