Registered Nurse II (RN) Labor & Delivery

About the Role

This full‑time, night‑shift RN II position in Labor and Delivery at Houston Methodist Baytown Hospital provides professional nursing care to a diverse patient population. The RN II conducts assessments, assists with exams and treatment, educates patients, maintains medical records, and delivers direct care to patients with varied and complex needs. The role involves collaboration with physicians and the interprofessional health‑care team, advocacy for patients and families, and leadership responsibilities such as serving as charge nurse, preceptor, or participant in unit and shared‑governance initiatives.

Qualifications

• Graduate of an education program approved by the credentialing body for the required credential(s).
• At least twelve (12) months of registered‑nurse experience in a health‑care environment.
• Required licenses and certifications:
  • RN – Texas State Licensure (PSV Compact); must obtain permanent Texas license within 60 days if establishing Texas residency.
  • BLS – Basic Life Support or Instructor (American Heart Association).
  • ACLS – Advanced Cardiac Life Support or Instructor (American Heart Association) – within 4 months of hire.
  • NRP – Neonatal Resuscitation or Instructor (American Heart Association/American Academy of Pediatrics) – within 4 months of hire.
  • FHMC – Fetal Heart Monitoring Certification (Intermediate, Advanced, or Instructor) – Association of Women’s Health, Obstetric and Neonatal Nurses – within 4 months of hire.

Skills and Abilities

• Demonstrated clinical competence in technology use, medication administration, procedures, and emergency management.
• Strong therapeutic communication, active listening, and patient education skills.
• Ability to prioritize multiple tasks, exercise independent judgment, and apply critical‑thinking and clinical‑judgment skills.
• Proficient time‑management and organizational abilities.
• Effective written and verbal English communication, especially regarding safety and security.
• Working knowledge of Microsoft Outlook and related products.

People Responsibilities

• Use therapeutic communication, active listening, and teaching to build relationships with patients, families, and the health‑care team.
• Contribute to teamwork by monitoring unit acuity, offering assistance, and responding positively to requests.
• Foster healthy workplace relationships and collaborate effectively.
• Seek and provide guidance to the interprofessional team, applying feedback to improve outcomes.
• Implement staff education, coach and mentor staff and students, and serve as a preceptor.
• Utilize peer‑to‑peer accountability to improve turnover, retention, and employee‑engagement scores.

Service Responsibilities

• Follow patient‑ and family‑centered care standards as outlined in Houston Methodist’s Professional Nursing Practice document.
• Conduct nursing assessments, assist with exams and treatments, and maintain accurate medical records.
• Practice culturally sensitive, inclusive care.
• Develop, update, and communicate individualized plans of care, including discharge planning, in partnership with patients, families, and the care team.
• Prioritize care based on patient needs, abilities, and preferences.
• Advocate for patients and families, addressing clinical and ethical concerns using appropriate resources.
• Provide patient teaching tailored to learning needs and evaluate comprehension, adapting methods as needed.
• Contribute to improving patient‑satisfaction scores through peer accountability and adherence to service standards.

Quality & Safety Responsibilities

• Adhere to nursing process standards and regulatory requirements detailed in the Professional Nursing Practice document.
• Identify practice‑improvement opportunities using research‑based evidence to achieve core measures and patient‑safety outcomes.
• Provide and modify care for complex patients, coordinating with the interprofessional team and documenting accurately.
• Apply evidence‑based clinical judgment and analytical approaches.
• Improve quality and safety scores via peer accountability, near‑miss reporting, and collaboration with the care team.

Finance Responsibilities

• Self‑motivate to manage time effectively, document care promptly, and minimize incidental overtime.
• Provide input on unit resource utilization, including capital and operational budget needs.
• Contribute to meeting departmental financial targets by reducing length of stay, optimizing efficiency, and supporting other cost‑saving initiatives.

Growth & Innovation Responsibilities

• Identify and propose areas for innovation, efficiency, and improvement in patient care or unit operations using evidence‑based literature.
• Develop and present solutions through performance‑improvement projects, shared‑governance activities, and new care pathways.
• Champion implementation of new service lines to better serve the community.
• Recognize trends, research changes, and present options to shared‑governance and leadership.

Supplemental Requirements

• Uniform: No scrubs (business professional not required).
• On‑call: May be required during emergencies (e.g., disaster, severe weather).
• Travel: May require travel within the Houston metropolitan area; travel outside the area is not required.