RN Contract

PRN Registered Nurse (RN) – Construction Site Wellness & Safety

About Ramp Health
Since 2002, Ramp Health has been at the forefront of preventive healthcare, empowering individuals to take charge of their wellbeing through on-site wellness and occupational health programs. We partner with leading organizations nationwide to deliver convenient, high-quality healthcare where people work.

We’re seeking a PRN Registered Nurse (RN) to join our team in Lufkin, TX, supporting our onsite wellness and safety program for a local construction site. This position offers flexible, as-needed scheduling—perfect for nurses who thrive in dynamic environments and enjoy making a direct impact in the field.


About the Role

As a PRN RN, you’ll play a key role in promoting health and safety at the job site. Working collaboratively with the lead nurse and site safety team, you’ll provide first aid, health education, and preventive services to help workers stay safe, healthy, and engaged.

This role is ideal for a nurse who enjoys hands-on, relationship-based work—someone who’s comfortable being visible on site, engaging with workers, and providing approachable, trusted care in an outdoor construction environment.


Key Responsibilities

First Aid & Onsite Safety

  • Assess and provide first aid for occupational injuries or illnesses with accurate documentation

  • Maintain first aid and clinic supplies in clean, organized condition

  • Coordinate emergency response with onsite EMTs or safety personnel

  • Document injuries, prepare reports, and assist with return-to-work assessments

Screenings & Immunizations

  • Provide basic health screenings (BP, height, weight, BMI, body composition)

  • Perform specimen collections for drug and alcohol screenings, as applicable

  • Administer immunizations such as influenza vaccines

Health Promotion

  • Engage employees and leadership in health and wellness initiatives

  • Share educational resources and promote healthy lifestyle habits

  • Lead group activities such as stretch-and-flex programs or brief wellness sessions


Qualifications

  • Active RN license (required)

  • BLS or ACLS certification (required)

  • Excellent clinical judgment and documentation skills

  • Strong interpersonal and communication skills

  • Ability to work independently and adapt to changing needs onsite

  • Comfortable working outdoors in various weather conditions

Preferred:

  • Experience in occupational health, wellness, or construction environments

  • Venipuncture skills and/or Respiratory FIT testing experience


Compensation

  • Competitive hourly rate based on experience and qualifications

  • PRN (as-needed) scheduling flexibility

  • All candidates must successfully complete a background check and drug screen


Join Ramp Health and help us bring meaningful, accessible healthcare to the workplace—one site at a time.

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Join us in an extraordinary opportunity to be at the forefront of our new expansion unit in Grapevine, Texas. As we gear up to open our expansion unit in March 2026 (with start dates as early as February) , you’ll play a pivotal role in shaping the future of healthcare in our community. Shift: Full Time Nights, 7pm-7am Experience required: 2 years of recent PCU/Stepdown experience Why Baylor Scott & White Medical Center– Grapevine For nearly 70 years, Baylor Scott & White Medical Center – Grapevine has provided personalized, compassionate, and loving care to more than 20 communities in the Dallas Fort Worth region. It has steadily expanded its capabilities and provides more comprehensive services to those with complex conditions closer to their home. A Magnet® Recognized Facility, Baylor Scott & White Medical Center – Grapevine is a 302-bed hospital offering advanced medical services for heart and vascular, women’s health, diagnostic imaging, trauma, orthopedics, spine, digestive diseases, oncology, neurology, ENT, pain management, weight loss and intensive and emergency care. Baylor Scott & White Medical Center– Grapevine has a Level III Neonatal Intensive Care Unit and is the only Level II Trauma Center in Northeast Tarrant County. Additionally, the facility is an accredited Cycle IV Chest Pain Center, Primary Stroke Center and accredited in weight loss surgery, oncology, etc. The hospital was recognized by U.S. News & World Report in its 2021-2022 “Best Hospitals” ratings as high performing in the common procedures and conditions category for stroke, heart failure, kidney failure and COPD (chronic obstructive pulmonary disease). It was also recognized by U.S. News & World Report as the only Tarrant County hospital, and one of only two hospitals in the Dallas Fort Worth region, rated High Performing, the highest-possible rating for Best Hospitals for Maternity for 2021-2022. Built on a legacy of care, Baylor Scott & White Medical Center – Grapevine is focused on caring for and loving patients in a safe and healing environment. We welcome applicants who will serve faithfully, act honestly, never settle, and recognize that we are in it together to deliver world-class healthcare. JOB SUMMARY The Registered Nurse (RN) is a licensed professional who uses the BSWH nursing professional practice model to coordinate patient care delivery by the health care team. Using the nursing process, the RN assesses the patient, identifies nursing diagnoses based on responses to health problems, develops and implements an individualized plan of care, and evaluates the patient's response. The RN promotes safe passage for their patients by using knowledge of patient needs and the healthcare environment to assist patients to transition through the healthcare encounter without any preventable complications or delays. The RN delegates interventions to health care personnel based on the Texas Nursing Practice Act, each patient's condition and the competencies of the employee. RN job is to be used for RNs in hospital inpatient and outpatient departments with 24X7 staffing which include those departments with on-call staffing on the off shifts. Examples of hospital inpatient and outpatient procedural areas: GI Lab, Pain Management, Dialysis, Infusion Centers and IV Services. ESSENTIAL FUNCTIONS OF THE ROLE Clinical Judgment: Using clinical reasoning, conducts accurate clinical assessments according to practice standards. Identifies and prioritizes patient and family needs. Develops, implements and evaluates the nursing plan of care. Modifies plan to meet clinical outcomes. Clinical Inquiry: Systematically evaluates the quality and effectiveness of nursing practice, including, but not limited to, nursing sensitive indicators. Supports evidence-based practice changes through research utilization and experiential learning. Participates in quality/performance improvement initiatives. Caring Practices: Creates a compassionate, supportive, safe and therapeutic environment for patients, families and staff. Develops therapeutic relationships with patient and family and maintains appropriate boundaries. Manages both emotional and physical pain with the aim of promoting comfort and healing and preventing unnecessary suffering. Response to Diversity: Recognizes, appreciates and incorporates a patient's and family's unique differences, such as culture, spiritual beliefs, gender, race, ethnicity, lifestyle, socioeconomic status, age, and values, into an individualized plan of care. Advocacy and Moral Agency: Preserves and protects the confidentiality, autonomy, dignity and rights of patient and family and represents their concerns. Creates an individualized plan that accurately reflects patient and family values and goals. Identifies and helps resolve ethical and clinical concerns. Facilitation of Learning: Facilitates learning for patients and families, nursing staff, other members of the health care team and community; integrating appropriate education throughout the continuum of care to help them participate and/or make informed decisions about their health care and treatments, including health promotion and disease prevention. Assesses and documents learning needs and outcomes. Collaboration: Works collaboratively and interdependently with colleagues and community to develop and implement an integrated plan of care. Open and sensitive to all team members' unique contributions. Delegates tasks and care to appropriate staff and ensures timely follow-up. Systems Thinking: Uses strategies and available resources for problem-solving for patients, family and staff. Recognizes that resources are limited and considers factors related to safety, effectiveness and efficiency in planning and delivering patient care. Professionalism: Improves nursing practice and the work environment through participating in shared governance and decision-making processes and meaningfully recognizing the contributions of others. Participates in the staffing process from education and planning to evaluation. Identifies personal goals and commits to ongoing professional growth through continuing education, networking with professional colleagues, membership and involvement in professional nursing organizations, self-study, professional reading, certification and seeking advanced degrees. Contributes to the professional development of peers, colleagues and others. Demonstrates commitment to community service. KEY SUCCESS FACTORS Knowledge and understanding of nursing and patient care standards and procedures. Knowledge of laws, rules and regulations; standards and guidelines of certifying and accrediting bodies; hospital and department/unit standards, protocols, policies and procedures governing the provision of nursing care applicable to the area of assignment. Knowledge of medical terminology; principles and practices of health promotion, risk reduction, illness and disease prevention and management; medications and drugs, common dosages, their physical and physiological effects, and possible adverse reactions. Knowledge of medical and professional nursing ethics and patient privacy rights. Must be able to communicate thoughts clearly, both verbally and in writing. Interpersonal skills to interact with a wide-range of constituencies. Must have critical thinking and problem-solving skills. Ability to observe changes in the medical condition of patients and effectively communicate these changes to other nursing staff members and physicians/providers. Ability to provide age-specific, quality, patient-centered care to all patients through the nursing process and standards of nursing practice with sensitivity and respect for the diversity of human experience and to develop, evaluate, implement and, as necessary, modify a patient care plan to meet the needs of individual patients. General computer skills, including but not limited to: Microsoft Office, information security, scheduling and payroll systems, electronic medical documentation, and email. BENEFITS Our competitive benefits package includes the following - Immediate eligibility for health and welfare benefits - 401(k) savings plan with dollar-for-dollar match up to 5% - Tuition Reimbursement - PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level QUALIFICATIONS - EDUCATION - Grad of an Accredited Program - MAJOR - Nursing Experience required: 2 years of recent PCU/Stepdown experience - CERTIFICATION/LICENSE/REGISTRATION - Registered Nurse (RN) Basic Life Support (BLS): BLS or BLS within 30 days of hire or transfer.