Registered Nurse II (RN) Emergency Room-PRN-Kirby

Day shift Position: Registered Nurse (RN) PRN Emergency Services at Houston Methodist. Role: Licensed staff nurse functioning at the Competent to Proficient stage of Benner's model, providing professional nursing care to a diverse patient population. Responsibilities include nursing assessments, exams and treatment assistance, patient education, and meticulous maintenance of medical records. Provides direct patient care efficiently, including patients with varied and complex needs. Collaborates with physicians and interprofessional team to facilitate compassionate, efficient, and quality care. Demonstrates clinical competence, uses technology, administers medications, performs procedures, and manages emergencies. Acts as a patient and family advocate, upholding patient rights. Assumes leadership roles such as charge nurse or preceptor and contributes to unit and hospital-wide initiatives.

FLSA STATUS

Non-exempt 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 Two years 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 ACL4 – 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) Knowledge 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 orientation checklist and annual departmental competency checklist Proficient in speaking, reading, and writing English necessary to perform essential functions, especially with regard to activities impacting patient or employee safety or security Effectively communicates with patients, physicians, family members and co‑workers in a customer‑service focus and positive language principles Strong assessment, organizational, and problem‑solving skills as evidenced by capacity to prioritize multiple tasks and role components Functions independently and exercises judgment in interactions with physicians, interprofessional care team, and patients and families Uses critical thinking skills and clinical judgment to work autonomously as defined by the Nurse Practice Act Demonstrates proficient time‑management skills Maintains professional contributions as defined in Clinical Career Path program guide Working knowledge of Microsoft products including Outlook Essential Functions People Essential Functions Uses therapeutic communication to establish relationships with patients, families, and the interprofessional health care team and to collaborate on the plan of care. Contributes to teamwork by awareness of overall unit acuity, offering assistance and responding positively to requests. 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 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 that is congruent with cultural diversity and inclusion principles. 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/families to identify and resolve clinical and ethical concerns, utilizing appropriate resources. Provides patient teaching based on learning needs, uses appropriate resources, and incorporates planning for care after discharge. Consistently evaluates patient comprehension and adapts teaching methods accordingly. 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. 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 measure 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 judgement and 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 in a timely manner, minimize incidental overtime, and prioritize daily tasks. Provides input into the unit resource utilization including unit capital and operational budget needs. Contributes towards 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