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Transcend Hospice · Houston, TX Prn

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Job Description

Transcend Hospice - Job Summary: Primary function is to administer skilled nursing care, under the supervision of a registered nurse, for clients of all ages in their place of residence, coordinate care with the interdisciplinary team, patient/family, and referring agency. Job Classification: Clinical Lines of Authority: Reports to the Director of Nursing Job Qualifications: Education: Graduate of an accredited school of vocational nursing Licensure: Current state license as a Licensed Vocational Nurse, current state Driver’s License Experience: Two years’ experience as a Licensed Vocational Nurse in a clinical care setting, hospice, or home health preferred. Skills: Nursing skills as defined as generally accepted standards of practice. Good interpersonal skills. Proof of Hepatitis acceptance or declination. Transportation: Reliable transportation. Valid and current auto liability insurance. Environmental and Working Conditions: Works in patient’s home in various conditions, possible exposure to blood and body fluids and infectious diseases; ability to work flexible schedule, ability to travel locally; some exposure to unpleasant weather, PRN emergency call Physical and Mental Effort: Prolonged standing and walking required. Ability to move up to 50 lbs. and move patients. Requires working under some stressful conditions to meet deadlines, to identify patient needs, to make quick decisions and resource acquisition; meet patient/family psychosocial needs. Requires hand-eye coordination and manual dexterity. Ability to utilize durable medical equipment in the home. Essential Functions: Under the direction of the RN, supplements the nursing care needs of the patient as provided by the RN and as specified in the POC. Assist the RN in carrying out the plan of care. Assist the patient in learning appropriate self- care techniques. Complete appropriate clinical and progress notes, documenting outcomes of interventions. Provide services in accordance with organizational policies and procedures and regulations that define scope of practice. Assist the RN and/or physician in performing specialized duties related to end-of-life care. Prepare equipment and materials for treatment adhering to aseptic technique as required. Assess patient/family response to care, ensuring communication of information to appropriate team members. Promote Agency philosophy and administrative policies to ensure quality of care.

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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.