Registered I Emergency Services

At Houston Methodist, the Registered Nurse I (RN) position is a licensed staff nurse, may be an entry-level nurse, who demonstrates the ability to continuously progress in skill to care for increasingly complex patients, receiving coaching from experienced RNs and management and benefits from their practice. The position functions at the Novice to Advanced Beginner stage according to Benners model of clinical practice, participating in unit initiatives and shared governance. The RN I 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. This position 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 I position demonstrates clinical competency when providing care, using technology, administering medications, performing procedures and managing emergencies, acting as a patient and family advocate in order to monitor patient rights and needs. This position assures continuity of care through appropriate communication, discharge planning, patient education and coordination of services.

FLSA STATUS
Non-exempt

QUALIFICATIONS

EDUCATION

• Graduate of education program approved by the credentialing body for the required credential(s) indicated below in the Certificates, Licenses and Registrations section
• Bachelors of Science in Nursing within three years of date of hire for current Houston Methodist employees previously hired with offer letter addendum

EXPERIENCE

• Zero years of experience with minimal clinical nursing experience
• If less than six months of clinical nursing experience, must complete Houston Methodist nurse residency program

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 6 months and
• PALS - Pediatric Advanced Life Support or Instructor (AHA) - American Heart Association within 6 months and
• NIHSTROKE - National Institute of Health Stroke Scale Certification (AHA) - American Heart Association within 4 months and
• NVCRISIS - Nonviolent Crisis Intervention or Instructor (CPI) - Crisis Prevention Institute within 4 months

Preferred

• ENPC - Emergency Nursing Pediatric Certification (ENA) or
• TNCC - Trauma Nursing Core Course or Instructor (ENA)

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
• Progression towards competent assessment, organizational and problem-solving skills as evidenced by capacity to prioritize multiple tasks and role components
• Progression towards demonstrating time management skills
• Ability to progress towards independence and exercise judgment in interactions with physicians, interprofessional healthcare team and patients and their families
• Progression towards critical thinking skills and clinical judgment to work as defined by the Nurse Practice Act
• 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

• Establishes a relationship with patients, families and the interprofessional health care team to collaborate on the plan of care by using progressive skills in therapeutic communication, which includes active listening and teaching.
• Contributes to teamwork by responding positively to requests for assistance. Collaborates to foster healthy relationships in the work environment. Seeks guidance from interprofessional healthcare team, when needed, and applies feedback to improve patient outcomes.
• Provides contributions towards improvement of department scores for turnover/retention/employee engagement on unit-based scorecard, i.e., peer-to-peer accountability.

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 documentation/maintenance of 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 patients needs, abilities and preferences. Advocates on patient/family’s behalf to identify and resolve clinical and ethical concerns, utilizing appropriate resources.
• Provides patient education based on learning needs, uses appropriate resources, incorporating planning for care after discharge. Consistently evaluates the patients comprehension and adapts teaching methods accordingly.
• Uses peer-to-peer accountability to contribute towards improving department score for patient satisfaction on unit-based scorecard.

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.
• Provides and modifies care for increasingly complex patients and coordinates care with the interprofessional teams. Plans for routine events and progressively manages emergent situations in collaboration with the healthcare team.
• Contributes towards improving quality and safety targets on unit-based scorecard through peer-to-peer accountability, focusing on the task at hand and reporting near misses.

FINANCE ESSENTIAL FUNCTIONS

• Displays self motivation to independently manage time effectively, timely documentation of care, minimize incidental overtime, and prioritize daily tasks. Uses resources effectively and efficiently.
• 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

• Participates in unit evidence-based practice projects focused on innovation, efficiency or improvement in patient care and shared governance activities. Embraces and enacts new care pathways or service line implementation to improve service to the community.
• Identifies own learning needs, consults with healthcare team experts and seeks continuing education opportunities to meet those needs. Pursues educational opportunities for professional growth and benefits the department through knowledge dissemination.

SUPPLEMENTAL REQUIREMENTS

• WORK ATTIRE
  • Uniform: No
  • Scrubs: Yes
  • Business professional: No
  • 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 No
  • 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 Certificates, Licenses and Registrations section
• Bachelors of Science in Nursing within three years of date of hire for current Houston Methodist employees previously hired with offer letter addendum

EXPERIENCE

• Zero years of experience with minimal clinical nursing experience
• If less than six months of clinical nursing experience, must complete Houston Methodist nurse residency program

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 6 months and
• PALS - Pediatric Advanced Life Support or Instructor (AHA) - American Heart Association within 6 months and
• NIHSTROKE - National Institute of Health Stroke Scale Certification (AHA) - American Heart Association within 4 months and
• NVCRISIS - Nonviolent Crisis Intervention or Instructor (CPI) - Crisis Prevention Institute within 4 months

Preferred

• ENPC - Emergency Nursing Pediatric Certification (ENA) or
• TNCC - Trauma Nursing Core Course or Instructor (ENA)