Registered Nurse (RN) - PACU

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

Description We are searching for a Registered Nurse (RN) - PACU - We are looking for someone who works well in a fast-paced setting. In this position you’ll provide quality nursing care to patients by assessing, planning, educating, implementing, and evaluating age-appropriate care in a manner that incorporates family-centered principles and cost-effective care. We need someone who can collect and analyze data from the medical record in order to coordinate patient care. Think you’ve got what it takes? QUALIFICATIONS Bachelor's degree in nursing or other degree in nursing with acceptance or current enrollment in a BSN program and signed agreement Current licensure with the Board of Nursing for the State of Texas or Nurse Licensure Compact and BLS certification are required 9 months of professional nursing experience 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, PALS, 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 Perform and document assessments of the patient/family including biophysical, psychosocial, developmental, cultural, spiritual, and environmental needs Collect and analyze data from the medical record in order to coordinate patient care Analyze situations, anticipate potential problems, and detect changes in patient status Identify each patient’s needs pertaining to patient teaching, discharge planning, growth and development, nutritional screening, functional status, and pain management Develop an individualized plan of care based upon the nursing assessment and re-prioritize and change as necessary Determine which standards of care and practice apply to the patient and coordinate among other health team members as appropriate Participate in interdisciplinary rounds and/or patient care conferences Execute therapeutic physician or nurse interventions according to established standards Evaluate and document the patient’s response to the care provided and recognize their progress towards the desired outcome Identify actual/potential barriers to learning and utilize various teaching strategies to overcome them as appropriate Maintain confidentiality concerning patient/family issues Act as a resource in educating new employees/team members Participate in achieving hospital/unit goals, structures, and priorities

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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 $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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