Registered Nurse II - Emergency Department

At Houston Methodist, the Registered Nurse (RN) II position is a licensed staff nurse, an experienced clinician who 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, provides patient education, and maintains medical records. Direct patient care is delivered efficiently for patients with varied and complex needs. This role 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, acting as a patient and family advocate to monitor and maintain patient rights. The RN II assumes leadership roles with progressive responsibility, including participation or leadership in unit and shared governance initiatives, serving as charge nurse or preceptor to students or new employees, and contributing to service line or hospital‑wide initiatives in partnership with management. 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) Essential Functions People Essential Functions Uses therapeutic communication, which includes 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. Fosters healthy relationships in the work environment, seeks guidance from and offers guidance to the interprofessional health‑care team, and applies feedback to improve patient outcomes. Implements staff education specific to patient populations and unit processes; coaches and mentors other staff and students, and 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 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. Develops, updates, and communicates 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 behalf of patients and families to identify and resolve clinical and ethical concerns, utilizing appropriate resources. Provides patient teaching based on learning needs, uses appropriate resources, incorporates planning for care after discharge, and consistently evaluates the patient’s comprehension. Helps drive improvement of department score for patient satisfaction on 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. Adheres to standards related to regulatory requirements and professional practice; identifies areas of practice improvement with research‑based evidence to achieve core measure and patient safety outcomes, supported by accurate documentation. Provides and modifies care for complex patients and coordinates with the interprofessional team based on evaluation of the patient’s condition, supported by accurate documentation. 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 Manages time effectively and documents care timely, minimizing incidental overtime, and prioritizing daily tasks. Provides input into unit resource utilization including capital and operational budget needs. Contributes to meeting department financial targets on 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. Supplemental Requirements Work Attire Uniform: No Scrubs: Yes Business Professional: No Other (department approved): No On‑Call Note that employees may be required to be on‑call during emergencies (e.g., Disaster, Severe Weather Events, etc) regardless of selection below. On Call: Yes Travel Travel specifications may vary by department. May require travel within the Houston Metropolitan area: Yes May require travel outside Houston Metropolitan area: No #J-18808-Ljbffr Houston Methodist