Registered Nurse II Pedi Surg

HCA Healthcare•San Antonio, TX

About The Position

The Registered Nurse II Pedi Surg provides individualized nursing care by applying the nursing process: comprehensive and ongoing assessment, care planning, implementation, and evaluation. The nurse identifies patient and family education needs, establishes individualized goals and teaching plans, responds to changes in patient condition, and adjusts care as needed. The role collaborates with physicians and other patient-care team members to coordinate care, using effective verbal, written, and electronic communication, including handoffs and SBAR. The nurse maintains complete and timely medical records, applies critical thinking and sound judgment, prioritizes work, and helps maintain a safe, efficient patient-care environment. The position also supervises and remains accountable for nursing tasks delegated to unlicensed personnel under applicable Texas Board of Nursing rules. The nurse supports the Methodist Healthcare System’s mission and safety policies, follows the Code of Conduct, protects patient confidentiality, responds to crises, and incorporates patients’ cultural and spiritual beliefs into care. The role participates in performance improvement, supports staff education and coworkers, and performs other duties as assigned. Basic Cardiac Life Support must be obtained within 30 days of the employment start date, and PALS within 90 days.

Requirements

  • Registered Nurse (RN) credential.
  • Registered Nurse Diploma, Associate Degree, or Bachelor’s Degree.
  • Six months of RN acute-care experience.
  • Basic Cardiac Life Support (BLS) certification required within 30 days of employment start date.
  • Pediatric Advanced Life Support (PALS) certification required within 90 days of employment start date.

Responsibilities

  • Conduct comprehensive, timely, and ongoing physical, psychosocial, pain, and patient-education-needs assessments.
  • Develop individualized plans of care, including nursing diagnoses, goals, teaching plans, and expected outcomes, incorporating patient readiness to learn and family involvement.
  • Prioritize and implement competent, efficient nursing care; reassess patients and revise care plans as needed.
  • Collaborate with physicians and other care-team members to coordinate patient care, using effective communication, handoffs, and SBAR methods.
  • Use critical thinking, scientific judgment, and organizational skills to prioritize tasks and maintain an orderly flow of patients.
  • Recognize and report errors, unusual occurrences, and actual or impending crises; analyze contributing factors and initiate corrective action when appropriate.
  • Document all steps of the nursing process accurately, completely, and promptly in the patient medical record.
  • Follow safety policies and procedures, including applicable quality measures, infection prevention, fall prevention, medication safety, hourly rounding, and AIDET principles.
  • Supervise delegated tasks performed by unlicensed personnel and remain accountable for those tasks under Texas BON rules.
  • Incorporate patients’ cultural and spiritual beliefs into care, make appropriate referrals, and document pertinent information.
  • Participate in hospital or unit performance-improvement activities, including data collection and implementation of quality recommendations.
  • Assist with staff education as a liaison or preceptor, and willingly support coworkers by sharing information and resources.
  • Protect confidential patient information and ensure physical and auditory privacy.
  • Support the Methodist Healthcare System’s mission and vision, comply with its Code of Conduct, and complete other duties as assigned.

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 and flexible spending accounts.
  • 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.
  • Preferred banking partnerships, retirement-readiness tools, rollover support, and financial wellbeing counseling.
  • Auto and home insurance, legal counseling, identity theft protection, and consumer discounts.
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