Registered Nurse (RN) Adult Congenital Heart Unit - ICU

Texas Children's Medical Center · Houston, TX Full Time
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Job Description

Description We are searching for a Critical Care Registered Nurse – someone who works well in a fast-paced setting. In this position, you will provide nursing care to adult and pediatric patients with ICU care needs. Working in a Cross Coverage Care Model will afford you the unique opportunity to provide continuity care to patients with complex congenital heart disease at various stages within our Heart Center of Excellence. Patients with congenital heart disease need life-long cardiac care from pediatrics to adulthood. Come be a part of their journey as a member of this specialized care team. The learning opportunities are endless beginning with training on a variety of Ventricular Assist Devices (VAD’s), Extracorporeal Membrane Oxygenation (ECMO), Continuous Renal Replacement Therapy (CRRT), hemodynamic monitoring, STEMI, stroke response, and pulmonary embolisms. Think you’ve got what it takes? Minimum Qualifications: Bachelor's degree in nursing, or an associate’s degree and current enrollment in a nursing bridge program is required Current licensure with the Board of Nursing for the State of Texas or Nurse Licensure Compact current BLS certification from the American Heart Association 9 months of professional nursing experience Preferred Qualifications 2 years nursing experience Experience in ICU, Intermediate (IMU/Stepdown,) Cardiology The ability to demonstrate positive and appropriate interpersonal skills, good time and resource management skills, flexibility, strong oral and written communication skills, knowledge of unit-specific equipment, and knowledge of the nursing process, critical thinking skills, and interdisciplinary collaboration. As part of our commitment to maintaining a safe and healthy workplace, all successful candidates will be required to undergo respiratory fit testing in compliance with occupational health and safety standards. Responsibilities : Performs and documents assessment of the patient/family including biophysical, psychosocial, developmental (age-appropriate), culture, spiritual, and environmental needs in an organized and systematic manner Analyzes situations, anticipates potential problems, and detects changes in patient status Re-prioritizes and updates plan of care based on new information and changes to the patient’s condition; communicates this information to other health care team members and documents in the medical record Participates in interdisciplinary rounds and/or patient care conferences and documents in the medical record Assists patients/family in implementing their role in the plan of care as appropriate Assess patient family learning needs capabilities, preferences, and readiness to learn prior to teaching Demonstrates positive and effective interpersonal skills when dealing with patients/families, visitors, peers, and other health care team members Administers and documents medications and treatments in a timely manner Demonstrates willingness and ability to acquire new knowledge and utilize new skills needed to improve individual, team, and organizational performance Participate in unit performance improvement initiatives

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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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