Houston VA - Intensive Care Unit (Registered Nurse)

Presidential Staffing Solutions, LLC · Houston, TX Full Time

What About Senior Care? Less Hours. Ongoing Patient Relationships. Explore Senior Care Jobs →

Job Description

Benefits: Dental insurance Health insurance Paid time off Vision insurance Wellness resources Bonus based on performance Flexible schedule Benefits/Perks Competitive Compensation Great Work Environment Career Advancement Opportunities Job Summary We are seeking an experienced Intensive Care Nurse to join our team! As an Intensive Care Nurse, you will be spending your workday in the Intensive Care Unit assisting critical patients or floating depending on the hospital's needs. You will be responsible for accurately reading patient vitals, making emergency decisions based on changing statistics, and administering medication orally and intravenously based on previous medical decisions. You will also be filling out patient charts and handling incoming and discharge paperwork, as required. The ideal candidate has excellent communication skills, great attention to detail, and has the ability to work in stressful situations. Majority of available shifts are 7:30 am - 8:00 pm and 7:30 pm - 8:00 am. Responsibilities Accurately read medical documentation and charts and administer medicine as directed Evaluate changing patient vitals to determine emergency medical needs Prioritize patient needs based on current information available Communicate patient condition to other staff members Perform admissions and discharge paperwork and evaluations, as needed Adapt to a rapidly changing work environment without compromising on patient care Qualifications Required state licensing to act as a nurse in a hospital setting Strong communication and interpersonal skills Strong organizational skills The ability to work well in a high-pressure environment

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What Most Job Listings Don’t Tell You

General overview for this role type — specific duties and requirements vary by employer.

Nursing roles in senior living are fundamentally different from hospital nursing. Most positions involve building long-term relationships with the same residents over months or years rather than cycling through new patients every shift. Facilities in the Houston area typically require an active Texas RN or LVN license, current CPR/BLS certification, and many prefer at least one year of geriatric or long-term care experience.

Shift patterns vary widely — some facilities run traditional 8-hour shifts (day, evening, night), while others use 12-hour rotations. Weekend and holiday coverage is almost always part of the schedule. The nurse-to-resident ratio in assisted living is generally more favorable than in hospitals, but you will likely be the highest-level clinical staff on the floor during your shift, which means more autonomy and more responsibility for clinical judgment calls.

What to Expect in This Role Day-to-Day

Based on typical senior living facilities in the Houston area.

A typical shift starts with medication pass and resident assessments. You will review overnight notes from the previous shift, check vitals for residents on your watch list, and coordinate with CNAs on any changes in condition. Mid-shift usually involves documentation, family communication, and working with physicians on care plan updates — often by phone or telehealth rather than in-person rounds.

Depending on the facility, you may also handle admissions paperwork, manage wound care, supervise medication techs, and respond to emergencies. The documentation load in senior living is significant — state surveys and compliance requirements mean thorough charting is non-negotiable. Many nurses in this setting say the most rewarding part is knowing their residents personally and being able to notice subtle changes that a rotating hospital nurse might miss.

Houston Area Salary Data

According to the Bureau of Labor Statistics, Registered Nurse positions in the Houston metro area earn a median wage of $47.02/hr ($97,802/yr). The typical range is $38.29 – $50.95/hr (25th–75th percentile).

Entry Level (10th) $69,368/yr

Houston Median $97,802/yr

Experienced (90th) $125,320/yr

vs. National Median +4.5%

Source: Bureau of Labor Statistics, Occupational Employment & Wage Statistics (Houston-Pasadena-The Woodlands, TX Metro Area). Salary data provided by Houston Senior Living Guide.