Hospital - OR RN III (Full-Time, 10:30-7:00)

UT Health San Antonio•San Antonio, TX

About The Position

The Operating Room RN III is an advanced licensed clinician who provides direct professional nursing care to a diverse patient population and functions at a proficient level as an expert in the specialty. The role includes nursing assessments, assisting with examinations and treatment, and maintaining medical records. The RN III also coaches and mentors department staff in clinical and professional practice, models compassionate communication with physicians and the interprofessional healthcare team, and contributes leadership at the bedside, unit, service line, and institutional levels. Leadership responsibilities may include leading unit and shared governance activities, serving as charge nurse as needed, assessing unit practice and improvement needs, serving as a clinical resource for unit and hospital staff, and coordinating education with management. The RN III promotes patient- and family-centered care, quality and safety, effective patient flow, staff development, and efficient use of unit resources.

Requirements

  • Associate's degree in Nursing required at the date of hire.
  • Must obtain a Bachelor of Science in Nursing within 2.5 years of the date of hire.
  • Current Texas Board of Nursing or Compact State RN license, or a Temporary Texas RN License; permanent Texas RN license required within 90 days of hire.
  • American Heart Association Basic Life Support (BLS) certification required within 7 days of hire.

Responsibilities

  • Foster staff engagement by listening to and acknowledging feedback, making equitable decisions, explaining decisions, and supporting organizational goals.
  • Anticipate staff needs and proactively offer assistance.
  • Model interprofessional communication, active listening, and teaching; assist with staff stress management as needed.
  • Promote team dynamics and staff development through fair and consistent leadership, problem-solving, coaching, and mentoring.
  • Coach staff in effective communication and inclusion of patients and families in care planning.
  • Provide input into staff performance reviews; mentor and serve as a resource to staff; oversee students, new employees, and preceptorships.
  • Identify and resolve organizational conflicts, concerns, complaints, and disputes involving patients, families, physicians, and other healthcare team members.
  • Lead patient- and family-centered care standards, mentor others regarding specialty populations, and audit plans of care.
  • Practice in accordance with cultural diversity and inclusion principles.
  • Conduct leader rounding and engage patients, families, and staff in improving patient care.
  • Collaborate with other departments to address patient-process issues.
  • Drive service standards and patient-satisfaction improvement activities; model nursing-process standards and participate in improving nurse-sensitive quality indicators and patient-safety goals.
  • Participate in continuous improvement and coordinate nursing care across the shift schedule based on patient acuity, staff skill, and safety.
  • Model regulatory and professional-practice standards and facilitate patient flow and quality family-centered care across the continuum.
  • Ensure care plans are accurate and timely, coach staff on documentation deficiencies, and work with OAs and bed management on timely patient placement.
  • Recognize emergent situations, determine a plan of action, and respond to rapid responses, CERTs, and emergency codes.
  • Improve quality and safety through peer accountability, near-miss reporting, collaboration, and situational awareness.
  • Assist with audits and implement department strategies to meet financial targets.
  • Monitor documentation, length of stay, efficiency, resource use, and overtime metrics.
  • Attend daily care coordination rounds to facilitate patient progression and ensure follow-up on identified concerns.
  • Manage productivity according to the staffing grid and provide input on unit resource use, capital needs, and operational budget needs.
  • Oversee shift-by-shift resource utilization and lead or participate in projects and shared governance activities that improve patient care and unit operations.
  • Investigate and incorporate evidence-based practices presented to shared governance and leadership.
  • Support change initiatives and adapt to unexpected changes.
  • Expand nursing knowledge, coach staff in developing knowledge and skills, and serve as a clinical resource.
  • Develop and disseminate educational and informational resources and programs to improve quality and professional practice.
  • Perform other job-related duties as assigned.

Benefits

  • UT SELECT medical insurance offered free for employees; family coverage is available through payroll deduction.
  • Group term life insurance of $50,000 and basic accidental death and dismemberment insurance of $50,000 at no cost, with options to purchase additional coverage.
  • Three dental insurance plan options through Delta Dental, including two PPO plans and one HMO plan.
  • Two vision plan options with standard or enhanced benefits.
  • Disability insurance providing income in the event a non-work-related illness or injury prevents work.
  • Flexible spending accounts for qualifying dependent-care and healthcare expenses.
  • Eligibility for the Teacher Retirement System or Optional Retirement Plan, plus voluntary retirement programs.
  • Front-loaded paid time off of 128 to 208 hours annually based on years of service, prorated in the first year when applicable.
  • Extended Illness Bank accrual of 8 hours per month, usable for illness or injury after one day of PTO is taken.
  • Up to 240 hours of paid family leave after six months of consecutive employment.
  • 12 paid holidays each year.
  • Discounts on services, tickets, and gym membership.
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