Registered Nurse II Perioperative Services - PACU

Position Overview At Houston Methodist, the Registered Nurse (RN) II position is a licensed staff nurse, an experienced clinician, functioning 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 efficiently, which may include 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 the achievement of 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 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 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 & 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 Preferred Magnet – ANCC Recognized Certification PALS – Pediatric Advanced Life Support or Instructor (AHA) if Pediatric care Skills & 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 sufficient to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security Effectively communicates with patients, physicians, family members and co‑workers in a manner consistent with a customer‑service focus and application of positive language principles Has strong assessment, organizational, and problem‑solving skills as demonstrated by capacity to prioritize multiple tasks and role components Functions independently and exercises judgment in interactions with physicians, the interprofessional care team, and patients and their families Uses critical thinking skills and clinical judgment to work autonomously as defined by the Nurse Practice Act Demonstrates proficient time‑management skills Maintains level of professional contributions as defined in Clinical Career Path program guide Has working knowledge of Microsoft products, including Outlook 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. 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, possibly including preceptorship. Uses peer‑to‑peer accountability toward improvement of department score for turnover, retention, and 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 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 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 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, 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 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 On Call: Yes Travel May require travel within the Houston Metropolitan area: Yes May require travel outside Houston Metropolitan area: No #J-18808-Ljbffr