RN, Registered Nurse - Acute MedSurgical A

CHRISTUS Santa Rosa Hospital – San Marcos

San Marcos, Texas

The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation.

Posted Oct 7

Shift and hours: 7PM - 7AM
Unit and setting: Acute MedSurgical A · Hospital RN, Registered Nurse - Acute MedSurgical A
License: RN licenseRN License in state of employment or compact
Term: Permanent Work Type: Full TimeFull Time

Do you qualify?

License: RN License in state of employment or compact Check your license
Certification: BLS BLS required

Preferred

Education: Bachelor of Science Degree in Nursing Bachelor of Science Degree in Nursing, preferred
Experience: related nursing specialty experience 1 year of experience in the related nursing specialty preferred

Let us help you check

Posted pay in Texas Ask Mira what this role should pay

The role and schedule

Day to day: delegate and assign to care providers Makes appropriate assignments and delegates to other care providers as a means to help manage the clinical situation.
Day to day: meet OneCHRISTUS Competencies Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
Day to day: provide nursing care utilizing the nursing process for assigned patients
Day to day: address complex psychological, emotional, cultural, and social needs Addresses increasingly complex psychological, emotional, cultural, and social needs of patient and families in accordance with their level of practice.
Day to day: administer medications and treatments and monitor for side effects and effectiveness Using the appropriate protocol, administers medications and treatments; monitors for side-effects and effectiveness of the treatment prescribed.
Day to day: document patient history, symptoms, medication, and care given Documents patient history, symptoms, medication, and care given.
Day to day: assess learning needs and provide patient and family education Assess learning needs and provides education to patients, family members and/or care givers; identify issues and resources.

The workplace

CHRISTUS Health

Health system employer

Organization profile

Worth asking

Can you walk me through base pay range and differentials?
What should I expect for weekly hours, weekend, holiday, call, and rotation?

Ask Mira

Your fit

[data-job-fit-skeleton]{display:none}Answer one question to see your fit

On your path

Med surg is open from year one. A broad first base while you learn which path pulls harder.

See your route →Check first: New-grad residency fine print

Original listing

Read full text

Summary

The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, with the ability to on long-range goals or plans. Continues to develop the ability to cope with and manage contingencies of clinical nursing. Makes appropriate assignments and delegates to other care providers as a means to help manage the clinical situation.

CHRISTUS Santa Rosa Hospital – San Marcos, which originated in 1923 as Hays County Soldiers, Sailors and Marines Memorial Hospital, opened at its current Wonder World Drive location in 1983. Our staff of more than 700 Associates works with more than 300 active and consulting physicians to provide quality services to patients and their families. For more than 20 consecutive years, we have been named The Best Hospital in Hays County in the annual “Best of Hays” publication released by the San Marcos Daily Record. In addition to interventional cardiac services, CHRISTUS Santa Rosa Hospital – San Marcos is a Certified Chest Pain Center and an accredited Primary Stroke Center.

We lead the region in da Vinci robotic-assisted surgery and offers a variety of specialty care services including medical imaging, rehabilitation, hospice, women’s services and more.

Responsibilities

Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.

Consistent with the ANA Scope and Standards of Practice, provides nursing care utilizing the nursing process, including assessment, diagnosis, planning, intervention and evaluation for assigned patients.

Addresses increasingly complex psychological, emotional, cultural, and social needs of patient and families in accordance with their level of practice.

Using the appropriate protocol, administers medications and treatments; monitors for side-effects and effectiveness of the treatment prescribed.

Documents patient history, symptoms, medication, and care given.

Assess learning needs and provides education to patients, family members and/or care givers; identify issues and resources.

Job

Requirements

Education/Skills

Bachelor of Science Degree in Nursing, preferred

Experience

1 year of experience in the related nursing specialty preferred

Licenses, Registrations, or Certifications

BLS required

RN License in state of employment or compact

Work Schedule

7PM - 7AM

Work Type

Full Time

What's around it?

In San Marcos, TX

San Marcos, TXFrom Census ACS 2024.

Living costs about 2% below the US average

Median rent: $1,322/mo
Household income: $51,281/yr, all local households, not nurse pay

Life in San Marcos, TX

NeighborhoodsNurses and young professionals typically land in Downtown San Marcos and The Square District for walkable restaurants and Texas State energy (homes roughly $250K–$450K, with tighter parking during the semester); Blanco Gardens, about a mile east of downtown between the Blanco and San Marcos rivers and right off I-35, for cheaper rents and a 5–10 minute drive to The Square; and master-planned Blanco Vista ($300K–$480K) or newer Cottonwood Creek ($280K–$420K) for community pools, trails, and an off-peak ~30-minute drive toward Austin or San Antonio. Facebook locals also name La Cima and Heritage. Rio Vista draws river-oriented renters; west of I-35 and Hunter’s Hill/River Road ($350K–$600K) are quieter, pricier Hill Country and river-acreage options. Kissing Tree ($300K–$500K) is a 55+ golf community south of town, not a typical nurse pocket.

Nurses and young professionals typically land in Downtown San Marcos and The Square District for walkable restaurants and Texas State energy (homes roughly $250K–$450K, with tighter parking during the semester); Blanco Gardens, about a mile east of downtown between the Blanco and San Marcos rivers and right off I-35, for cheaper rents and a 5–10 minute drive to The Square; and master-planned Blanco Vista ($300K–$480K) or newer Cottonwood Creek ($280K–$420K) for community pools, trails, and an off-peak ~30-minute drive toward Austin or San Antonio. Facebook locals also name La Cima and Heritage.

Rio Vista draws river-oriented renters; west of I-35 and Hunter’s Hill/River Road ($350K–$600K) are quieter, pricier Hill Country and river-acreage options. Kissing Tree ($300K–$500K) is a 55+ golf community south of town, not a typical nurse pocket.

Sources

As of Sep 11, 2026Source 1: lrgrealty.com Source 2: thelanesatoslo.com Source 3: facebook.com Source 4: frontperch.com

Getting aroundSan Marcos sits on Interstate 35, about 30 miles south of Austin and roughly 45 minutes north of San Antonio; the typical local commute is about 24 minutes, but I-35 congests at peak hours and most neighborhoods are car-dependent. Blanco Vista is described as about 30 minutes off-peak to either metro; Kissing Tree about 35 minutes to Austin. Ascension Seton Hays is the primary hospital serving the area. Apartments cluster on I-35 frontage and the streets ringing Texas State; south I-35 rentals such as The Lanes at Oslo are a short drive to downtown, campus, and the outlet malls. Relocation guides urge touring during a Texas State semester to feel real traffic and parking pressure near campus.

San Marcos sits on Interstate 35, about 30 miles south of Austin and roughly 45 minutes north of San Antonio; the typical local commute is about 24 minutes, but I-35 congests at peak hours and most neighborhoods are car-dependent. Blanco Vista is described as about 30 minutes off-peak to either metro; Kissing Tree about 35 minutes to Austin.

Ascension Seton Hays is the primary hospital serving the area. Apartments cluster on I-35 frontage and the streets ringing Texas State; south I-35 rentals such as The Lanes at Oslo are a short drive to downtown, campus, and the outlet malls.

Relocation guides urge touring during a Texas State semester to feel real traffic and parking pressure near campus.

Sources

As of Sep 11, 2026Source 1: thelanesatoslo.com Source 2: lrgrealty.com Source 3: littleguys.com Source 4: lrgrealty.com

OutdoorsThe spring-fed San Marcos River runs crystal-clear at about 72°F year-round through the middle of town and is the default recreation: tubing, kayaking, swimming, and fishing, with Rio Vista Park the easy picnic-and-put-in park. Purgatory Creek Natural Area covers more than 1,000 acres of trails next to La Cima (together among the largest urban natural areas in Texas); Spring Lake Natural Area and The Meadows Center offer headwaters walks and glass-bottom boat tours over the springs. Canyon Lake is less than 25 minutes from La Cima, with 80 miles of shoreline, 8,230 surface acres, and eight public parks for boating and fishing. Wonder World Cave & Adventure Park and Ringtail Ridge add caves and more trail miles.

The spring-fed San Marcos River runs crystal-clear at about 72°F year-round through the middle of town and is the default recreation: tubing, kayaking, swimming, and fishing, with Rio Vista Park the easy picnic-and-put-in park. Purgatory Creek Natural Area covers more than 1,000 acres of trails next to La Cima (together among the largest urban natural areas in Texas); Spring Lake Natural Area and The Meadows Center offer headwaters walks and glass-bottom boat tours over the springs.

Canyon Lake is less than 25 minutes from La Cima, with 80 miles of shoreline, 8,230 surface acres, and eight public parks for boating and fishing. Wonder World Cave & Adventure Park and Ringtail Ridge add caves and more trail miles.

Sources

As of Sep 11, 2026Source 1: littleguys.com Source 2: lacimatx.com Source 3: thepassagesatrye1255.com Source 4: frontperch.com

Others hiring in San Marcos, TX

Check licensing in TX

See San Marcos, TX

Moving for this role?

Check the commute at your shift’s start and end, upfront housing costs, and whether moving assistance must be repaid if you leave.

Living in San Marcos

San Marcos is a spring-fed college town on I-35 between Austin and San Antonio, defined by a crystal-clear river that stays about 72°F year-round and a still-walkable, locally owned downtown. For a nurse, the practical appeal is cheaper housing than Austin, a ~24-minute typical local commute, and outdoor life you can actually use after a shift: tubing and swimming from Rio Vista Park, trails at 1,000-acre Purgatory Creek, glass-bottom boats at The Meadows Center, and Canyon Lake under 25 minutes out. Live near Downtown and The Square if you want restaurants and music in walking distance—and can tolerate semester crowds and tight parking. Choose Blanco Gardens for lower rent and I-35 access, or Blanco Vista and Cottonwood Creek (roughly the high $200Ks to $400Ks) for newer homes, pools, and a 30-minute off-peak shot at either metro. Ascension Seton Hays is the area’s primary hospital; most errands still require a car. Tradeoffs are honest: about 38,000 Texas State students swing traffic and rentals every August, I-35 clogs at rush hour, property taxes run about 2.1–2.4%, and the Blanco and San Marcos rivers flood. Tour during a semester, check FEMA maps, and file a homestead exemption if you buy.

AI area guide

Sources

As of 2026Source 1: littleguys.com Source 2: lrgrealty.com Source 3: lrgrealty.com Source 4: thelanesatoslo.com Source 5: lacimatx.com Source 6: frontperch.com

Compare living costs Plan your license move Explore this area

Nurses on this role

Help improve this pageShare what it’s like, leave a heads-up, or fix a detail.

What would you like to do?

What was it really like?

Your connectionWould you recommend it?Your role (optional)Unit (optional)

Add ratings or a short headline

Short headline (optional)StaffingManagementSchedulingOrientationCultureTime there (optional)

I understand that, after review, Nursing Mastery may publish this anonymously.

A person reviews every submission before anything changes.

Do you qualify?

Preferred

The role and schedule

The workplace

Worth asking

Ask Mira

Your fit

On your path

Original listing

Summary

Responsibilities

Requirements

Work Schedule

Work Type

What's around it?

San Marcos, TXiFrom Census ACS 2024.

Life in San Marcos, TX

Moving for this role?

Nurses on this role

Nurses on this role

Life in San Marcos, TX

Moving for this role?

Nurses on this role

San Marcos, TXFrom Census ACS 2024.