Registered Nurse- Med/Surg

St. Josephs Medical Center · Houston, TX Full Time
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Job Description

POSITION SUMMARY: Accountable for the observation, assessment, intervention, evaluation, rehabilitation, or health teachings of a person who is ill, injured, infirm, or experiencing a change in normal health processes; the maintenance of health or prevention of illness; the administration of a medication or treatment as ordered by a physician, the supervision or teaching of nursing; the administration, supervision, and evaluation of nursing practices, policies, and procedures; the performance of an act delegated by a physician and the development of the nursing care plan. Shift: Fulltime 12 Hour Night POSITION QUALIFICATIONS: Equal Opportunity Employer Minorities/Women/Veterans/Disabled Licensed as a Registered Nurse accepted by the Texas State Board of Nursing to engage in professional nursing. Technical, clerical, critical thinking and interpersonal skills relevant to patient care/area. Certification requirements as defined by the certification policy. Able to communicate effectively in English, both verbally and in writing. PRIMARY RESPONSIBILITIES Uses standards of medical-surgical nursing practice to increase the quality of care and quality of life for the patient, family, and significant other(s) by systematically evaluating the quality and effectiveness of nursing practice. Establishes effective relationships and serves as an advocate with the patient, family, and significant other(s) to facilitate the development of the care plan unique to the patient's care needs. Uses the nursing process to develop and implement the plan of care, collect assessment data for each patient, determine appropriate nursing diagnoses, identify expected patient outcomes, determine the plan of care, implement interventions, and evaluate patient outcomes. Develops assessment and management strategies based on a consideration of the physical, functional, cultural, social, economic, developmental, spiritual, vocational, and leisure dimensions of human responses to actual and potential health problems. Demonstrates knowledge of the impact of actual or potential illness and each patient's physical, functional, cultural, social, economic, developmental, spiritual, vocational, and leisure status. Utilizes leadership skills by coordinating and collaborating with the patient, family, significant other(s), communities, and members of the inter-professional team in assessing needs, setting goals, planning interventions, providing care, and evaluating outcomes. Utilizes effective communication to participate with the patient, family, significant other(s), and other health care providers in collaborative decision making that reflects the understanding that care should be culturally sensitive, ethical, legal, holistic, informed, compassionate, and humane, and within the boundaries of available economic resources. Educates the patient, family, and significant other(s) about measures that promote, maintain, and restore health or promote comfort. Fosters a healthy work environment within the practice setting and profession by serving as a mentor and role model for nursing colleagues, students, and others. Applies the existing body of evidence-based practice and scientific knowledge in health care to medical-surgical nursing practice, ensuring that nursing care is delivered based on patient's age-specific needs and clinical needs as described in the department's Scope of Service. Works in a constant state of alertness and in a safe manner. May perform point of care testing according to policies and procedures. Performs other duties as assigned. PREFERRED: Bachelor's degree or progression to this degree. National Certification as recognized by the American Nurses Credentialing Center. Bilingual or Multilingual. Basic Life Support with American Heart Association ACLS with American Heart Association

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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.

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