At Houston Methodist, the Registered Nurse (RN) II position is a licensed staff nurse, an experienced clinician, functions at the Competent to Proficient stage of Benner's model of clinical practice. The RN II position provides professional nursing care to a diverse patient population, conducts nursing assessments, assists with exams and treatment, patient education, and maintenance of medical records. The RN II position provides direct patient care effectively and efficiently which may include patients with varied and complex needs. This position communicates and collaborates with the physicians and interprofessional health care team to facilitate, coordinate and maintain compassionate, efficient, quality care and achievement of desired treatment outcomes. The RN II position demonstrates clinical competence when providing care, using technology, administering medications, performing procedures and managing emergencies, acting as a patient and family advocate in order to monitor and maintain patient rights. This position 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 QUALIFICATIONS EDUCATION Graduate of 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 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) and BLS - Basic Life Support or Instructor (AHA) - American Heart Association and ACLS - Advanced Cardiac Life Support or Instructor (AHA) - American Heart Association within 4 months Preferred NIHSTROKE - National Institute of Health Stroke Scale Certification (AHA) if float to unit or taking care of pt req NIHSS within 4 months Magnet - ANCC Recognized Certification 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 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 Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles Strong assessment, organizational and problem solving skills as evidenced by capacity to prioritize multiple tasks and role components Ability to function independently and exercise judgment in interactions with physicians, 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 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 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 turnover/retention/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 maintenance of 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 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, 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 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 (ie. 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 QUALIFICATIONS EDUCATION Graduate of 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 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) and BLS - Basic Life Support or Instructor (AHA) - American Heart Association and ACLS - Advanced Cardiac Life Support or Instructor (AHA) - American Heart Association within 4 months Preferred NIHSTROKE - National Institute of Health Stroke Scale Certification (AHA) if float to unit or taking care of pt req NIHSS within 4 months Magnet - ANCC Recognized Certification
At Houston Methodist, the Charge Nurse position is a licensed professional Registered Nurse (RN) who, as an experienced clinician, functions at the Competent to Proficient stage of Benner's model of clinical practice. This position creates an environment for the management and delivery of safe patient care. In addition to fulfilling the duties and responsibilities of a clinical nurse, the Charge Nurse position is a role model and coach to department personnel and assists in developing their skills and knowledge. This position provides nursing care to a diverse patient population. Besides conducting nursing assessments, assisting with exams and treatment and maintenance of medical records, this position assists in coaching and mentoring department staff in areas of clinical and professional practice. Role modeling compassionate communication with physicians and the interprofessional health care team, the Charge Nurse assumes leadership responsibilities with high-level contributions at the bedside, unit, service line, and across the institution. Responsibilities for this position may include but are not limited to leading unit and shared governance activities, assessing unit needs related to practice and improvement opportunities, serving as a clinical resource for both unit and hospital staff and coordinating unit and hospital-wide education in partnership with management. FLSA STATUS Non-exempt QUALIFICATIONS EDUCATION Graduate of education program approved by the credentialing body for the required credential(s) indicated below in the Certifications, Licenses and Registrations section EXPERIENCE Twenty four months of clinical nursing experience with demonstration of progressive leadership skills 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) and BLS - Basic Life Support or Instructor (AHA) - American Heart Association and ACLS - Advanced Cardiac Life Support or Instructor (AHA) - American Heart Association and NIHSTROKE - National Institute of Health Stroke Scale Certification (AHA) - American Heart Association within 4 months Preferred Magnet - ANCC Recognized Certification NVCRISIS - Nonviolent Crisis Intervention or Instructor (CPI) KNOWLEDGE AND ABILITIES Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through ongoing skills, competency assessments, and performance evaluations 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 Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles Strong assessment, organizational and problem solving skills as evidenced by capacity to prioritize multiple tasks and role components Ability to function independently and exercise judgment in interactions with physicians, interprofessional healthcare 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 Demonstrates highly developed assessment skills; contributes to policies, procedure and protocols Has knowledge of Nursing Unit’s Dashboard and Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores Demonstrates expertise in operating the electronic medical record Maintains level of professional contributions as defined in Clinical Career Path program guide ESSENTIAL FUNCTIONS PEOPLE ESSENTIAL FUNCTIONS Fosters staff engagement by demonstrating active listening, requesting and acknowledging feedback, making equitable decisions, providing rationale when appropriate, and supporting organizational goals. Anticipates the needs of the staff members and proactively offers assistance. Role models inter-professional communication, which includes active listening and teaching, and assists with staff stress management as needed. Improves departmental scores for turnover/retention on unit-based scorecard. Role models fair and consistent leadership skills for effective team dynamics and team building strategies through problem solving, coaching, and developing staff. Coaches staff to use efficient and effective communication to establish and maintain a team environment, and to include the patient and family as a part of the team regarding their plan of care. Provides input into staff performance reviews, as appropriate. Functions as a mentor and resource to unit staff, provides oversight for students/new employee/preceptorships. Identifies levels of organizational conflict and applies tools to effectively resolve concerns, complaints or conflict with patients, families, physicians and other inter-professional healthcare team members. SERVICE ESSENTIAL FUNCTIONS Leads the patient and family-centered care standards, as outlined in the Houston Methodist Professional Nursing Practice document. Mentors others regarding specialty populations; audits plan of care. Practices in a manner that is congruent with cultural diversity and inclusion principles. Maintains ongoing interactions with patients, families, and staff on the improvement of patient care through leader rounding. Ensures effective collaboration with other departments regarding patient process issues. Drives department service standards and activities to improve department score for patient satisfaction on unit-based scorecard, through role modeling and fostering accountability. QUALITY/SAFETY ESSENTIAL FUNCTIONS Models the standards of care related to the nursing process, as outlined in the Houston Methodist Professional Nursing Practice document, by actively participating in meeting and improving nurse sensitive quality indicators and patient safety goals. Participates in the creation of a continuous improvement environment by promoting situational awareness, assisting with audits as needed, and using teachable moments. Coordinates nursing care throughout the shift considering patient acuity, staff skill level and safety to ensure that our duty to our patients can be met. Models the standards related to regulatory requirements and professional practice as outlined in the Houston Methodist Professional Nursing Practice document. Facilitates seamless patient flow to/from/through the department, leading the delivery of quality family-centered care throughout the continuum of care. Ensures the patient plan of care is accurate and timely, coaching staff if documentation deficiencies are identified. Works closely with the OAs and bed management regarding timely patient placement. Proactively recognizes, determines a plan of action, and responds to situations, such as Rapid Response/CERTs, and emergency codes. Participates in initiatives to improve quality and safety scores on the unit and hospital scorecards, through peer-to-peer accountability, reporting near misses and identifying solutions by collaborating with the interprofessional team. Role models situational awareness, using teachable moments to improve safety. Assists with audits as needed. FINANCE ESSENTIAL FUNCTIONS Implements department strategies to achieve financial target on unit-based scorecard and mentors others to do the same through timely documentation of care, decreasing length of stay, optimizing efficiency, minimizing incidental overtime, and other areas according to departmental specifications. Attends daily care coordination rounds to facilitate patient progression. Ensures that follow-up has been implemented on any concerns or issues identified by the team. Manages productivity in accordance with staffing grid. Provides input into unit resource utilization including unit capital and operational budget needs. Oversees shift by shift resource utilization through the allocation of staff, supplies and contributions to the patient throughput. GROWTH/INNOVATION ESSENTIAL FUNCTIONS Fosters identification and implementation of innovative solutions for practice changes to improve patient care or unit operations such as reduction of hospital readmissions or other department-specific measures by leading and/or participating in unit projects and shared governance activities. Investigates and incorporates evidence-based practices which are presented to shared governance and leadership. Supports change initiatives and adapts to unexpected changes. Expands individual nursing knowledge and coaches staff to grow in knowledge, abilities, skills, and attitudes. Serves as clinical resource. Develops and disseminates, as appropriate, informational/educational resources and programs designed to improve quality and professional practice. SUPPLEMENTAL REQUIREMENTS WORK ATTIRE Uniform: Yes Scrubs: Yes Business professional: No Other (department approved): No ON-CALL* *Note that employees may be required to be on-call during emergencies (ie. 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 QUALIFICATIONS EDUCATION Graduate of education program approved by the credentialing body for the required credential(s) indicated below in the Certifications, Licenses and Registrations section EXPERIENCE Twenty four months of clinical nursing experience with demonstration of progressive leadership skills 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) and BLS - Basic Life Support or Instructor (AHA) - American Heart Association and ACLS - Advanced Cardiac Life Support or Instructor (AHA) - American Heart Association and NIHSTROKE - National Institute of Health Stroke Scale Certification (AHA) - American Heart Association within 4 months Preferred Magnet - ANCC Recognized Certification NVCRISIS - Nonviolent Crisis Intervention or Instructor (CPI)
At Houston Methodist, the Nurse Practitioner Acute Care (NP) AC is responsible for functioning as a licensed registered nurse and care provider to provide all aspects of patient care, including diagnosis, treatment and consultation while maintaining and promoting the health of the patient. This position may work in both inpatient and outpatient situations and performs according to the Nurse Practice Act of the State of Texas and as part of a treatment team. The NP AC position role models compassionate communication with patients, physicians and the interprofessional health care team and provides education to patients about preventative care and prescribed treatments. This position may also conduct physicals, order tests and serve as a patient's healthcare provider, prescribing medications as appropriate. The NP AC position affects direct patient care according to the Houston Methodist Professional Practice Model Nursing Practice and Professional Performance policies and procedures. FLSA STATUS Exempt QUALIFICATIONS EDUCATION Master’s degree or higher from an accredited school of Nursing and graduate from an accredited Nurse Practitioners program EXPERIENCE Two years of registered nurse, advanced practice or nurse practitioner clinical experience 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) and APRN Acute Care state license and Magnet ANCC-recognized Acute Care practitioner certification and BLS - Basic Life Support or Instructor (AHA) - American Heart Association and AP - Prescriptive Authority - Texas Board of Nursing - Texas Department of Licensing and Regulation_PSV and DEA - Narcotics License (DEA) - Drug Enforcement Administration_PSV within 6 months KNOWLEDGE AND ABILITIES Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through ongoing skills, competency assessments, and performance evaluations 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 Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles Demonstrates highly developed assessment, clinical, documentation, leadership, and analytical skills Uses therapeutic communication to establish a relationship with patients, families and interprofessional team to collaborate on the plan of care Strong organizational and problem-solving skill as evidenced by capacity to prioritize multiple tasks and role components Ability to function independently and exercise judgment in interactions with physicians, interprofessional care team and patients and their families Demonstrates proficient time management skills Uses critical thinking skills and clinical judgment to work autonomously as defined by the Nurse Practice Act ESSENTIAL FUNCTIONS PEOPLE ESSENTIAL FUNCTIONS Demonstrates leadership as a clinical resource, interprofessional consultant, and patient advocate. Identifies staff development opportunities for professional growth of colleagues, provides coaching to meet identified goals. Communicates organizational information and aspects of administrative and clinical practice in a respectful and positive manner when interacting with staff. Advocates for a balanced workload, promotes positive behaviors, and peer-to-peer accountability. Facilitates the promotion of teamwork. Collaborates with the interprofessional healthcare team members to manage/coordinate patient care. Advocates on patient/family’s behalf to identify and resolve clinical and ethical concerns. Collaborates to foster healthy relationships in the work environment. Acts as a role model and coaches staff in effective verbal, non-verbal and written communication. Serves as preceptor for Nurse Practitioner students and medical resident(s), as applicable. Uses peer-to-peer accountability towards improvement of department score for employee engagement. SERVICE ESSENTIAL FUNCTIONS Coordinates appropriate, timely patient care under physician supervision, for a defined patient population(s), focusing on identified expected unit/optimal outcomes, individualized to the patient. Prioritizes care based on the patient’s needs, abilities, and preferences. Coordinates patient care between healthcare providers. Attends and participates in interprofessional rounds, as appropriate. Helps drive improvement of department score for patient satisfaction, through peer-to-peer accountability to service standards. QUALITY/SAFETY ESSENTIAL FUNCTIONS Functions as a quality care provider, coordinating, maintaining, and promoting the health of the patient. Assists the interprofessional healthcare team in the development and implementation of protocols to ensure patient safety. Affects direct patient care according to the nurse practice act of the State of Texas and the Houston Methodist Professional Practice Model Nursing Practice and Professional Performance. Conducts health assessments (initial, ongoing, discharge, as appropriate). Identifies normal/abnormal health characteristics, develops plan of care, initiates appropriate interventions, and evaluates care outcomes on defined patient populations(s). Performs invasive, diagnostic, or therapeutic procedures necessary for defined patient population(s) based on licensure and credentialed privileges. Provides safe and effective care by leading and initiating outcome, quality, and safety improvement activities in alignment with organizational goals. Integrates and contributes to professional practice standards, policies, procedures, protocols and leads improvements in patient safety-related processes. FINANCE ESSENTIAL FUNCTIONS Implements department strategies to achieve financial targets and mentors others to do the same through timely documentation of care, decreasing length of stay, optimizing efficiency, and other areas according to departmental specifications. Projects awareness and understanding of resource allocation based on patient needs and staff experience, knowledge, and skills. GROWTH/INNOVATION ESSENTIAL FUNCTIONS Promotes quality health care through integration of current research into practice and participation in research/evidence-based activities. Identifies opportunities for practice changes and performance improvement. Provides education of information/knowledge in professional activities such as research, presentations, and publications. Expands individual nursing knowledge and coaches staff to grow in knowledge, abilities, skills, and attitudes. Serves as clinical resource. Ensures own career discussions occur with appropriate management. Completes and updates the My Development Plan on an ongoing basis. SUPPLEMENTAL REQUIREMENTS WORK ATTIRE Uniform: No Scrubs: Yes Business professional: Yes Other (department approved): Yes ON-CALL* *Note that employees may be required to be on-call during emergencies (ie. 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 QUALIFICATIONS EDUCATION Master’s degree or higher from an accredited school of Nursing and graduate from an accredited Nurse Practitioners program EXPERIENCE Two years of registered nurse, advanced practice or nurse practitioner clinical experience 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) and APRN Acute Care state license and Magnet ANCC-recognized Acute Care practitioner certification and BLS - Basic Life Support or Instructor (AHA) - American Heart Association and AP - Prescriptive Authority - Texas Board of Nursing - Texas Department of Licensing and Regulation_PSV and DEA - Narcotics License (DEA) - Drug Enforcement Administration_PSV within 6 months
At Houston Methodist, the Registered Nurse (RN) II position is a licensed staff nurse, an experienced clinician, functions at the Competent to Proficient stage of Benner's model of clinical practice. The RN II position provides professional nursing care to a diverse patient population, conducts nursing assessments, assists with exams and treatment, patient education, and maintenance of medical records. The RN II position provides direct patient care effectively and efficiently which may include patients with varied and complex needs. This position communicates and collaborates with the physicians and interprofessional health care team to facilitate, coordinate and maintain compassionate, efficient, quality care and achievement of desired treatment outcomes. The RN II position demonstrates clinical competence when providing care, using technology, administering medications, performing procedures and managing emergencies, acting as a patient and family advocate in order to monitor and maintain patient rights. This position 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 QUALIFICATIONS EDUCATION Graduate of 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 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) and BLS - Basic Life Support or Instructor (AHA) - American Heart Association and ACLS - Advanced Cardiac Life Support or Instructor (AHA) - American Heart Association within 4 months and NIHSTROKE - National Institute of Health Stroke Scale Certification (AHA) - American Heart Association within 4 months Preferred Magnet - ANCC Recognized Certification or NVCRISIS - Nonviolent Crisis Intervention or Instructor (CPI) 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 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 Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles Strong assessment, organizational and problem solving skills as evidenced by capacity to prioritize multiple tasks and role components Ability to function independently and exercise judgment in interactions with physicians, 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 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 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 turnover/retention/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 maintenance of 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 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, 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 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 (ie. 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 QUALIFICATIONS EDUCATION Graduate of 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 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) and BLS - Basic Life Support or Instructor (AHA) - American Heart Association and ACLS - Advanced Cardiac Life Support or Instructor (AHA) - American Heart Association within 4 months and NIHSTROKE - National Institute of Health Stroke Scale Certification (AHA) - American Heart Association within 4 months Preferred Magnet - ANCC Recognized Certification or NVCRISIS - Nonviolent Crisis Intervention or Instructor (CPI)
This position is a full-time day shift role working five, 8 hour shifts Monday-Friday from 5:00am-1:30pm, no weekends, holiday call and disaster team placement required. At Houston Methodist, the Registered Nurse (RN) II position is a licensed staff nurse, an experienced clinician, functions at the Competent to Proficient stage of Benner's model of clinical practice. The RN II position provides professional nursing care to a diverse patient population, conducts nursing assessments, assists with exams and treatment, patient education, and maintenance of medical records. The RN II position provides direct patient care effectively and efficiently which may include patients with varied and complex needs. This position communicates and collaborates with the physicians and interprofessional health care team to facilitate, coordinate and maintain compassionate, efficient, quality care and achievement of desired treatment outcomes. The RN II position demonstrates clinical competence when providing care, using technology, administering medications, performing procedures and managing emergencies, acting as a patient and family advocate in order to monitor and maintain patient rights. This position 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 QUALIFICATIONS EDUCATION Graduate of 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 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) and BLS - Basic Life Support or Instructor (AHA) - American Heart Association and ACLS - Advanced Cardiac Life Support or Instructor (AHA) - American Heart Association within 4 months Preferred Magnet - ANCC Recognized Certification PALS - Pediatric Advanced Life Support or Instructor (AHA) if Pediatric care within 4 months 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 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 Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles Strong assessment, organizational and problem solving skills as evidenced by capacity to prioritize multiple tasks and role components Ability to function independently and exercise judgment in interactions with physicians, 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 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 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 turnover/retention/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 maintenance of 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 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, 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 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 (ie. 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 QUALIFICATIONS EDUCATION Graduate of 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 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) and BLS - Basic Life Support or Instructor (AHA) - American Heart Association and ACLS - Advanced Cardiac Life Support or Instructor (AHA) - American Heart Association within 4 months Preferred Magnet - ANCC Recognized Certification PALS - Pediatric Advanced Life Support or Instructor (AHA) if Pediatric care within 4 months
