HCA, Hospital Corporation of America Registered Nurse (7a-7p) Labor & Delivery in San Antonio, Texas

Center City San Antonio is the backdrop for a vibrant and diverse community of patients served by Metropolitan Methodist Hospital. Our 354 bed hospital offers outstanding heart and cancer care, general surgery, neurosurgery, orthopedic surgery, obstetrics and gynecology services, inpatient and outpatient rehabilitation services, sleep disorder evaluation and the largest emergency room in downtown San Antonio. Our women’s pavilion, the only stand-alone facility in downtown San Antonio dedicated to the health of women and their newborn babies, has earned an excellent reputation, one baby at a time. Metropolitan Methodist Hospital has been recognized by Modern Healthcare as a Best Place to Work in Healthcare and for the third consecutive year as a Leader in LGBT Healthcare Equality by the Human Rights Campaign (HRC) Foundation. We are pleased to announce it is the first hospital in San Antonio to achieve Pathway to Excellence designation by the American Nurses Credentialing Center. We have also been nationally recognized by Leapfrog for our focus on safety and quality, receiving a Grade A Hospital Safety Score. For more information, please visit our website at www.sahealth.com and select Metropolitan Methodist Hospital under Locations.

General Statement of Duties:

The professional Registered Nurse (RN) is the patient and patient’s family advocate. He/she consistently applies and utilizes the nursing process, critical thinking skills, scientific judgment, technical skills and leadership to independently deliver safe nursing care to patients. The RN collaborates with the patient care team to achieve quality patient outcomes in alignment with the Hospital mission and Methodist Excellence goals. Communicates and utilizes interpersonal skills effectively and role models confidence and professionalism within nursing as evidenced by active engagement in unit and organizational activities. Demonstrates team work and adaptability and is a resource person to the patient care team. He/she is accountable for the quality of nursing care services delivered by self or others under their direction in accordance with the Texas Nurse Practice Act, hospital policies and procedures and the Texas Board of Nursing rules for delegated nursing tasks (Chapter 224). Promotes a positive image of nursing and demonstrates team work and adaptability through consistently following the standards of Methodist Excellence.

Essential Job Functions : 1. Applies nursing judgment through a thorough,systematic approach of applying the nursing process to include: • Assessment: Conducts comprehensive, timely, and ongoing focused physical, psychosocial and pain assessments; includes assessment of patient education needs. • Planning: Utilizes the assessment, identifies problems, makes nursing diagnoses, formulates goals, teaching plans and outcomes to create an individualized plan of care. Identifies individual patient goals, readiness to learn and incorporates family into the plan of care. • Implementation: Prioritizes and implements a competent, prioritized and efficient nursing plan of care. • Evaluation/Reassessment: Consistently conducts timely evaluation, anticipates and recognizes changes in patient conditions, determines when reassessments are needed and adjusts the plan of care as necessary. Compares expected and achieved outcomes of nursing care utilizing the plan of care.

  1. Collaborates with patient care team members on patient care plan; communicates timely and effectively with physicians and other members of the patient care team through verbal, written or electronic communication to coordinate and facilitate meeting patient needs. Incorporates consistent use of hand-off communication and SBAR communication methods.

  2. Demonstrates critical thinking skills, scientific judgment, and organizational skills. Prioritizes tasks and adjusts priorities when necessary. Maintains an orderly, efficient and timely flow of patients. Recognizes and reports errors and unusual occurrences and analyze contributing factors. Initiates corrective action when appropriate.

  3. Makes accurate, complete and timely entries into the patient medical record addressing all steps of the nursing process. Actively communicates with members of the healthcare team, patient and patient family.

  4. Maintains current nursing knowledge to assure a safe working environment. Demonstrates practical application of all policies and procedures relative to safety and the pillars of Methodist Excellence to include: Applicable quality core measures, infection prevention, fall prevention, medication administration safety, hourly rounding, and AIDET principles.

  5. Responsible to supervise tasks delegated to unlicensed personnel and accountable for tasks performed by unlicensed personnel according to the Texas BON rules for delegated nursing tasks (Chapter 224).

Minimum Education, Experience, Training, Required Knowledge, Skill, Abilities and Other Job-Related Characteristics:

  1. Education: Graduate of an accredited diploma, associates, or baccalaureate degree nursing program.

  2. Experience: A. RN I – Less than six months experience as a licensed RN. MHS practice for RNs with less than six months experience is to attend an RN Residency program. B. RN II - Minimum of six (6) months clinical experience as a licensed RN. C. RN III - ALL of the following: 1) Minimum of six (6) months clinical experience working as RN in specialty area of hire. 2) Approved for and maintains requirements of the MHS Nursing Clinical Excellence program RN level III. D. RN IV - ALL of the following:
    1) Minimum of six (6) months clinical experience working as RN in specialty area of hire.
    2) Approved for and maintains requirements of the MHS Nursing Clinical Excellence Program RN level IV to include BSN or national certification.

    1. Employee completes initial and ongoing training and competencies as defined by service line, facility and department/unit which are specific to the needs of the patient population served (if applicable).

    2. Preferred: Bachelor of Science in Nursing (BSN)

    Minimum License, Certificates, or Registrations Required:

    1. Required:
      • RN License to practice as a professional registered nursing in the state of Texas or Active Multi-State RN Compact License, or GN Permit for RN’s being hired into RN I position. (Employees with RN Compact License are required to obtain Texas RN License within 90 days of hire date.)

      • BLS Certification required

    2. Preferred: Certification in their specialty

Job: *Nursing - Professional

Title: Registered Nurse (7a-7p) Labor & Delivery

Location: Texas-San Antonio-Metropolitan Methodist Hospital

Requisition ID: 01578-87632