At Houston Methodist, the Staff Registered Nurse (RN) position is responsible for functioning at the Competent to Proficient stage of Benner's model of clinical practice. The Staff RN position provides professional nursing care to a diverse patient population, conducts nursing assessments, assists with exams and treatment, clinical triage, patient education, and maintenance of medical records. The Staff RN position provides direct patient care effectively and efficiently which may include patients with varied and complex needs. This position communicates and collaborates with the physicians and interprofessional health care team to facilitate, coordinate, and maintain compassionate, efficient, quality care and achievement of desired treatment outcomes, during and after care. The Staff RN position demonstrates clinical competence when providing care, using technology, administering medications, performing procedures, and managing emergencies, acting as a patient and family advocate in order to monitor and maintain patient rights. This position uses leadership skills/clinical judgment in coordinating patient care and directing/delegating activities of the patient care clinical team. with progressive responsibility including but not limited to serving as preceptor to new employees and contributing to initiatives in partnership with management. PEOPLE ESSENTIAL FUNCTIONSUses therapeutic communication, which includes active listening and teaching, to establish a relationship with patients, families and interprofessional health care team to collaborate on the plan of care.Contributes to teamwork by awareness of patient flow, consistently offering assistance, and responding positively to requests for assistance. Collaborates to foster healthy relationships in the work environment. Seeks guidance from and offers guidance to the interprofessional health care team, when appropriate, and applies feedback to improve patient outcomes.Implements staff education specific to patient populations and department processes, coaches and mentors other staff and students. May include preceptorship. Uses peer-to-peer accountability towards improvement of department score for employee engagement, i.e., peer-to-peer accountability.SERVICE ESSENTIAL FUNCTIONSFollows the patient and family-centered care standards, as outlined in the Houston Methodist Professional Nursing Practice document. Conducts nursing assessments, assists with exams and treatment, and maintenance of medical records. Practices in a manner that is congruent with cultural diversity and inclusion principles.Advocates on patient/family's behalf to identify and resolve clinical and ethical concerns, utilizing appropriate resources, coordinating with the interprofessional team to facilitate a holistic and goal-oriented approach to care across the continuum that meets the patient's physical, psychosocial, and spiritual needs.Monitor and effectively manage the electronic health record for incoming and outgoing electronic communication, that includes but not limited to patient medical advice requests and refill requests, that directly impact patient care plans.QUALITY/SAFETY ESSENTIAL FUNCTIONSFollows the standards related to the nursing process, regulatory requirements and professional practice as outlined in the Houston Methodist Professional Nursing Practice document. Identifies areas of practice improvements with research-based evidence to achieve quality measures and patient safety outcomes, supported by accurate documentation and patient teaching.Provides and modifies care to complex patients and coordinates care with the interprofessional team based on evaluation of the patient's condition, supported by accurate documentation. Utilizes clinical judgement, using an evidence-based analytical approach.Improves quality and safety scores, through peer-to-peer accountability, reporting near misses, and collaborating with the interprofessional health care team.Operates all required equipment and machinery accurately and safely, prepares, assembles, and sterilizes instruments and supplies according to parameters of sterilization in accordance with The Department of Health, TJC, OSHA, CDC, AAMI and AORN standards. Maintains appropriate records, and monitors quality control and infection control standards. Provides asset management and support of surgical instruments and trays belonging to or consigned to the facility.Prepare equipment and assist the provider during treatment, examination and testing of patients. Ensure exam rooms are stocked, neat and orderly. Clean, sterilize and test medical equipment.FINANCE ESSENTIAL FUNCTIONSDisplays self-motivation to independently manage time effectively, timely document care, minimize incidental overtime, and prioritize daily tasks. Provides input into department resource utilization including capital and operational budget needs.Contributes towards meeting department financial targets through optimizing efficiency and other areas according to department specifications.Maintain storage of patient products in a neat and orderly fashion, work to maximize theeffectiveness of the clinical spaces, and support inventory management for clinical materials by maintaing accurate inventory through routine reconciliation. GROWTH/INNOVATION ESSENTIAL FUNCTIONSChampions new care pathways or service line implementations to improve care to the community. Identifies trends for improvement opportunities or practice changes and supports initiatives. Researches the change and presents options to appropriate clinical leadership.Identifies and presents areas for innovation, efficiency and improvement in patient care or department operations using evidence-based practice literature. Offers innovative solutions through evidence-based practice/performance improvement projects and department activities. Ensures own career discussions occur with appropriate management. Completes and updates My Development plan on an on-going basis.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. EDUCATIONGraduate from an accredited School of NursingWORK EXPERIENCEOne year of nursing experience in a healthcare environment LICENSES AND CERTIFICATIONS - REQUIREDRN - Registered Nurse - Texas State Licensure and/or Compact State Licensure within 60 days ORRN-Temp - Registered Nurse - Temporary State Licensure within 60 days ANDBLS - Basic Life Support (AHA) ANDOther credentials and certifications as defined by department/service line KNOWLEDGE, SKILLS, AND ABILITIESDemonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluationsSufficient 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 securityAbility 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 principlesStrong assessment, organizational and problem-solving skills as evidenced by capacity to prioritize multiple tasks and role componentsAbility to function independently and exercise judgment in interactions with physicians, interprofessional care team and patients and their familiesUses critical thinking skills and clinical judgment to work autonomously as defined by the Nurse Practice ActDemonstrates proficient time management skillsWorking knowledge of Microsoft products including OutlookSUPPLEMENTAL REQUIREMENTSWORK ATTIREUniform NoScrubs YesBusiness professional NoOther (department approved) NoON-CALL**Note that employees may be required to be on-call during emergencies (ie. DIsaster, Severe Weather Events, etc) regardless of selection below.On Call* NoTRAVEL****Travel specifications may vary by department**May require travel within the Houston Metropolitan area YesMay require travel outside Houston Metropolitan area NoCompany Profile:Houston Methodist Specialty Physician Group is an integral part of Houston Methodist’s overall strategy to become one of the nation’s leading academic medical centers. Established as a nonprofit corporation certified by the Texas State Board of Medical Examiners, the Specialty Physician Group enables physicians to maintain autonomy with respect to clinical practice while growing their practice within an academic environment.Houston Methodist is an Equal Opportunity Employer.

At Houston Methodist, the Sr Staff Registered Nurse (RN) position is responsible for functioning as an advanced clinician at the Proficient level according to Benner's model of clinical practice. The Sr Staff RN position provides professional direct patient nursing care to a diverse patient population, which may include patients with varied and complex needs, 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 Sr Staff RN position assumes leadership responsibilities with high level contributions in the department and across the institution. Responsibilities for this position may include but are not limited to leading department clinical activities, assessing department needs related to practice and improvement opportunities, serving as a clinical resource for department staff and coordinating department education in partnership with management. PEOPLE ESSENTIAL FUNCTIONSIdentifies 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 new employee preceptorships.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.Improves nurse satisfaction by serving as a role model and mentor, facilitating teamwork with RNs, non-licensed and interprofessional staff. Drives improvement of department scores for employee engagement, i.e., peer-to-peer accountability.SERVICE ESSENTIAL FUNCTIONSRole models 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.Develops, updates, and communicates plan of care, including discharge/disposition, 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 department practices and guidelines.Develops and implements effective patient teaching strategies based on learning needs; uses appropriate resources, incorporating planning for care after discharge/disposition. Consistently evaluates the patient's comprehension and adapts teaching methods accordingly.Drives department activities to improve department score for patient satisfaction, through peer-to-peer accountability to service standards.QUALITY/SAFETY ESSENTIAL FUNCTIONSModels 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 department demands. Identifies areas of practice improvements with research-based evidence to achieve quality measures and patient safety outcomes, supported by accurate documentation and patient teaching.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 department or service line level. Contributes to development of service line and clinical standards and guidelines.Partners on initiatives to improve quality and safety scores, 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.FINANCE ESSENTIAL FUNCTIONSModels 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 capital and operational budget needs.Implements department strategies to achieve financial target and mentors others to do the same through timely documentation of care, optimizing efficiency, minimizing incidental overtime, and other areas according to department specifications.GROWTH/INNOVATION ESSENTIAL FUNCTIONSIdentifies opportunities for practice changes and performance improvement. Investigates and incorporates evidence-based practices which are presented to department and leadership. Supports change initiatives and adapts to unexpected changes.Champions new care pathways or service line implementations to improve care to the community. Identifies trends for improvement opportunities or practice changes and supports initiatives. Researches the change and presents options to appropriate clinical leadership.Expands individual nursing knowledge and coaches staff to grow in knowledge, abilities, skills, and attitudes. Ensures own career discussions occur with appropriate management. Serves as the clinical resource. Develops and disseminates, as appropriate, informational/educational resources and programs designed to improve quality and professional practice. Completes and updates My Development plan on an on-going basis.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. EDUCATIONBachelor's degree or higher from an accredited school of nursing OR Associate's degree from an accredited school of nursing with an additional two years of nursing experience (in addition to the minimum experience requirements listed below)WORK EXPERIENCEThree years of nursing experienceOne year in specialty preferred LICENSES AND CERTIFICATIONS - REQUIREDRN - Registered Nurse - Texas State Licensure and/or Compact State Licensure within 60 days ORRN-Temp - Registered Nurse - Temporary State Licensure within 60 days ANDBLS - Basic Life Support (AHA) ANDOther credentials and certifications as defined by department/service line KNOWLEDGE, SKILLS, AND ABILITIESDemonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluationsSufficient 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 securityAbility 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 principlesStrong assessment, organizational and problem-solving skills as evidenced by capacity to prioritize multiple tasks and role componentsAbility to function independently and exercise judgment in interactions with physicians, interprofessional care team and patients and their familiesActs as effective change agentUses therapeutic communication to establish a relationship with patients, families and interprofessional team to collaborate on the plan of careUses critical thinking skills and clinical judgment to work autonomously as defined by the Nurse Practice ActDemonstrates proficient time management skillsWorking knowledge of Microsoft products including OutlookSUPPLEMENTAL REQUIREMENTSWORK ATTIREUniform NoScrubs YesBusiness professional NoOther (department approved) NoON-CALL**Note that employees may be required to be on-call during emergencies (ie. DIsaster, Severe Weather Events, etc) regardless of selection below.On Call* NoTRAVEL****Travel specifications may vary by department**May require travel within the Houston Metropolitan area YesMay require travel outside Houston Metropolitan area NoCompany Profile:Houston Methodist Specialty Physician Group is an integral part of Houston Methodist’s overall strategy to become one of the nation’s leading academic medical centers. Established as a nonprofit corporation certified by the Texas State Board of Medical Examiners, the Specialty Physician Group enables physicians to maintain autonomy with respect to clinical practice while growing their practice within an academic environment.Houston Methodist is an Equal Opportunity Employer.