Registered Nurse III (RN) - Outpatient PACU
Job Ref # 46679
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Location:
Houston Methodist Hospital
6445 Main St.
Houston, TX 77030

Category: RN - OR

Job Type: Full-Time

Posted Date: April 22, 2019

Work Shift: DAY

Work Week: Varies


Job Summary

11/2018
JOB SUMMARY
At Houston Methodist, the Registered Nurse (RN) III position is a licensed staff nurse, who as an advanced clinician, functions at the Proficient level according to Benner¿s model of clinical practice. The RN III position provides professional direct patient nursing care to a diverse patient population and is considered an expert in a specialty.  Besides conducting nursing assessments, assisting with exams and treatment and maintenance of medical records, this position assists in coaching and mentoring department staff in areas of clinical and professional practice.  Role modeling compassionate communication with physicians and the interprofessional health care team, the RN III position assumes leadership responsibilities with high level contributions at the bedside, unit, service line, and across the institution.  Responsibilities for this position may include but are not limited to leading unit and shared governance activities, serving as charge nurse as needed, assessing unit needs related to practice and improvement opportunities, serving as a clinical resource for both unit and hospital staff and coordinating unit and hospital-wide education in partnership with management.

PATIENT AGE GROUP(S) AND POPULATION(S) SERVED
Refer to departmental "Scope of Service" and "Provision of Care" plans, as applicable, for description of primary age groups and populations served by this job for the respective HM entity.



HOUSTON METHODIST EXPERIENCE EXPECTATIONS
oProvide personalized care and service by consistently demonstrating our I CARE values:
-INTEGRITY: We are honest and ethical in all we say and do.
-COMPASSION: We embrace the whole person including emotional, ethical, physical, and spiritual needs.
-ACCOUNTABILITY: We hold ourselves accountable for all our actions.
-RESPECT: We treat every individual as a person of worth, dignity, and value.
-EXCELLENCE: We strive to be the best at what we do and a model for others to emulate. 
oFocuses on patient/customer safety
oDelivers personalized service using HM Service Standards
oProvides for exceptional patient/customer experiences by following our Standards of Practice of always using Positive Language (AIDET, Managing Up, Key Words)
oIntentionally rounds with patients/customers to ensure their needs are being met
oInvolves patients (customers) in shift/handoff reports by enabling their participation in their plan of care as applicable to the given job

PRIMARY JOB RESPONSIBILITIES
Job responsibilities labeled EF capture those duties that are essential functions of the job.

PEOPLE - 20 %
1.Identifies staff development opportunities for professional growth of colleagues, provides coaching to meet identified goals. Acts as a model and coaches staff in effective verbal, non-verbal and written communication, which includes active listening and teaching. Provides oversight for student/new employee preceptorships. (EF)
2.Collaborates to foster healthy relationships in the work environment such as mitigation of conflict.  Advocates for a balanced workload, promotes positive behaviors, and peer-to-peer accountability.    (EF)
3.Improves nurse satisfaction by serving as a role model and mentor, facilitating teamwork with RNs, non-licensed and interprofessional staff, as evidenced by the annual RN-RN teamwork score and interprofessional relationship score.  Improves department scores for turnover/retention on unit-based scorecard. (EF)

SERVICE - 25%
1.Leads the patient and family-centered care standards, as outlined in the Houston Methodist Professional Nursing Practice document.  Mentors others regarding specialty populations. Audits plan of care. Practices in a manner that is congruent with cultural diversity and inclusion principles.  (EF)
2.Develops, updates and communicates plan of care, including discharge, in partnership with the patient, family and interprofessional health care team, using the nursing process.  Prioritizes care based on the patient¿s needs, abilities and preferences.  Advocates on patient/family¿s behalf to identify and resolve clinical and ethical concerns. Develops appropriate resources and supports unit practices and guidelines.  (EF)
3.Develops and implements effective patient teaching strategies based on learning needs; uses appropriate resources, incorporating planning for care after discharge.  Consistently evaluates the patient¿s comprehension and adapts teaching methods accordingly.  (EF)
4.Drives department activities to improve department score for patient satisfaction on unit-based scorecard, through peer-to-peer accountability.  (EF)

QUALITY/SAFETY - 20%
1.Models the standards of care related to the nursing process, as outlined in the Houston Methodist Professional Nursing Practice document.  Provides care as the staff nurse leader to complex patients and leads the interprofessional health care team in implementing plan of care.  Anticipates/prevents and recognize/resolves early declines in patient condition and emergent situations. Manages assignment of complex patients and other unit demands. Proactively recognizes, determines a plan of action, and responds to situations, such as Rapid Response/CERTs, and emergency codes. (EF)
2.Models the standards related to regulatory requirements and professional practice as outlined in the Houston Methodist Professional Nursing Practice document.  Role models highly developed assessment, clinical documentation, leadership and analytical skills; integrates and contributes to professional practice standards, policies, procedures, protocols and leads improvements in patient safety-related processes at unit or service line level.  Contributes to development of service line and hospital standards and guidelines.   (EF)
3.Leads initiatives to improve quality and safety scores on the unit and hospital scorecards, through peer-to-peer accountability, reporting near misses and identifying solutions by collaborating with the interprofessional team. Role models situational awareness, using teachable moments to improve safety. Assists with audits as needed. (EF)

FINANCE - 15%
1.Models independent time management effectively and prioritization of daily tasks, minimizing incidental overtime.  Actively participates in the stewardship and efficient utilization of resources and needs including unit capital and operational budgets.  (EF)
2.Collaborates with interprofessional health care team to facilitate patient throughput efficiently to meet organizational goals.  (EF)
3.Implements department strategies to achieve financial target on unit-based scorecard and mentors others to do the same through timely documentation of care, decreasing length of stay, optimizing efficiency, minimizing incidental overtime, and other areas according to department specifications.  (EF)

GROWTH/INNOVATION - 20%
1.Leads and identifies opportunities for practice changes and performance improvement. Investigates and incorporates evidence-based practices which are presented to shared governance and leadership. Supports change initiatives and adapts to unexpected changes. (EF)
2.Expands individual nursing knowledge and coaches staff to grow in knowledge, abilities, skills, and attitudes.  Serves as the clinical resource.  Develops and disseminates, as appropriate, informational/educational resources and programs designed to improve quality and professional practice. (EF)
3.Fosters identification and implementation of innovative solutions to improve patient care or unit operations such as reduction of hospital readmissions or other department-specific measures by leading and/or participating in unit projects and shared governance activities.  (EF)

This job description is not intended to be all inclusive; the employee will also perform other reasonably related business/job duties as assigned. Houston Methodist reserves the right to revise job duties and responsibilities as the need arises.

EDUCATION REQUIREMENTS
oBachelor of Science degree from an accredited School of Nursing

EXPERIENCE REQUIREMENTS
oThree years clinical healthcare nursing experience
oOne year in specialty preferred

CERTIFICATIONS, LICENSES AND REGISTRATIONS REQUIRED
oTexas RN license or temporary TX RN license, should obtain permanent license within 90 days. Compact license acceptable according to current Board of Nursing requirements.
oAmerican Heart Association Basic Life Support (BLS)
oOther credentials and certifications as defined by unit/service line
oAmerican Nursing Credentialing Center (ANCC)-recognized certification

KNOWLEDGE, SKILLS AND ABILITIES REQUIRED
o.Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations as defined in orientation checklist and annual departmental competency checklist
oSufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security
oAbility to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles
oDemonstrates expertise in operating the electronic medical record
oWorking knowledge of Microsoft products including PowerPoint, Word, Excel and Outlook
oActs as effective change agent 
oUses therapeutic communication to establish a relationship with patients, families and interprofessional team to collaborate on the plan of care
oStrong assessment, organizational and problem solving skill as evidenced by capacity to prioritize multiple tasks and role components
oAbility to function independently and exercise judgment in interactions with physicians, interprofessional care team and patients and their families
oDemonstrates proficient time management skills
oUses critical thinking skills and clinical judgment to work autonomously as defined by the Nurse Practice Act
oMaintains level of professional contributions as defined in Clinical Career Path program guide. 

SUPPLEMENTAL REQUIREMENTS

Work AttireYes/No
Uniform                      No
ScrubsYes
Business professionalNo
Other (dept. approved)            No

On-Call*                                   No (for Non-Exempt or Exempt jobs)

*Note that employees may be required to be on-call during emergencies (i.e. Disaster, Severe Weather Event, etc) regardless of selection above.
            
Travel**        
May require travel within        Yes
Houston Metropolitan area

May require travel outside     No
of Houston Metropolitan area

**Travel specifications may vary by department.


Please note any other special considerations to this job: __________________________


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.



Company Profile

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.

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