Registered Nurse - MedSurg Float Pool
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Job Description
Join Brooke Army Medical Center, the Department of Defense's largest inpatient hospital and Level I Trauma Center, as a Medical-Surgical Registered Nurse. You'll deliver safe, evidence-based care to adult patients in a fast-paced inpatient environment while adhering to military healthcare standards.
What You'll Do
- Conduct comprehensive patient assessments and develop individualized nursing care plans
- Administer medications via multiple routes and manage blood product administration
- Perform wound care, assist with patient hygiene and mobility, and monitor patient conditions
- Educate patients and families on disease processes, medications, and discharge instructions
- Float to other comparable units as assigned and supervise LVNs and assistive personnel
Requirements
- Associate Degree in Nursing (ADN) minimum; Bachelor of Science in Nursing (BSN) preferred
- Current, active, unrestricted RN license from any U.S. state or territory
- Minimum one year RN experience in acute care inpatient setting within last two years
- Basic Life Support (BLS) certification required; ACLS or ALS preferred for specialty units
- U.S. Citizenship and successful background investigation and security screening completion
Benefits
- Work in a highly collaborative, mission-focused healthcare environment supporting military beneficiaries
- Opportunities for professional development and continuous growth at an academic medical center
This is a preview of the job listing. The full posting includes complete compensation details, benefits package, qualification requirements, and application instructions.
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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 $48.00/hr ($99,840/yr). The typical range is $39.37 – $55.77/hr (25th–75th percentile).
Source: Bureau of Labor Statistics, Occupational Employment & Wage Statistics (Houston-Pasadena-The Woodlands, TX Metro Area). Salary data provided by Houston Senior Living Guide.
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