RN PRN 1 Medical Surgery

About the role

The Registered Nurse (RN) PRN Med/Surg position at Houston Methodist Continuing Care Hospital is a licensed staff nurse with two years of experience in a healthcare environment. This role functions at the Competent to Proficient stage of Benner's model of clinical practice.

Responsibilities

• Provides professional nursing care to a diverse patient population, conducting nursing assessments, assisting with exams and treatment, patient education, and maintaining medical records.
• Communicates and collaborates with physicians and interprofessional health care team to facilitate, coordinate, and maintain compassionate, efficient, quality care and desired treatment outcomes.
• Demonstrates clinical competence when providing care, using technology, administering medications, performing procedures, and managing emergencies, acting as a patient and family advocate.
• Assumes leadership roles including participating in or leading unit and shared governance initiatives, serving as charge nurse or preceptor to students or new employees, and potentially contributing to service line or hospital-wide initiatives.

Qualifications

• Graduate of an education program approved by the credentialing body for the required credential(s) indicated below in the Certifications, Licenses and Registrations section.
• 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

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 orientation checklist and annual departmental competency checklist.
• Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security.
• Strong assessment, organizational, and problem-solving skills as evidenced by capacity to prioritize multiple tasks and role components.
• Uses critical thinking skills and clinical judgment to work autonomously as defined by the Nurse Practice Act.
• Maintains level of 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, establishes a relationship with patients, families, and 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 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 towards improvement of department score for employee engagement.
• 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; 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 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, incorporates planning for care after discharge; helps drive improvement of department score for patient satisfaction 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 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, timely document care, 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 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.