Cardiovascular ICU Registered Nurse

HCA Healthcare•San Antonio, TX

1d•Onsite

About The Position

The Registered Nurse coordinates and delivers high-quality, patient-centered care consistent with department requirements and the scope and standards of nursing practice. In collaboration with medical providers and other care team members, the RN provides individualized, comprehensive, and compassionate care using established nursing models such as “Assess, Perform, Teach, and Manage.” The RN advocates for patients and their families or caregivers and supports the organization’s mission, values, patient experience, clinical outcomes, and departmental performance. The position is in a combined 57-bed unit caring for patients with critical heart conditions, including patients recovering from cardiac emergencies and heart surgery such as transplants or bypass procedures. The unit treats conditions ranging from STEMI to heart, kidney, and lung transplants. It offers a comprehensive orientation, education from experienced staff, state-of-the-art patient-care technology, and multidisciplinary rounds focused on safe, efficient management of high-acuity acute care. The RN applies the nursing process through assessment, individualized care planning, implementation, and evaluation. The role includes communicating and coordinating care with patients, families, physicians, and other team members; maintaining accurate medical records; prioritizing and organizing work; recognizing and reporting errors or changes in patient condition; and following safety, quality, infection-prevention, fall-prevention, medication-safety, rounding, and AIDET practices.

Requirements

Graduate of an accredited diploma, associate, or baccalaureate registered nursing program.
At least six months of clinical experience as a licensed Registered Nurse.
Current Registered Nurse license in Texas or a Multi-State Compact License. Employees with a compact license must obtain a Texas RN license within 90 days of hire.
Current American Heart Association BLS certification.

Nice To Haves

One year of ICU or acute critical-care experience, or two to three years of experience in any acute specialty as a licensed Registered Nurse.

Responsibilities

Conduct comprehensive, timely, and ongoing focused physical, psychosocial, pain, and patient-education-needs assessments.
Use assessment findings to identify problems, make nursing diagnoses, formulate goals and teaching plans, and develop individualized plans of care that account for patient goals, readiness to learn, and family involvement.
Prioritize and implement an effective and efficient nursing plan of care.
Evaluate patient outcomes, recognize changes in patient condition, determine when reassessment is needed, and adjust the plan of care accordingly.
Collaborate with patient-care team members and communicate effectively and promptly with physicians and other team members through verbal, written, or electronic methods.
Use hand-off communication and SBAR methods consistently.
Apply critical-thinking, scientific-judgment, and organizational skills; prioritize tasks and adjust priorities as needed.
Maintain an orderly, efficient, and timely flow of patients.
Recognize and report errors and unusual occurrences, analyze contributing factors, and initiate corrective action when appropriate.
Make accurate, complete, and timely entries in the patient medical record documenting the nursing process.
Communicate actively with the healthcare team, patients, and patients’ families.
Maintain current nursing knowledge and a safe working environment.
Follow applicable quality core measures and safety practices, including infection prevention, fall prevention, medication-administration safety, hourly rounding, and AIDET principles.

Benefits

Medical, prescription drug, dental, vision, behavioral health, and telemedicine benefits.
Wellbeing support, including free counseling and referral services.
Paid time off, paid family leave, long- and short-term disability coverage, and leaves of absence.
401(k) plan with a 100% match on 3% to 9% of pay, based on years of service.
Employee Stock Purchase Plan and flexible spending accounts.
Preferred banking partnerships, retirement-readiness tools, rollover support, and financial wellbeing counseling.
Tuition assistance, student loan assistance, certification support, dependent scholarships, and a partnership with Galen College of Nursing.
Fertility and family-building benefits and adoption assistance.
Life insurance and supplemental health protection plans.
Auto and home insurance, legal counseling, identity-theft protection, and consumer discounts.