Registered Nurse Patient Care Unit PRN

HCA Healthcare · Houston, TX Prn
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Job Description

Join Texas Orthopedic Hospital as a Registered Nurse providing high-quality, patient-centered care. This PRN role offers the opportunity to deliver pre-operative and post-operative nursing care in a specialized orthopedic setting.

What You'll Do

  • Assess patient condition during admission and each shift, reporting status changes
  • Perform procedures as ordered by medical providers
  • Document care administration in patient medical records timely and thoroughly
  • Administer prescribed medications and monitor patient response
  • Maintain knowledge of medications, procedures, and equipment for cardiac and surgical patients

Requirements

  • Current State of Texas RN license
  • BCLS certification
  • Graduate of accredited nursing program (diploma, associates, or bachelor's)
  • Minimum 1 year acute care setting experience; orthopedic experience preferred

Benefits

  • Comprehensive medical, dental, vision, and behavioral health coverage with telemedicine
  • 401(k) plan with 100% match on 3-9% of pay based on years of service
  • Paid time off, paid family leave, and disability coverage
  • Tuition assistance, student loan assistance, and certification support

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 โ€” 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 โ€” 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 โ€” 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).

Entry Level (10th) $74,859/yr
Houston Median $99,840/yr
Experienced (90th) $130,437/yr
vs. National Median +2.3%

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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