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

　　This job code is reserved for RNs who are dedicated to the OR, ED, Cath Lab and IR departments only.

　　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 NursingWORK EXPERIENCE

　　Two years nursing experience in a healthcare environment, one year in the clinical field for which you will be workingLICENSES AND CERTIFICATIONS - REQUIRED

　　RN - Registered Nurse - Texas State Licensure and/or Compact State Licensure within 90 days or

　　RN-Temp - Registered Nurse - Temporary State Licensure within 90 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* YesTRAVEL**

　　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:

　　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. In 2022, U.S. News & World Report named Houston Methodist Hospital to its prestigious Honor Roll for the sixth time. Also, in this year’s rankings, Houston Methodist Hospital was named the No. 1 hospital in Texas for the 11th year in a row. Houston Methodist Hospital directs millions of research dollars into patient care and offers the latest innovations in medical, surgical and diagnostic techniques. With 946 operating beds, 85 operating rooms and nearly 8,500 employees, Houston Methodist Hospital offers complete care for 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.