Registered Nurse - Cardiovascular Surgery

HCA Healthcare•Fort Worth, TX

About The Position

The Registered Nurse is responsible for decisions and actions within the domain of nursing practice. The role promotes a safe and therapeutic environment for patients and care providers; requires specialized knowledge, skills, and education to provide specialized care; demonstrates and validates competence in nursing practice; follows facility policies, procedures, and standards; and supervises other staff as designated within the department. This position provides direct patient care throughout the preoperative, intraoperative, and immediate postoperative phases of the perioperative continuum, with a focus on cardiovascular surgery. The nurse assesses and reassesses patients, implements and evaluates care, administers medications, monitors patients during anesthesia induction and reversal, and uses specialized equipment safely. The role also supports safe and effective operating room workflows, advocates for patients, maintains accurate documentation and communication, and collaborates with perioperative leadership to improve efficiency and effectiveness.

Requirements

  • Associate degree required; a BSN is preferred.
  • BSN required within three years of employment.
  • One year of experience required.
  • RN license eligible to practice in the State of Texas.
  • Current BLS and ACLS certifications from an HCA-approved vendor required.
  • PALS certification required within 90 days of hire.

Nice To Haves

  • Bachelor of Science in Nursing (BSN).

Responsibilities

  • Promote a safe and therapeutic environment for patients and care providers and provide care consistent with applicable nursing standards, facility policies, and regulations.
  • Measure health outcomes against patient care goals and standards, and make or recommend necessary adjustments to care.
  • Resolve patient problems and needs using multidisciplinary team strategies.
  • Follow infection-control policies and protocols, medication administration and storage procedures, controlled substance regulations, and universal precautions.
  • Perform and document patient assessments and reassessments at regular and indicated intervals using appropriate data collection and analysis techniques.
  • Use critical thinking and technical skills to perform interventions based on assessments and information from other healthcare providers.
  • Ensure aseptic principles are followed throughout the perioperative continuum.
  • Ensure physician orders are documented and completed.
  • Administer medications using accurate calculations and age-specific guidelines.
  • Use specialized equipment and supplies safely and effectively.
  • Closely monitor patients during anesthesia induction and reversal, and apply precautions to reduce risks to sedated patients.
  • Provide direct patient care during preoperative, intraoperative, and immediate postoperative phases.
  • Organize equipment and supplies to promote patient safety and minimize delays.
  • Actively participate in the Time-Out process and SCIP initiatives, and follow AORN guidelines for operating room circulator duties.
  • Achieve expected patient outcomes or revise the plan and implementation of care based on results.
  • Evaluate and document patient responses to interventions, including pain management and safety precautions.
  • Communicate and resolve problems promptly, and provide accurate, complete reports to incoming nursing unit staff.
  • Use Meditech automation or manual records for scheduling, order entry, care documentation, communications, and departmental information.
  • Act as a patient advocate and facilitate appropriate communication and resolution of questionable orders or practices.
  • Maintain proficiency in assigned duties, cross-train as appropriate, and identify learning activities to improve job performance.
  • Participate in the professional organization AORN.
  • Collaborate with the OR Supervisor and Director of Perioperative Services to identify changes that could improve efficiency and effectiveness.

Benefits

  • Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health, and telemedicine services.
  • Free counseling and referral services.
  • Paid time off and 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.
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