Registered Nurse - Surgical Services

The Registered Nurse is responsible for decisions and actions within the domain of nursing practice. Important aspects of this responsibility are the promotion of a safe and therapeutic environment for both the recipients and providers of nursing care; acquisition of specialized knowledge skills and additional formal education to provide specialized care; demonstration and validation of competence in nursing practice; clinical practice consistent with the policies, procedures and standards of this facility; and supervision of other staff as designated within the department.

Principal duties/

Responsibilities

Assures quality of care by adhering to therapeutic standards; measuring health outcomes against patient care goals and standards; making or recommending necessary adjustments; following hospital and nursing standards of care set by state board of nursing, state nurse practice act, and other governing agency regulations. Resolves patient problems and needs by utilizing multidisciplinary team strategies. Protects patients and employees by adhering to infection-control policies and protocols, medication administration and storage procedures, and controlled substance regulations.

Performs and documents patient assessments and reassessments following Nursing and Departmental P/P, using appropriate techniques for data collection and analysis, at regular and indicated intervals. Performs interventions based on critical thinking and technical skills assimilated from assessment, reports and information communicated by other health care providers to achieve optimal patient outcome. Ensures adherence to principles of asepsis throughout the perioperative continuum.

Systematically ensures documentation of physician orders and their completion. Administers medications using accurate calculations against age specific guidelines. Uses specialized equipment and supplies safely and effectively.

Monitors patient closely during anesthesia induction and reversal. Applies special precautions supervising care provided to sedated patients to minimize potential for injury. Provides direct patient care for the pre-, intra, and immediate post-operative phases of the perioperative continuum.

Organizes equipment and supply availability to promote patient safety and minimize delays. Actively participates in the Time-Out process. Follows AORN guidelines for circulator duties in the OR.

Achieves the expected patient outcomes or revises plan of care and implementation of care based on the results of the prescribed plan of care. Evaluates and records patient response to interventions (esp. pain management, safety precautions) Ensures that problems arising are promptly communicated and resolved. Provides accurate and complete report to incoming nursing unit staff.

Applies universal precautions according to potential exposure routes. Wears indicated protective barriers without supervision or reminders. Uses Meditech automation system or manual records to perform scheduling, order entry, care documentation, communications, and to keep abreast of departmental information.

Acts as a patient advocate; facilitates appropriate communication of and resolution for questionable orders or practices from any caregiver. Actively participates in the Time-Out process and SCIP initiatives. Maintains proficiency in own job duties, cross trains to other duties as appropriate.

Identifies inservices/learning activities to enhance job performance. Participates in professional organization (AORN). Collaborates with OR Supervisor and Director of Perioperative Services to identify critical changes required to improve efficiency and effectiveness.

What qualifications you will need

Education/Skills

Associate’s degree required; BSN preferred. BSN will be required within 3 years of employment.

Experience

One year of experience is required.

Licenses, Registrations and/or Certifications

RN license eligible to practice in the State of Texas; Current BLS and ACLS required from an HCA approved vendor; PALS within 90 days of hire

Benefits

Medical City Surgical Hospital Alliance, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services Wellbeing support, including free counseling and referral services Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

Committed to the care and improvement of human life, Medical City Healthcare aims to deliver excellence - providing the highest quality, cost-effective healthcare in the communities it serves. With the resources and experience of HCA Healthcare, including 186 hospitals in the United States and England, Medical City Healthcare is one of the North Texas region's largest and most comprehensive healthcare providers and includes 16 hospitals, about 5000 working physicians, and more than 17,000 employees in Dallas-Fort Worth.

HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"Nurses are essential to the delivery of healthcare and serve as its foundation. At HCA Healthcare, we are committed to equipping nurses with the tools and resources they need to deliver exceptional patient care, championing the profession, and supporting the advancement of nursing’s future."

Erica Rossitto, MBA/HCM, BSN, RN, NEA-BC

Senior Vice President and Chief Nurse Executive

HCA Healthcare

Join a family that cares about every stage in your career! We are interviewing candidates for our Registered Nurse - Surgical Services opening. Apply today and a member of our Talent Acquisition team will reach out.

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.