Registered Nurse (RN), Inpatient - NICU Level 4, Neonatal Intensive Care Unit Level 4 (Nights)

Texas Children's Hospital•Houston, TX

2d•Onsite

About The Position

Texas Children’s Hospital is hiring a Registered Nurse for its Level IV Neonatal Intensive Care Unit (NICU). The role provides quality nursing care to critically ill neonates and infants who require complex care and the highest level of support. Care includes assessing, planning, educating, implementing, and evaluating age-appropriate treatment while applying family-centered principles and cost-effective practices. The nurse collects and analyzes information from medical records to coordinate care and works with an interdisciplinary team to meet patients’ clinical and psychosocial needs and support their families. The NICU is an open-pod unit on the fourth floor of the West Tower, with several private isolation rooms. Patients may arrive from the Pavilion for Women, other hospital departments, or hospitals across Texas and beyond. The team includes NICU-specialized nurses, providers, respiratory therapists, social workers, child life specialists, physical and occupational therapists, speech and music therapists, care coordinators, and pharmacists. The unit provides complex medical and surgical care for conditions including respiratory distress, bronchopulmonary dysplasia, pulmonary hypertension, hypoxic-ischemic encephalopathy, gastroschisis, omphalocele, necrotizing enterocolitis, congenital heart disease, and other congenital anomalies. Specialized treatments include Continuous Renal Replacement Therapy (CRRT), Extracorporeal Membrane Oxygenation (ECMO), Total Body Cooling (TBC), and Peritoneal Dialysis (PD). Successful candidates must undergo respiratory fit testing in compliance with occupational health and safety standards.

Requirements

Bachelor’s degree in nursing, or another nursing degree with acceptance or current enrollment in a BSN program and a signed agreement.
Current licensure with the Texas Board of Nursing or through the Nurse Licensure Compact.
Current BLS certification.
At least 9 months of professional nursing experience.
Ability to demonstrate positive and appropriate interpersonal skills, time and resource management, flexibility, and strong oral and written communication.
Knowledge of unit-specific equipment and the nursing process, critical-thinking skills, PALS, and interdisciplinary collaboration.
Successful completion of respiratory fit testing.

Nice To Haves

Previous NICU or ICU experience is highly preferred.

Responsibilities

Perform and document assessments of patients and families, including biophysical, psychosocial, developmental, cultural, spiritual, and environmental needs.
Collect and analyze medical-record data to coordinate patient care.
Analyze situations, anticipate potential problems, and detect changes in patient status.
Identify patient needs related to teaching, discharge planning, growth and development, nutritional screening, functional status, and pain management.
Develop an individualized plan of care based on nursing assessments and reprioritize or change it as necessary.
Determine applicable standards of care and practice and coordinate with other health team members as appropriate.
Participate in interdisciplinary rounds and/or patient care conferences.
Carry out therapeutic physician or nurse interventions according to established standards.
Evaluate and document patient responses to care and recognize progress toward desired outcomes.
Identify actual or potential barriers to learning and use appropriate teaching strategies to address them.
Maintain confidentiality concerning patient and family issues.
Serve as an educational resource for new employees and team members.
Participate in achieving hospital and unit goals, structures, and priorities.