Registered Nurse, Operating Room (PRN)

Townsen Memorial Hospital · Houston, TX Prn
$92252 – $92252 / year
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Job Description

Registered Nurse, Operating Room (PRN) Townsen Memorial Surgery Center - Med Center is currently seeking a PRN Registered Nurse - Operating room. SUMMARY: Responsible for direct patient care effectively and efficiently, which may include patients with varied and complex needs. Assumes leadership roles with progressive responsibility to maintain patient care and safety. ESSENTIAL FUNCTIONS: • Develops and updates plan of care in partnership with patient and family using the nursing process, incorporating the patient priorities and abilities • Follows the nursing processes, modifies care based on continuous evaluation of the patient's condition • Demonstrates clinical problem-solving and critical thinking • Makes decisions using evidence based analytical approach • Plans for routine events and anticipates/prevents and manages/elevates emergent situations • Contributes to meeting quality and safety standards • Reports near misses as errors promptly and consistently to improve systems and processes to identify trends • Communicates in an active, positive, and effective manner to health care team members • Manages usual patient assignments and other area demands • Addresses patient needs during admission to the operating room • Prepares operating room according to requirements of patient/procedure being done • Supervises and direct patent care in a single operating room • Reviews patient medical records/needs to plan care with other health care team members • Maintains patient's privacy and dignity • Assist with identification and confirmation of operative sight • Accurately comprehends and interprets verbal orders/directions • Completes patient care responsibilities in a timely manner with accurate documentation • Organizes multiple priorities and anticipates/plans for potential problems • Uses down time efficiently, aware of other team member workloads and offers assistance • Responds to request for assistance from other team members positively • Implements initiative to achieve national patient safety goals; Works within the policy and procedures set forth by the facility • Responsible for assessing, planning, implementing, and evaluating patient care in the operating room • Assists in ensuring supplies and equipment are available for use • Perform assessments on patients within appropriate time frames • Models and reinforces behaviors consistent with goals for teaching the medical patient, communicates patient status to the appropriate member of the healthcare team ad provide support to the family as needed • Acts as clinical resource for staff • Communicates with the supervisor regarding patient care staff conflicts, and unusual occurrences • Maintains general overview of surgeons and their needs • Demonstrates mentoring ability when interacting with staff members • Maintains a safe environment for staff, patients, physicians and visitors • Monitors staff adherence to protocols and procedures • Monitors efficient room turnover • Verifies physician and ancillary personnel credentialing when in question • Maintains a working relationship with all staff • Maintains continuous communication with schedulers to help solve scheduling problems and/or operating room utilization • Completes or delegates the unit daily check/logs per policy and protocol • Directs, delegates, and oversees work efforts as appropriate to insure the best possible delivery of service • Provides leadership to staff, giving direction and guidance to staff as appropriate • Maintains accountability regarding patient care and unit operations • Works in cooperation with the Medical Staff to ensure regulations and accreditation standards are maintained • Follows all safety rules on the job and reports accidents promptly and corrects minor safety hazards • Ability to adequately diagnose, plan and implement nursing interventions and evaluate patient conditions • Compliance with facility policies and procedures • Compliance with continuing and mandatory education programs • Practices nursing within the scope of the Nurse Practice Act of Texas and accepts responsibility and accountability for own actions • Possess appropriate communication skills to practice collaborative nursing • Ability to respond quickly, physically and mentally when priorities and/or patient's condition changes • Performs other related duties as assigned KNOWLEDGE, SKILLS, AND ABILITIES: • Nursing care for Intra-Operative patients • Operation of vital sign monitors • Assessment skills • A basic understanding of nursing diagnosis • Principles of Standard Precautions • IV Therapy • Basic computer skills • Must be able to perform skills and competencies EDUCATION AND EXPERIENCE: • Graduate of an accredited School of Nursing • Registered Nurse in the State of Texas; License must remain active and unencumbered while employed. • Basic Life Support (BLS) certified. • Advanced Cardiac Life Support (ACLS) certified. • Pediatric Advanced Life Support (PALS) certified or must be obtained within ninety (90) days of hire. • One (1) year of previous Intra-Operative Care experience Townsen Memorial Hospital is an accredited network of facilities with an emphasis on emergency care, outpatient surgery, and diagnostics and imaging. Our core mission is to provide compassionate, evidence-based patient care to those we serve. At Townsen Memorial, we encompass diversity, dignity, and inclusiveness as a reflection of our core values. Townsen Memorial is committed to driving cutting edge healthcare to our patients, our communities and each other. Compensation to be determined by the education, experience, knowledge, skills, and abilities of the applicant, internal equity, and alignment with market data. Employment for this position is contingent upon the successful completion of a background check and drug screening. PI4836258b392d-26172-40183840

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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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