ICU Registered Nurse

Methodist Healthcare System Fredericksburg, TX 78624, US

Job Summary and Qualifications

The professional Registered Nurse (RN) is the patient and patient’s family advocate. He/she consistently applies and utilizes the nursing process, critical thinking skills, scientific judgment, technical skills and leadership to independently deliver safe nursing care to patients. The RN collaborates with the patient care team to achieve quality patient outcomes in alignment with the Hospital mission and Methodist Excellence goals. Communicates and utilizes interpersonal skills effectively and role models confidence and professionalism within nursing as evidenced by active engagement in unit and organizational activities. Demonstrates team work and adaptability and is a resource person to the patient care team. He/she is accountable for the quality of nursing care services delivered by self or others under their direction in accordance with the Texas Nurse Practice Act, hospital policies and procedures and the Texas Board of Nursing rules for delegated nursing tasks (Chapter 224). Promotes a positive image of nursing and demonstrates team work and adaptability through consistently following the standards of Methodist Excellence.
About the Unit:
10 bed Medical/Surgical ICU
Patient to Nurse ratio 2:1
Caring for general medical, vascular, some neurosurgical, and general surgery ICU patients
Engaged & Supportive Leadership

What You Will Do In Your Role:
Conducts comprehensive, timely, and ongoing focused physical, psycho- social and pain assessments; includes assessment of patient education needs.
Utilizes the assessment, identifies problems, makes nursing diagnoses, formulates goals, teaching plans and outcomes to create an individualized plan of care. Identifies individual patient goals, readiness to learn and incorporates family into the plan of care.
Prioritizes and implements a competent, prioritized and efficient nursing plan of care.
Consistently conducts timely evaluation, anticipates and recognizes changes in patient conditions, determines when reassessments are needed and adjusts the plan of care as necessary. Compares expected and achieved outcomes of nursing care utilizing the plan of care.
Collaborates with patient care team members on patient care plan; communicates timely and effectively with physicians and other members of the patient care team through verbal, written or electronic communication to coordinate and facilitate meeting patient needs. Incorporates consistent use of hand-off communication and SBAR communication methods.
Demonstrates critical thinking skills, scientific judgment, and organizational skills. Prioritizes tasks and adjusts priorities when necessary. Maintains an orderly, efficient and timely flow of patients. Recognizes and reports errors and unusual occurrences and analyze contributing factors. Initiates corrective action when appropriate.
Makes accurate, complete and timely entries into the patient medical record addressing all steps of the nursing process. Actively communicates with members of the healthcare team, patient and patient family.
Maintains current nursing knowledge to assure a safe working environment. Demonstrates practical application of all policies and procedures relative to safety and the pillars of Methodist Excellence to include: Applicable quality core measures, infection prevention, fall prevention, medication administration safety, hourly rounding, and AIDET principles.
Responsible to supervise tasks delegated to unlicensed personnel and accountable for tasks performed by unlicensed personnel according to the Texas BON rules for delegated nursing tasks (Chapter 224).
Supports the mission and vision of the Methodist Healthcare System. Understands and is committed to helping the Methodist Healthcare System and its associated facilities achieve its goals.
Must learn and comply with System and facility safety policies and rules; must use appropriate safety equipment and procedures at all times; must immediately report all unsafe conditions to supervisors; must be familiar with all safety features of equipment, tools or materials encompassed by job duties; and must check with supervisors (prior to job performance) if there is a question as to the safe procedure to be used for any job function.
Adheres to the MHS Code of Conduct and demonstrates ethical behavior as expected by our patients, colleagues and the community. Understands the personal obligation to report any activity that appears to violate applicable laws, rules regulations or the Code of Conduct itself.
Recognizes and responds to crisis situations. Notifies appropriate individuals of actual or impending crisis.
Incorporates patients cultural and spiritual beliefs into care by making appropriate referrals to chaplain, social services, case manager, etc. Documents pertinent data including assessment, interventions and evaluations.
Participates in performance improvement activities of the hospital/unit. This may include data collection. Participation on a team or implementing recommendations identified through quality initiatives.
Assists in providing education for staff through being a liaison and/or through preceptor ship. Assists coworkers willingly and shares information/resources with team members.
Patient information is managed confidentially – including both written and electronic records. Ensures physical and auditory privacy.
Completes other duties as assigned
Practices and adheres to the “Code of Conduct” and “Mission and Value Statement.”

What qualifications you will need:

Graduate of an accredited diploma or associates, or baccalaureate degree registered nursing program required
Minimum of six (6) months of clinical experience as a licensed Registered Nurse required
Current Registered Nurse License in the State of Texas or Multi-State Compact License (Employees with RN Compact License are required to obtain Texas RN License within 90 days of hire date)
Current American Heart Association BLS Certification required
Advanced Cardiac Life Support (ACLS) preferred

Benefits

Methodist Hospital Hill Country, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
Wellbeing support, including free counseling and referral services
Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

"Nurses play a pivotal role and are the backbone of healthcare delivery. At HCA Healthcare, we are dedicated to ensuring nurses have necessary tools and resources to provide world-class patient care, advocating for the profession and helping to shape the future of nursing."

Sammie Mosier, DHA, MA, BSN, NE-BC

Senior Vice President and Chief Nursing Executive, HCA Healthcare

Founded in Fredericksburg, Texas, in 1971, Methodist Hospital | Hill Country is an award-winning healthcare organization that has gained a reputation for delivering remarkable care. The hospital has been named a Fortune/Merative Top 100 Hospital nine times in its history due to its excellent quality, outcomes, and experience results. The recipient of the prestigious Malcolm Baldrige Quality Award, Methodist Hospital | Hill Country is the largest employer in Gillespie County with more than 600 staff and 225 medical staff members. Methodist Hospital | Hill Country, formerly Hill Country Memorial Hospital, offers state-of-the-art services like the Restore Joint Replacement Center and an interventional cardiology program.

HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

If this opportunity is your next step in your career path, we encourage you to apply for our ICU Registered Nurse opening. We review all applications. Qualified candidates will be contacted by a member of our team. We are interviewing, apply today!

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

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Neuro ICU Registered Nurse

Methodist Healthcare System San Antonio, TX

As the nation’s largest private employer of Registered Nurses, we’re honored by the trust of over 100,000 nurses and committed to supporting safe, high-quality care for which they can practice. That’s why more than 80% of our hospitals earn an A or B Leapfrog safety grade, rank in the top 5% nationally for patient outcomes through Health Grades , or are recognized as Magnet or Pathway to Excellence facilities. Join us! Job Summary and Qualifications Are you a nurse with a passion for neuroscience and critical care? Our 14-bed Neuro Critical Care Unit (NCCU) is a cutting-edge, high-acuity environment specializing in the management of critically ill neurological and neurosurgical patients. NCCU plays a vital role in providing advanced care for stroke, spinal cord injuries, lumbar drains, seizures, and other complex neurological conditions. Why Join Our Neuro ICU? Expert-Level Care: Work in a Primary Stroke Center, providing rapid, life-saving interventions, including mechanical thrombectomy, continuous EEG monitoring, and advanced neuroimaging. State-of-the-Art Technology: Utilize intracranial pressure monitoring, targeted temperature management, and advanced hemodynamic support in a specialized neurocritical care setting. Interdisciplinary Team Collaboration: Partner with intensivists, neurosurgeons, stroke specialists, respiratory therapists, and rehabilitation teams to optimize patient outcomes. Professional Growth: Access ongoing education in neurocritical care nursing, stroke management, and advanced neurological assessments, with opportunities for certification (CNRN, SCRN). Your Role in the Unit: Provide expert care for patients with acute ischemic stroke, hemorrhagic stroke, subarachnoid hemorrhage, traumatic brain injury (TBI), status epilepticus, and post-neurosurgical recovery. Perform frequent neurological assessments, monitor for signs of deterioration, and intervene rapidly to prevent secondary brain injury. Manage advanced therapies, including ventilators, continuous EEG, and vasoactive medications. Educate patients and families on neurological conditions, rehabilitation expectations, and recovery pathways. What qualifications you will need: Graduate of an accredited diploma, associates, or baccalaureate degree registered nursing program. Minimum of six (6) months of clinical experience as a licensed Registered Nurse required One (1) year of critical care experience as a licensed Registered Nurse preferred Current Registered Nurse License in the State of Texas or Multi-State Compact License (Employees with RN Compact License are required to obtain Texas RN License within 90 days of hire date) Current American Heart Association BLS Certification Benefits Methodist Hospital Stone Oak, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services Wellbeing support, including free counseling and referral services Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence Savings and retirement resources , including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts Learn more about Employee Benefits Note: Eligibility for benefits may vary by location. "There is so much good to do in the world and so many different ways to do it." - Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder Methodist Hospital Stone Oak is equipped with the most modern technology available. With over 280 beds, services include emergency care, general surgery, obstetrics and gynecology, neonatology, oncology, neurosurgery, orthopedics, and acute rehab services. Methodist Hospital Stone Oak is accredited by the Joint Commission as a Primary Stroke Center and Chest Pain Center. The stroke rehabilitation program has received the Joint Commissions Gold Seal of Approval® for Disease-Specific Care Certification of Stroke Rehabilitation. We belong to the Texas Institute for Robotic Surgery. Our surgeons and technology offer minimally invasive options to patients. Surgeons from around the country come to train under our world class team. The hospital has been recognized by Leapfrog’s Hospital Safety Grade A and by Modern Healthcare as one of the Top 100 Best Places to Work in Healthcare. We have also been recognized as a Joint Commission Top Performer on Key Quality Measures®. Finally, by Medicare.gov as #1 in San Antonio and #6 in the entire nation. The hospital is 1 of only 102 hospitals to receive Medicare.gov’s 5-star rating. Join our team to be part of the innovation. Be a part of an organization that leverages our size to make a real impact in our industry! Our Talent Acquisition team is reviewing applications for our Neuro ICU Registered Nurse opening. Submit your application today and help advance the practice of nursing. We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.