Registered Nurse Pre-Op

HCA Healthcare · Houston, TX Full Time
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Job Description

Texas Orthopedic Hospital seeks a Registered Nurse for our Pre-Op unit to deliver safe, high-quality perioperative care. Join our supportive team dedicated to excellent patient outcomes in a specialized orthopedic setting.

What You'll Do

  • Provide safe and effective care for perioperative patients in pre- and post-operative phases
  • Perform pre-operative and pre-procedure patient assessments immediately prior to interventions
  • Plan, coordinate, and deliver nursing care based on individual patient needs
  • Manage efficient operations of the Same Day Surgery Unit
  • Achieve goals set during previous evaluation periods

Requirements

  • Graduate of accredited School of Nursing; BSN preferred
  • Current Texas Registered Nurse licensure required
  • 2 years medical surgical experience; post-anesthesia care experience preferred
  • Current BLS, ACLS, and PCLS certifications required

Benefits

  • Comprehensive medical, dental, vision, and behavioral health coverage with telemedicine services
  • 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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