Registered Nurse (RN II) - MedSurg Hold

At Houston Methodist, the Registered Nurse (RN) II position is a licensed staff nurse who is an experienced clinician and operates 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, offers patient education, and maintains medical records. This position delivers direct patient care efficiently, including patients with varied and complex needs. The RN II collaborates with physicians and the interprofessional health care team to facilitate compassionate, efficient, and quality care, achieving desired treatment outcomes. The RN II demonstrates clinical competence using technology, administering medications, performing procedures, and managing emergencies, while advocating for patient and family rights. The RN II assumes progressive leadership responsibilities, including leading unit and shared governance initiatives, serving as charge nurse or preceptor to new employees, and contributing to service line or hospital-wide initiatives in partnership with management. FLSA STATUS Non-exempt QUALIFICATIONS EDUCATION Graduate of a program approved by the credentialing body for the required credential(s) indicated 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 PSA Compact Licensure; must obtain permanent Texas license within 60 days (if establishing Texas residency) and BLS – Basic Life Support or Instructor (AHA) – American Heart Association PREFERRED Magnet – ANCC Recognized Certification SKILLS AND ABILITIES Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through ongoing skills, competency assessments, and performance evaluations as defined in the orientation checklist and annual departmental competency checklist Proficient in speaking, reading, and writing the English language necessary to perform essential functions, especially regarding patient or employee safety Effectively communicates with patients, physicians, family members, and co‑workers with a customer‑service focus and positive language principles Strong assessment, organizational, and problem‑solving skills to prioritize multiple tasks and role components Functions independently and exercises judgment in interactions with the interprofessional care team, patients, and families Uses critical thinking and clinical judgment to work autonomously as defined by the Nurse Practice Act Demonstrates proficient time‑management skills Maintains professional contributions as defined in the Clinical Career Path program guide Working knowledge of Microsoft products including Outlook ESSENTIAL FUNCTIONS PEOPLE ESSENTIAL FUNCTIONS Uses therapeutic communication, including active listening and teaching, to establish relationships 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, applying 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 towards improvement of the department score for turnover/retention/employee engagement on the 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 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 behalf of the patient/family to identify and resolve clinical and ethical concerns using appropriate resources. Provides patient teaching based on learning needs, using appropriate resources and 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 via peer‑to‑peer accountability to service standards. QUALITY/SAFETY ESSENTIAL FUNCTIONS Follows standards of care related to the nursing process as outlined in the Houston Methodist Professional Nursing Practice document. Follows regulatory requirements and professional practice standards as detailed in the Houston Methodist Professional Nursing Practice document; identifies areas of practice improvement with research‑based evidence to achieve core measures and patient safety outcomes, supported by accurate documentation. Provides and modifies care for complex patients and coordinates care with the interprofessional team based on evaluation of the patient’s condition, supported by accurate documentation; utilizes clinical judgement, employing an evidence‑based analytical approach. Improves quality and safety scores on the unit‑based scorecard through peer‑to‑peer accountability, reporting near misses, and collaboration with the interprofessional health care team. FINANCE ESSENTIAL FUNCTIONS Displays self‑motivation to manage time independently, document care promptly, minimize incidental overtime, and prioritize daily tasks; provides input into unit resource utilization including unit capital and operational budget needs. Contributes to meeting department financial targets on the unit‑based scorecard by decreasing length of stay, optimizing efficiency, and other areas per 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 changes 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 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