Houston Methodist

Registered Nurse II (RN) Labor & Delivery PT 7a to 7p

Overview

PT position, 7a to 7p, for an EXPERIENCED L&D nurse.

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.


Houston Methodist Standard

PATIENT AGE GROUP(S) AND POPULATION(S) SERVEDRefer to departmental "Scope of Service" and "Provision of Care" plans, as applicable, for description of primary age groups and populations served by this job for the respective HM entity.

HOUSTON METHODIST EXPERIENCE EXPECTATIONS

  • Provide personalized care and service by consistently demonstrating our I CARE values:
  • INTEGRITY: We are honest and ethical in all we say and do.
  • COMPASSION: We embrace the whole person including emotional, ethical, physical, and spiritual needs.
  • ACCOUNTABILITY: We hold ourselves accountable for all our actions.
  • RESPECT: We treat every individual as a person of worth, dignity, and value.
  • EXCELLENCE: We strive to be the best at what we do and a model for others to emulate.
  • Practices the Caring and Serving Model
  • Delivers personalized service using HM Service Standards
  • Provides for exceptional patient/customer experiences by following our Standards of Practice of always using Positive Language (AIDET, Managing Up, Key Words)
  • Intentionally collaborates with other healthcare professionals involved in patients/customers or employees' experiential journeys to ensure strong communication, ease of access to information, and a seamless experience
  • Involves patients (customers) in shift/handoff reports by enabling their participation in their plan of care as applicable to the given job
  • Actively supports the organization's vision, fulfills the mission and abides by the I CARE values

Responsibilities

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.

This job description is not intended to be all-inclusive; the employee will also perform other reasonably related business/job duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as the need arises.


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

WORK EXPERIENCE

  • Twelve months registered nurse experience in a healthcare environment

License/Certification

LICENSES AND CERTIFICATIONS - REQUIRED

  • RN - Registered Nurse - Texas State Licensure -- Compact Licensure - Must obtain permanent Texas license within 60 days (if establishing Texas residency) AND
  • BLS - Basic Life Support or Instructor (AHA) AND
  • ACLS - Advanced Cardiac Life Support or Instructor (AHA) within 4 months AND
  • NRP - Neonatal Resuscitation or Instructor (AHA,AAP) within 4 months AND
  • FHMC - Fetal Heart Monitoring Cert Int, Adv, or Instructor (AWHONN) within 4 months

KSA/ Supplemental Data

KNOWLEDGE, 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
  • 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

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

Company Profile

Houston Methodist Clear Lake Hospital brings the expertise and compassionate care of Houston Methodist Hospital in The Texas Medical Center – a national Honor Roll hospital – to Bay Area communities. The hospital provides a broad spectrum of adult medical and surgical care, is an accredited chest pain center, and is also acute stroke-ready designated through DNV. Houston Methodist Clear Lake offers many inpatient and outpatient services including 3-D mammography and other state-of-the-art imaging, labor and delivery with a level II neonatal ICU, Cancer Center of Excellence, advanced laparoscopic surgery, comprehensive orthopedics and sports medicine, neurology, urology and otolaryngology. Also, Houston Methodist Clear Lake Hospital is honored to be the only hospital in the bay area to have a Grade A rating from Leapfrog Hospital Safety Grading.

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Administers post-procedure medications as needed. Performs other duties as assigned. Maintains regular and reliable attendance. Complies with all policies and standards. Qualifications 0-2 years of experience in a clinical nursing role or student clinical rotations in an acute care setting required Knowledge, Skills and Abilities Strong knowledge of the nursing process and clinical nursing practices. Ability to perform thorough patient assessments and communicate findings effectively. Proficient in administering medications and monitoring for side effects. Effective communication and interpersonal skills to collaborate with interdisciplinary teams. Strong organizational skills and attention to detail in documenting patient care. Knowledge of safety standards, infection control, and quality improvement initiatives. Licenses and Certifications RN - Registered Nurse - State Licensure and/or Compact State Licensure required BCLS - Basic Life Support required ACLS - Advanced Cardiac Life Support preferred PALS - Pediatric Advanced Life Support preferred NRP - Neonatal Resuscitation preferred Refer to facility or unit-specific guidelines for additional requirements. Navarro Regional Hospital is your community healthcare provider, a 162-bed licensed acute care facility with inpatient and outpatient care, diagnostic imaging, emergency department, medical and surgical care. We offer cardiac rehab, physical therapy, an outpatient surgery center, 3D mammography and a 64-slice CT scanner with the area's most current diagnostic equipment. We offer a special procedures room for interventional radiology procedures, as well as a bronchoscopy suite. We believe in the power of people to create great care. We're 51 doctors and a team of healthcare professionals strong, and we work hard every day to be a place of healing, caring and connection for patients and families in the community we call home. Navarro Regional is a primary stroke accredited facility. Mission It is the mission of Navarro Regional Hospital to provide quality health services to the community with compassion and a focus on service.
Navarro Regional

RN PRN Labor and Delivery

Navarro Regional Hospital has an opening for a Registered Nurse PRN Nights in our Labor and Delivery department. At Navarro Regional Hospital , you’ll play a vital role in doing what you do best - providing quality care to our patients. Navarro Regional Hospital i s an employer that will motivate you, inspire you, and allow you to grow. We are looking for the best. If you are too, we invite you to learn more and apply today! Our nurses enjoy a robust benefits package Health insurance Flexible scheduling 100% licensure/certification reimbursement Tuition Reimbursement Up to $20K for student loan payments Job Summary The Registered Nurse (RN) provides patient-centered care through the nursing process of assessment, diagnosis, planning, implementation, and evaluation. This role is responsible for coordinating and delivering high-quality care based on established clinical protocols and physician/provider orders. The RN collaborates with physicians, nurses, and other healthcare professionals to ensure effective patient care and desired outcomes, while maintaining a supportive and compassionate environment for patients and their families. Essential Functions Coordinates and delivers high-quality, patient-centered care in accordance with organizational policies, protocols, and the nursing process. Conducts thorough patient assessments and documents findings accurately, reporting changes in condition to the appropriate care team members. Utilizes knowledge of human growth and development to provide age-appropriate care and education. Administers prescribed medications, monitors for side effects, and documents administration in accordance with standards of practice. Assists physicians during procedures within the scope of documented competency and skill level. Collaborates with the healthcare team to develop, implement, and evaluate individualized care plans based on patient assessments and needs. Responds to medical emergencies and participates in life-saving interventions, such as CPR and code team activities, as appropriate. Advocates for the rights and needs of patients, ensuring their voices are heard and respected in care planning and delivery. Provides patient and family education on medical conditions, treatment plans, and post-discharge care, ensuring understanding and adherence to instructions. Implements and adheres to infection control protocols to prevent the spread of healthcare-associated infections. Monitors and operates medical equipment (e.g., IV pumps, monitors, ventilators) as needed for patient care and safety. Promotes patient safety by adhering to National Patient Safety Goals and maintaining a clean, safe environment for patients and staff. Participates in audits, chart reviews, and compliance checks to ensure adherence to standards of practice and regulatory requirements. Demonstrates responsible decision-making in planning, delegating, and providing care based on patient needs and organizational policies. Documents patient care and education thoroughly and promptly in the medical record. Engages in professional development to maintain clinical competency and understanding of current nursing standards and regulations. Participates in performance improvement initiatives, including data collection and process development, to enhance patient outcomes and care delivery. Critical Care RN: Administers medications and other treatments as prescribed, including intravenous medications and therapies. Manages complex medical equipment, including ventilators, monitoring devices, and other life-support systems. Performs procedures such as inserting central lines, managing tracheostomies, and providing advanced cardiac life support. Emergency Services RN: Rapid Assessment and Triage: Evaluate patients' conditions quickly to determine the severity of their injuries or illnesses and prioritize care accordingly. Conducts emergency procedures such as intubation, wound care, and suturing. Implements interventions to stabilize patients, including administering medications, starting IV lines, and providing respiratory support. OR Services RN: Provides comprehensive care to patients before, during, and after surgery, including assessments, planning, and evaluation of nursing care. Scrubs in for surgeries, assisting the surgical team with instruments and supplies, and ensuring a sterile environment. Monitors patient vital signs, administers medications, and observes for changes in patient condition. Cardiac Surgery RN: Continuously assesses patients' condition, including vital signs, hemodynamic parameters, and ECG readings. Administers medications and IV drips, adjusting dosages based on the patient's condition. Proficient in operating and maintaining advanced life support equipment like ventilators, intra-aortic balloon pumps, and ECMO. After cardiac surgeries, monitors patients' recovery, manage chest tubes, pacing wires, and wound care. Endoscopy RN: Assesses patient needs, reviews medical history, explains procedures, obtains consent, and prepares the patient for procedure. Monitors patient vitals, administers medications, and assists the physician during procedure. Provides post-procedure care, monitors recovery, and educates patients about aftercare instructions. Ensures the endoscopy room is properly prepared, instruments are sterilized, and equipment is functioning correctly. Obstetrics/Labor and Delivery/Post Partum/Nursery RN: Educates patients about pregnancy, provides prenatal screenings, and prepares patients for labor and delivery. Assesses and monitors the new mother's physical recovery, including vital signs, postpartum hemorrhage, and potential complications like postpartum depression. Assists with epidurals and other pain management techniques during labor. Administers pain medication, induces labor, and manages other medication needs during labor and delivery. Assists during labor and delivery, monitors fetal well-being, administers medications, and provides pain relief. Monitors mothers and newborns after delivery, assessing their well-being, and providing education on postpartum care and breastfeeding. Assesses and monitors newborn health, taking vital signs, performing routine assessments, and educating parents on newborn care. Assists with gynecological exams and procedures, and provides education on reproductive health, contraception, and prenatal care. Educates patients about family planning, fertility, pregnancy, childbirth, and postpartum care. Interprets fetal heart rate patterns and assesses fetal well-being using electronic fetal monitoring. Oncology RN: Administers chemotherapy, manages side effects, monitors vitals, and manages pain. Explains treatments, answers questions, and provides information on resources. Provides emotional and psychological support to patients and their families. Orthopedics RN: Provides specialized care for patients with musculoskeletal conditions, injuries, and diseases. Provides care for Orthopedic patients encompassing pre-operative and post-operative care. Conducts peripheral/vascular assessments. Treats patients with immobilization devices. Provides pain management. Provides patient education. PACU RN: Assesses the patient's level of consciousness and responsiveness as they wake up from anesthesia. Evaluates pain levels and administers pain medications as prescribed. Observes any side effects of anesthesia, such as nausea, vomiting, shivering, or muscle aches. Monitors for and respond to any post-operative complications. Administers medications, including pain relievers and other post-operative medications, as prescribed. Regulates intravenous (IV) fluids and monitor fluid balance. Checks and changes dressings on surgical wounds. Ensures a clear airway and provide oxygen support as needed. Educates patients and families about post-surgery care, potential complications, and discharge instructions. NICU RN: Continuously assesses and monitors vital signs (heart rate, respiratory rate, blood pressure, oxygen saturation) and other signs of distress. Administers prescribed medications, intravenous fluids, and other treatments, including respiratory support and oxygen therapy. Manages feeding needs, including tube, breast milk feeding support, and ensuring adequate nutrition. Provides basic care tasks like diaper changes, bathing, and positioning. Performs procedures like inserting IV lines, administering medications, and assisting with intubation or ventilation. Operates and adjusts specialized medical equipment used in the NICU. Telemetry RN: Using telemetry equipment to track heart rhythms (EKG), blood pressure, oxygen saturation, and other vital signs. Analyzes telemetry data to identify trends, abnormalities, and potential problems, and reports these findings to physicians. Provides direct patient care, including medication administration, wound care, and patient education, with a focus on cardiac health. Recognizes and responds to emergencies, such as cardiac arrest, and implements appropriate interventions. Dialysis RN: Sets up and operates dialysis machines, monitors patients before, during, and after treatment, and adjusts treatment parameters as needed. Takes vital signs, monitors signs of complications, and responds to changes in patient condition. Educates patients and families about kidney disease, dialysis procedures, and the importance of adhering to treatment plans, diet, and medication. Inspects and maintains dialysis machines and equipment. Cath Lab RN: Pre-Procedure: Reviews medical history, assesses patient's overall health, and prepares them for the procedure. Intravenous (IV) Line Initiation: Starts and maintains an IV line for medication administration. Administers medications as prescribed by the physician. Educates patients and families about the procedure and what to expect. Verifies that surgical consents have been signed. During the Procedure: Assists the Cardiologist during the catheterization process. Closely monitors the patient's vital signs, hemodynamic data, and sedation levels. Ensures proper functioning of equipment and supplies. Manages potential complications and responding to emergencies. Post-Procedure: Continues to monitor the patient's vital signs and overall condition after the procedure. Administers post-procedure medications as needed. Performs other duties as assigned. Maintains regular and reliable attendance. Complies with all policies and standards. Qualifications 0-2 years of experience in a clinical nursing role or student clinical rotations in an acute care setting required Knowledge, Skills and Abilities Strong knowledge of the nursing process and clinical nursing practices. Ability to perform thorough patient assessments and communicate findings effectively. Proficient in administering medications and monitoring for side effects. Effective communication and interpersonal skills to collaborate with interdisciplinary teams. Strong organizational skills and attention to detail in documenting patient care. Knowledge of safety standards, infection control, and quality improvement initiatives. Licenses and Certifications RN - Registered Nurse - State Licensure and/or Compact State Licensure required BCLS - Basic Life Support required ACLS - Advanced Cardiac Life Support preferred PALS - Pediatric Advanced Life Support preferred NRP - Neonatal Resuscitation preferred Refer to facility or unit-specific guidelines for additional requirements. Navarro Regional Hospital is your community healthcare provider, a 162-bed licensed acute care facility with inpatient and outpatient care, diagnostic imaging, emergency department, medical and surgical care. We offer cardiac rehab, physical therapy, an outpatient surgery center, 3D mammography and a 64-slice CT scanner with the area's most current diagnostic equipment. We offer a special procedures room for interventional radiology procedures, as well as a bronchoscopy suite. We believe in the power of people to create great care. We're 51 doctors and a team of healthcare professionals strong, and we work hard every day to be a place of healing, caring and connection for patients and families in the community we call home. Navarro Regional is a primary stroke accredited facility. Mission It is the mission of Navarro Regional Hospital to provide quality health services to the community with compassion and a focus on service.