Work Shift: NIGHT
Work Week: varied
The RN II is a staff nurse, who as an experienced clinician functions at the Competent stage of Benner’s model of clinical practice. The RN II provides direct patient care effectively and efficiently to a patient team which may include patients with varied and complex needs. The RN II assumes leadership roles with progressive responsibility including but not limited to participating in or leading unit and shared governance initiatives, serving as charge nurse or preceptor to students or new employees, and possibly contributing to service line or hospital wide initiatives
Duties and Responsibilities are cross-referenced to the hospital’s Pillars of Excellence:
People (providing direction and plans, leading and managing people, ICARE values)
Service (patient/customer satisfaction, interpersonal effectiveness)
Quality and Safety (making judgments and decisions)
Finance (driving for performance excellence)
Innovation and Growth (leading improvement and innovation, role-specific expertise)
PATIENT AGE GROUP SERVED
Varies. Defined for each clinical area using the eight stages in the Population Specific Competencies for Healthcare Providers program.
DUTIES AND RESPONSIBILITIES
Provides care to increasingly complex patients and coordinates the interdisciplinary team. (Quality/Safety) (EF)
Identifies and presents areas for improvement in patient care or unit operations and offers solutions by participating in unit projects and shared governance activities. (Growth/Innovation) (EF)
Identifies leadership opportunities for professional growth of peers. (People)
Provides input into the unit resource utilization including unit capital and operational budget needs. (Finance) (EF)
Contributes to meeting departmental financial target on unit-based scorecard. (Finance) (EF)
Develops and updates plan of care in partnership with the patient and family using the nursing process, incorporating the patient’s priorities and abilities. (Service) (EF)
Establishes mutual educational goals with patient and family, provides appropriate resources, incorporating planning for care after discharge. (Service) (EF)
Supports patients and families in preventing/resolving clinical or ethical issues. (Service) (EF)
Contributes to meeting departmental target for patient satisfaction on unit-based scorecard. (Service) (EF)
CLINICAL JUDGEMENT/CRITICAL THINKING
Follows the nursing process, modifies care based on continuous evaluation of the patient’s condition, demonstrates clinical problem-solving and critical thinking, and makes decisions using evidence-based analytical approach. (Quality/Safety(EF))
Plans for routine events and anticipates/prevents and manages/elevates emergent situations. (Quality/Safety) (EF)
Contributes to meeting departmental targets for quality and safety measures on unit-based scorecard. (Quality/Safety) (EF)
Communicates in an active, positive and effective manner to all health care team members and reports pertinent patient care and family data in a comprehensive and unbiased manner, listens and responds to the ideas of others. (People) (EF)
Uses a structured format for regular communication with patients and families, such as hourly rounding. (Quality/Safety) (EF)
Uses therapeutic communication to establish a relationship with patients and families and communicates the plan of care. (Service) (EF)
Manages usual patient assignment and other unit demands, completes patient care responsibilities in timely manner with accurate documentation, organizes multiple priorities and anticipates/plans for potential problems. (Quality/Safety) (EF)
Uses downtime efficiently, aware of team members’ workload, consistently offers assistance, and responds positively to requests for assistance from other team members. (People) (EF)
Supportive of change initiatives. Adapts to unexpected changes. (Growth/Innovation) (EF)
Reports “near misses” as well as errors promptly and consistently to improve systems and processes and identify trends. (Quality/Safety) (EF)
Collaborates with staff from the interdisciplinary team concerning safety data to improve outcomes. (Quality/Safety) (EF)
Implements unit and hospital initiatives to achieve National Patient Safety Goals. (Quality/Safety) (EF)
Identifies areas for improvement based on understanding of evidence-based practice literature. Initiates evidence-based practice/performance improvement projects based on these observations. (Innovation/Growth(EF))
Identifies opportunity for practice changes. Researches the change and presents options to shared governance and leadership. (Quality/Safety) (EF)
Assures that designated core measures are met in providing care. (Quality/Safety) (EF)
Identifies own learning needs, consults with healthcare team experts and seeks continuing education opportunities to meet those needs. (Growth/Innovation) (EF)
Implements staff education specific to patient populations and unit processes; coaches and mentors other staff and students. May include preceptorship. (People) (EF)
Maintains level of professional contributions as defined in Clinical Career Path program guide. (EF)
Demonstrates the components of the ICARE values statement.
Demonstrates SERVICE PRIDE standards.
Follows all safety rules while on the job. Reports accidents promptly and corrects minor hazards.
Performs other duties as assigned.
Graduation from an accredited School of Nursing
Bachelor’s or Master’s degree in Nursing required at HMH, preferred at other HM system hospitals
15 CEU’s annually
At least 18 months’ experience required
CERTIFICATES, LICENSES AND REGISTRATIONS REQUIRED
Registered nurse with current Texas license
BLS, certification must be approved by the American Heart Association
Other certifications as required by unit/service
SPECIAL KNOWLEDGE, SKILLS AND ABILITIES REQUIRED
Must be able to perform skills and competencies as defined in orientation checklist and annual departmental competency checklist if applicable.
Basic computer skills
Must be able to write and speak effectively in English
Competencies, skills, training as listed in Policy NU-903, “Competence of Nursing Staff” and HR 07 “Competency Assessment”
Equal Employment Opportunity
Houston Methodist is an Equal Opportunity Employer.
Equal employment opportunity is a sound and just concept to which Houston Methodist is firmly bound. Houston Methodist will not engage in discrimination against or harassment of any person employed or seeking employment with Houston Methodist on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, status as a protected veteran or other characteristics protected by law.
VEVRAA Federal Contractor – priority referral Protected Veterans requested.
Since its founding in 1919, Houston Methodist Hospital has earned worldwide recognition. Houston Methodist Hospital is affiliated with the Weill Medical College of Cornell University and New York-Presbyterian Hospital, one of the nation's leading centers for medical education and research. Houston Methodist is consistently ranked in U.S. News & World Report’s “Best Hospital” list and was recently named the number one hospital in Texas. FORTUNE magazine has placed Houston Methodist on its annual list of “100 Best Companies To Work For” since 2006. Houston Methodist Hospital directs millions of research dollars into patient care and offers the latest innovations in medical, surgical and diagnostic techniques. With 1,119 licensed beds, 67 operating rooms and over 6,000 employees, Houston Methodist offers complete care for patients from around the world.