Registered Nurse - Day Shift or Night Shift

Nexus Health Systems•Houston, TX

About The Position

Nexus Children’s Hospital – Houston is seeking a compassionate, skilled Registered Nurse to care for pediatric patients with complex medical, developmental, and behavioral health needs. The role is suited to a nurse who values individualized care, teamwork, and helping children make meaningful progress. Nurses combine clinical judgment with a patient-centered approach to support each child’s physical, emotional, and behavioral needs. The Registered Nurse provides direct nursing care in a safe, structured, and therapeutic environment. The nurse assesses patient needs, administers medications and treatments, monitors changes in condition, and collaborates with physicians, therapists, behavioral health professionals, and families to implement individualized care plans. Pediatric acute care experience and experience supporting patients with co-occurring medical and behavioral conditions are encouraged.

Requirements

Associate Degree in Nursing (ADN) from an accredited nursing program.
One to two years of pediatric nursing experience, preferably in an acute care setting.
Current Registered Nurse licensure in the state of Texas.
Current BLS certification through the American Heart Association or American Red Cross, valid for at least six months from the date of hire.
ACLS and PALS certifications through the American Heart Association or American Red Cross, as required by the assigned unit, valid for at least six months from the date of hire.
Complete de-escalation training within 30 days of hire.
Maintain required licensure and certifications in good standing throughout employment.
Strong assessment skills, critical thinking, and sound clinical judgment.
Confidence managing complex patient needs and responding to changes in condition.
A compassionate, adaptable approach to children with developmental and behavioral challenges.
Clear communication with patients, families, and colleagues, including during stressful situations.
Strong organization, prioritization, and electronic documentation skills.
Commitment to teamwork, patient advocacy, and safe, evidence-based nursing care.

Nice To Haves

Bachelor of Science in Nursing (BSN).
A minimum of two years of experience in an inpatient hospital or rehabilitation setting.
Experience caring for patients with medical and/or behavioral health diagnoses.
Pediatric acute care experience and experience supporting patients with co-occurring medical and behavioral conditions.

Responsibilities

Assess, plan, implement, and evaluate individualized pediatric care based on patients’ medical, developmental, and behavioral needs.
Recognize signs of acute illness, worsening chronic conditions, and behavioral health crises; communicate concerns and initiate appropriate interventions.
Administer medications and treatments according to provider orders, established protocols, and nursing standards, and monitor patient response.
Use therapeutic communication, crisis intervention, and de-escalation techniques to support patients with behavioral health needs and promote safety and emotional regulation.
Collaborate with physicians, nursing colleagues, therapists, social workers, and behavioral health specialists to coordinate comprehensive care.
Educate patients and families about medications, treatment plans, disease management, and coping strategies, while keeping families informed and involved.
Adapt care and communication to each patient’s abilities, preferences, and needs while maintaining dignity and respect.
Document assessments, interventions, medications, and patient responses promptly in the electronic health record.
Follow infection prevention practices, protect patient confidentiality, and participate in quality improvement initiatives.
Complete required education, training, and competency validations, and use hospital resources responsibly.