Registered Nurse - Operating Room

St. Josephs Medical Center · Houston, TX Prn
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Job Description

JOB SUMMARY: Assist with diagnostic and/or interventional procedures or treatments. May be required to provide 24-hour coverage for emergency procedures as dictated by the on-call schedule. Demonstrates a working knowledge of all equipment used and documents all pertinent patient data accordingly. Demonstrates friendliness, helpfulness, and concern with patients and visitors. Provides assistance to physicians in a helpful and timely manner. Maintains a cooperative relationship with co-workers and other hospital employees according to the values of St. Joseph Medical Center. Shift: PRN DUTIES AND RESPONSIBILITIES: Consistently supports and communicates the Mission, Vision, and Values of St. Joseph Medical Center. Upholds the Standards of Conduct and Corporate Compliance. Incorporates the patient's physiological, psychological, cultural, developmental and spiritual needs into the plan of care. Consistently follows patient care, and facility guidelines and procedures in performance. Directs support personnel in implementing patient's plan of care, provides supervision and guidance, and evaluates effectiveness of the delegated tasks. Collaborates with inter intraprofessional colleagues to ensure quality outcomes. Completes annual education requirements. Maintains competency, as evidenced by completion of competency validation requirements. Promotes of a culture of patient safety which results in the identification and reduction of unsafe practices. Uses nursing process to provide all levels of patient care. Uses professional judgment and critical thinking to prepare, prioritize, and execute the patient's plan of care consistent with patient assessment data, physicians' treatment plans, and professional standards of care. Implements measures to prevent exposure to infectious pathogens and communicable conditions. Prepares sterile products to be introduced to the sterile field, utilizing sterile technique. Demonstrates knowledge of supplies needed for specific procedures performed. Performs surgical scrub and assists during the procedure. Responsible for the monitoring and maintenance of physiologic parameters and patient safety. Performs hand hygiene to prevent transmission of microbes in support of patient safety. Provides call coverage for emergency procedures after scheduled cases and during the weekend on a rotating basis, using self-scheduling, as needed. Responds to emergency calls as prescribed by guidelines and or policies. Able to perform nursing function as deemed competent during an emergency procedure. Prepares patient for procedures by collaborating within an interdisciplinary team to provide physical and emotional support during safe patient care. Documents all pertinent patient data and communicates with nursing personnel from various floors to report changes in patients' condition and procedures performed. Has a thorough knowledge of all accessory equipment utilized during procedure. Other duties as assigned. Maintains competency and knowledge of current standards of practice, trends, and developments. Enhances the patient experience by fostering a positive relationship with custome

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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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