Neuro Surgical ICU Registered Nurse

HCA Healthcare•San Antonio, TX

9d•Onsite

About The Position

Methodist Hospital is hiring a Registered Nurse for its 25-bed Neuro Critical Care Unit (NCCU), a high-acuity unit caring for critically ill neurological and neurosurgical patients, as well as overflow medical ICU patients. The unit manages conditions including stroke, spinal cord injuries, lumbar drains, seizures, and other complex neurological conditions, and supports complex cranial and spinal procedures. It is associated with a Primary Stroke Center and Comprehensive Stroke Center. Nurses have educational resources to pursue Neuroscience Nursing certification, with an annual bonus for maintaining that certification, and the unit offers ENLS (Emergency Neurological Life Support) certification. The nurse uses the nursing process to assess patients and their education needs, develop individualized plans of care, implement and prioritize interventions, and evaluate outcomes. The role includes recognizing changes in patient condition, coordinating care with patients, families, physicians, and other care team members, communicating through verbal, written, and electronic methods, and using hand-off and SBAR communication. The nurse applies critical thinking, scientific judgment, and organizational skills; maintains efficient patient flow; and reports errors and unusual occurrences, analyzes contributing factors, and initiates corrective action when appropriate.

Requirements

Graduate of an accredited diploma, associate’s, or baccalaureate degree 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 an RN 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 critical care experience as a licensed Registered Nurse is preferred.

Responsibilities

Conduct comprehensive, timely, and ongoing focused physical, psychosocial, and pain assessments, including assessment of patient education needs.
Use assessment findings to identify problems, make nursing diagnoses, formulate goals and teaching plans, and create individualized plans of care.
Identify patient goals and readiness to learn, and incorporate family into the plan of care.
Prioritize and implement a competent, efficient nursing plan of care.
Evaluate patient outcomes in a timely manner, anticipate and recognize changes in condition, determine when reassessment is needed, and adjust the plan of care accordingly.
Compare expected and achieved outcomes of nursing care using the plan of care.
Collaborate with patient care team members and communicate effectively with physicians and other team members to coordinate care and meet patient needs.
Use hand-off communication and SBAR methods consistently.
Apply critical thinking, scientific judgment, and organizational skills; prioritize tasks and adjust priorities when necessary.
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.

Benefits

Medical, prescription drug, dental, vision, behavioral health, and telemedicine coverage.
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, 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.
Annual bonus for maintaining Neuroscience Nursing certification.