Summer 2023 Transitional Residency Acute Care Program

JOB SUMMARY

At Houston Methodist, the Registered Nurse (RN) PRN position is a licensed staff nurse, an experienced clinician, functions at the Competent to Proficient stage of Benner’s model of clinical practice. The RN PRN position provides professional nursing care to a diverse patient population, conducts nursing assessments, assists with exams and treatment, patient education, and maintenance of medical records.The RN PRN 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. The RN PRN 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 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 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

• Provide 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.
• Focuses on patient/customer safety
• Delivers personalized service using HM Service Standards
• Provides for exceptional patient/customer experiences by following our Standards of Practice of always using Positive Language (AIDET, Managing Up, Key Words)
• Intentionally rounds with patients/customers to ensure their needs are being met
• Involves patients (customers) in shift/handoff reports byenabling 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 - 25%

1. Uses 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. (EF)
2. Contributes to teamwork by awareness of overall unit acuity, 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 interprofessional health care team, when appropriate, and applies feedback to improve patient outcomes. (EF)
3. Implements staff education specific to patient populations and unit processes; coaches and mentors other staff and students. May include preceptorship. Uses peer-to-peer accountability towards improvement of department score for turnover/retention/employee engagement on unit-based scorecard. (EF)

SERVICE - 25%

1. Follows 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. (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, utilizing appropriate resources. (EF)
3. Provides patient teaching 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. Helps drive improvement of department score for patient satisfaction on unit-based scorecard, through peer-to-peer accountability to service standards. (EF)

QUALITY/SAFETY - 25%

1. Follows the standards of care related to the nursing process, as outlined in the Houston Methodist Professional Nursing Practice document. (EF)
2. Follows the standards related to 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 core measure and patient safety outcomes, supported by accurate documentation. (EF)
3. 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. (EF)
4. Improves quality and safety scores on the unit-based scorecard, through peer-to-peer accountability, reporting near misses, and collaborating with the interprofessional health care team. (EF)

FINANCE - 10%

1. Displays self-motivation to independently manage time effectively, timely document care, minimize incidental overtime, and prioritize daily tasks. Provides input into the unit resource utilization including unit capital and operational budget needs. (EF)
2. Contributes towards meeting department financial targets on unit-based scorecard through decreasing length of stay, optimizing efficiency and other areas according to department specifications. (EF)

GROWTH/INNOVATION - 15%

1. Identifies and presents areas for innovation, efficiency and improvement in patient care or unit operations using evidence-based practice literature. Offers innovative solutions through evidence-based practice/performance improvement projects and shared governance activities. (EF)
2. Champions new care pathways or service line implementation to improve service to the community. Identifies trends for improvement opportunities or practice changes and supports initiatives. Researches the change and presents options to shared governance and leadership. (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

o Bachelor of Science degree or higher from an accredited School of Nursing

EXPERIENCE REQUIREMENTS

o Two years of registered nurse experience in a healthcare environment

CERTIFICATIONS, LICENSES AND REGISTRATIONS REQUIRED

o Texas RN license or temporary TX RN license, should obtain permanent license within 90 days. Compact license acceptable according to current Board of Nursing requirements.

o American Heart Association Basic Life Support (BLS)

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

o American Nursing Credentialing Center (ANCC)-recognized certification in applicable specialty area preferred

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

o 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

o 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

o Strong assessment, organizational and problem solving skills as evidenced by capacity to prioritize multiple tasks and role components

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

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

o Demonstrates proficient time management skills

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

o Working knowledge of Microsoft products including Outlook

SUPPLEMENTAL REQUIREMENTS

Work Attire Yes/No

Uniform No

Scrubs Yes

Business professional No

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: __________________________

Houston Methodist Academic Institute (formerly the Houston Methodist Research Institute) was formed in 2004 to rapidly and efficiently translate discoveries made in the laboratory and the clinic into new diagnostics, therapies, and treatments. The research institute was created to provide the infrastructure and support for these endeavors, and to house the technology and resources needed to make innovative breakthroughs in important areas of human disease. A 540,000 square foot building dedicated to research and clinical trials, the academic institute houses over 2,047 credentialed researchers conducting 1,470 ongoing clinical protocols.