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Houston Methodist

Registered Nurse II (RN)- CV Surgery Stepdown

Houston Methodist, Houston, Texas, United States, 77246

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Registered Nurse II (RN) – CV Surgery Stepdown

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Registered Nurse II (RN) – CV Surgery Stepdown

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Houston Methodist At Houston Methodist, the Registered Nurse (RN) II position is a licensed staff nurse who 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, provides patient education, and maintains medical records. The RN II position delivers direct patient care effectively and efficiently, often for patients with varied and complex needs. This role communicates and collaborates with physicians and the interprofessional healthcare team to facilitate, coordinate, and maintain compassionate, efficient, quality care and achieve desired treatment outcomes. The RN II demonstrates clinical competence using technology, administering medications, performing procedures, managing emergencies, and acting as a patient and family advocate to monitor and maintain patient rights. The RN II assumes leadership roles with progressive responsibility, including participating in or leading unit and shared governance initiatives, serving as charge nurse or preceptor to students or new employees, and contributing to service line or hospital‑wide initiatives in partnership with management. FLSA Status

Non‑exempt Qualifications

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 and Certifications – Required

RN – Registered Nurse – Texas State Licensure – Texas Board of Nursing. Must obtain permanent Texas license within 60 days (if establishing Texas residency). BLS – Basic Life Support or Instructor (AHA). ACLS – Advanced Cardiac Life Support or Instructor (AHA). Licenses and Certifications – Preferred

NIHSTROKE – National Institute of Health Stroke Scale Certification (AHA) if float to unit or taking care of PT requiring NIHSS. Magnet – ANCC Recognized Certification. Skills and Abilities

Demonstrates necessary skills and competencies as defined by ongoing assessments and performance evaluations. Proficient speaking, reading, and writing in English, especially regarding patient safety. Effectively communicates with patients, physicians, family members, and co‑workers in a customer‑service focused manner. Strong assessment, organizational, and problem‑solving skills, with capacity to prioritize multiple tasks. Functions independently and exercises judgment in interactions with physicians, interprofessional care team, patients, and families. Uses critical thinking 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 the Clinical Career Path program guide. Working knowledge of Microsoft products including Outlook. Essential Functions

People Essential Functions

Uses therapeutic communication, including 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 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 toward 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 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, using appropriate resources, and 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. 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 unit resources 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*

Employees may be required to be on‑call during emergencies (e.g., disaster, severe weather events), 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 Referrals

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