At Houston Methodist, the Registered Nurse (RN) III position 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.

PEOPLE ESSENTIAL FUNCTIONS

• 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.

• 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, as evidenced by the annual RN-RN teamwork score and interprofessional relationship score. Provides recommendations to improve department scores for turnover/retention.

SERVICE ESSENTIAL FUNCTIONS

• Leads the patient and family-centered care standards, as outlined in the Houston Methodist Professional Nursing Practice document. Mentors others regarding specialty populations. Practices in a manner that is congruent with cultural diversity and inclusion principles.

• 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.

• 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.

• Drives department activities to improve department score for patient satisfaction, through peer-to-peer accountability.

QUALITY/SAFETY ESSENTIAL FUNCTIONS

• 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.

• 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.

• Leads and identifies opportunities for practice changes and performance improvement. Investigates and incorporates evidence-based practices which are presented to shared governance and leadership. Leads 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. Audits plan of care and audits other areas as needed.

FINANCE ESSENTIAL FUNCTIONS

• Models independent time management effectively and prioritization of daily tasks, minimizing incidental overtime. Collaborates with interprofessional health care team to facilitate patient throughput efficiently to meet organizational goals.

• Implements department strategies to achieve financial target 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.

GROWTH/INNOVATION ESSENTIAL FUNCTIONS

• 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. Supports change initiatives and adapts to unexpected changes.

• 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.

• Seeks opportunities to identify self-development needs and takes appropriate action. Ensures own career discussions occur with appropriate management. Completes and updates the 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.

EDUCATION

• Bachelor's degree or higher from an accredited School of Nursing

WORK EXPERIENCE

• Two years nursing experience in a healthcare environment, one year in the clinical field for which you will be working

LICENSES AND CERTIFICATIONS - REQUIRED

• RN - Registered Nurse - Texas State Licensure and/or Compact State Licensure within 60 days OR

• RN-Temp - Registered Nurse - Temporary State Licensure within 60 days AND

• BLS - Basic Life Support (AHA) AND

• Magnet - ANCC Recognized Certification AND

• Other credentials and certifications as defined by unit/service line

KNOWLEDGE, SKILLS, AND ABILITIES

• Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations

• Sufficient 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

• Ability 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

• Demonstrates expertise in operating the electronic medical record

• Acts as effective change agent

• Uses therapeutic communication to establish a relationship with patients, families and interprofessional team to collaborate on the plan of care

• Strong assessment, organizational and problem-solving skill as evidenced by capacity to prioritize multiple tasks and role components

• Ability to function independently and exercise judgment in interactions with physicians, interprofessional care team and patients and their families

• Demonstrates proficient time management skills

• Uses critical thinking skills and clinical judgment to work autonomously as defined by the Nurse Practice Act

• Maintains level of professional contributions as defined in Clinical Career Path program guide

• Working knowledge of Microsoft products including PowerPoint, Word, Excel, and Outlook

SUPPLEMENTAL REQUIREMENTS

WORK ATTIRE

• Uniform No

• Scrubs Yes

• Business professional No

• Other (department approved) No

ON-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* Yes

TRAVEL

Travel specifications may vary by department

• May require travel within the Houston Metropolitan area Yes

• May require travel outside Houston Metropolitan area No

Company Profile:

Houston Methodist Hospital is recognized by U.S. News & World Report as the No. 1 hospital in Texas (two-way tie) and one of America’s “Best Hospitals.” As a full-service, acute-care hospital located in the Texas Medical Center and the flagship hospital of Houston Methodist, it has evolved into one of the nation’s largest nonprofit teaching hospitals and a leader in innovative medical research with a comprehensive residency program. Two of Houston Methodist’s primary academic affiliates are among the nation’s leading health care organizations: Weill Cornell Medicine and New York-Presbyterian Hospital. Houston Methodist also has affiliations with Texas A&M University and the University of Houston. With 948 operating beds, 85 operating rooms and more than 8,400 employees, Houston Methodist Hospital offers unparalleled care for thousands of patients from around the world.

Houston Methodist is an equal opportunity employer inclusive of women, minorities, disabled persons and veterans.

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.

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.