RN, Registered Nurse - Acute Med/Surg
San Antonio, Texas
The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation.
- Unit and setting
- Acute Med/Surg · Hospital
- License
- RN licenseRN License in state of employment or compact
- Term
- Per DiemPRN
Do you qualify?
- New grads
- Welcomed, residency program All newly licensed RNs may participate in a residency program or other specific orientation.
- License
- RN License in state of employment or compact Check your license
- Certification
- BLS BLS required
- Certification
- PALS certification Current PALS certification required
- Also asks
- completion of all annual competency verification requirements Completion of all annual competency verification requirements.
Preferred
- Education
- Bachelor of Science Degree in Nursing Bachelor of Science Degree in Nursing, preferred
- Experience
- experience in related nursing specialty 1 year of experience in the related nursing specialty preferred
Your six-month RN application plan
Start about six months before graduation. Some programs open earlier; use each employer’s application dates. See program calendars.
6 months before
Shortlist units
Check application windows. Gather clinical experience, references and your expected graduation date.
Find residencies4–6 months before
Apply as windows open
Apply before graduation when the program allows it. Keep the cohort date and license deadline with each application.
Explore new grad jobs2–3 months before
Meet the unit manager
Ask about overtime, a shadow shift, preceptor continuity and the schedule after orientation.
Prepare your questionsAround graduation
Confirm your start
Coordinate NCLEX, the required license and your start date. Get relocation and repayment terms in writing.
Plan your license
The role and schedule
- Day to day
- makes appropriate assignments and delegates to other care providers Makes appropriate assignments and delegates to other care providers as a means to help manage the clinical situation.
- Day to day
- meets OneCHRISTUS Competencies expectations Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
- Day to day
- provides nursing care utilizing nursing process per ANA Scope and Standards
- Day to day
- addresses 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
- administers medications and treatments and monitors 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
- documents patient history, symptoms, medication, and care given Documents patient history, symptoms, medication, and care given.
- Day to day
- assesses learning needs and provides education to patients and caregivers Assess learning needs and provides education to patients, family members and/or care givers; identify issues and resources.
- Employment
- Per Diem As Needed Work Type: Per Diem As Needed
Support on this unit
The posting does not state the assignment size, and nothing published names it for this unit.
- Orientation
- Residency program
- Your preceptor
- A preceptor is assigned to you
The workplace
You will need a car here: about 90% of people drive, VIA is a backup rather than a substitute, and I-10, I-35, I-281, and Loop 1604 back up from 4 to 6 p.m.
Ask Mira
Your fit
Questions to ask
- Can you walk me through base pay range and differentials?
- What should I expect for shifts, weekly hours, weekend, holiday, call, and rotation?
- What preceptor time and ongoing unit support are included?
- How are patient load, floating, and staffing support handled day to day?
On your path
Med surg is open from year one. A broad first base while you learn which path pulls harder.
Original listing
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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.
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
Position
Requirements
Education/Skills
- All newly hired experienced RNs must attend New Nurses Orientation within the first 30 days of hire.
- New hires are precepted by a designated trained staff member and initial on-boarding requirements are validated through successful completion of the designated organizational entry competency validation and a MedSurg specific competency validation.
- All newly licensed RNs may participate in a residency program or other specific orientation. Skills completion and competency completion will be achieved with the preceptor at the bedside and documented through the program’s tracking software.
- Completion of all annual competency verification requirements.
Experience
- One year of experience in a related nursing specialty preferred.
Licenses, Registrations, or Certifications
- Current PALS certification required
Credential Grace Periods
If additional credentials are required per the Position Requirements section, a grace period to obtain the certification will apply, dependent on your experience level.
- Any Candidate/Associate with at least one year of acute care clinical experience in a similar service line within the past three years is considered an Experienced Associate.
- Any Candidate/Associate who does not have at least one year of full-time acute care clinical experience in the same service line within the past three years is considered an Experienced Associate New to the Specialty.
Credential
Grace Periods for Experienced Associates
Grace Periods for
New Graduates & Experienced Associates New to the Specialty
Basic Life Support (BLS)
No grace period. AHA or Red Cross accepted at time of hire.
No grace period. AHA or Red Cross accepted at time of hire.
Advanced Cardiac Life Support (ACLS)
Within 30 days of hire.
Within 90 days of hire.
Pediatric Life Support (PALS)
Within 30 days of hire.
Within 90 days of hire.
Trauma Nurse Core Curriculum (TNCC)
Within 60 days of hire.
Within 18 months of hire.
Trauma Care After Resuscitation (TCAR)
Within 60 days of hire.
Within 18 months of hire.
Neonatal Resuscitation Program (NRP)
Within 30 days of hire.
Within 60 days of hire.
AWHONN INTERMEDIATE FHM (Fetal Heart Monitoring)
Within 30 days of hire.
Within 60 days of hire.
STABLE (Neonatal Education)
Within 30 days of hire.
Within 60 days of hire.
Work Schedule
PRN
Work Type
Per Diem As Needed
What's around it?
San Antonio, TXFrom Census ACS 2024.
Living costs about 5% below the US average
- Median rent
- $1,324/mo
- Household income
- $65,056/yr, all local households, not nurse pay