HCA, Hospital Corporation of America Registered Nurse (RN) - Cardiac Telemetry (Days) in San Antonio, Texas

General Statement of Duties :

The professional Registered Nurse (RN) is the patient and patient’s family advocate. He/she consistently

applies and utilizes the nursing process, critical thinking skills, scientific judgment, technical skills and

leadership to independently deliver safe nursing care to patients. The RN collaborates with the patient

care team to achieve quality patient outcomes in alignment with the Hospital mission and Methodist

Excellence goals. Communicates and utilizes interpersonal skills effectively and role models confidence

and professionalism within nursing as evidenced by active engagement in unit and organizational

activities. Demonstrates team work and adaptability and is a resource person to the patient care team.

He/she is accountable for the quality of nursing care services delivered by self or others under their

direction in accordance with the Texas Nurse Practice Act, hospital policies and procedures and the Texas

Board of Nursing rules for delegated nursing tasks (Chapter 224). Promotes a positive image of nursing

and demonstrates team work and adaptability through consistently following the standards of Methodist


Essential Job Functions :

  1. Applies nursing judgment through a thorough, systematic approach of applying the nursing

process to include:

 Assessment: Conducts comprehensive, timely, and ongoing focused physical, psychosocial

and pain assessments; includes assessment of patient education needs.

 Planning: Utilizes the assessment, identifies problems, makes nursing diagnoses,

formulates goals, teaching plans and outcomes to create an individualized plan of care.

Identifies individual patient goals, readiness to learn and incorporates family into the plan

of care.

 Implementation: Prioritizes and implements a competent, prioritized and efficient

nursing plan of care.

 Evaluation/Reassessment: Consistently conducts timely evaluation, anticipates and

recognizes changes in patient conditions, determines when reassessments are needed and

adjusts the plan of care as necessary. Compares expected and achieved outcomes of

nursing care utilizing the plan of care.

  1. Collaborates with patient care team members on patient care plan; communicates timely and

effectively with physicians and other members of the patient care team through verbal, written or

electronic communication to coordinate and facilitate meeting patient needs. Incorporates

consistent use of hand-off communication and SBAR communication methods.

  1. Demonstrates critical thinking skills, scientific judgment, and organizational skills. Prioritizes

tasks and adjusts priorities when necessary. Maintains an orderly, efficient and timely flow of

patients. Recognizes and reports errors and unusual occurrences and analyze contributing factors.

Initiates corrective action when appropriate.

  1. Makes accurate, complete and timely entries into the patient medical record addressing all steps

of the nursing process. Actively communicates with members of the healthcare team, patient and

patient family.

  1. Maintains current nursing knowledge to assure a safe working environment. Demonstrates

practical application of all policies and procedures relative to safety and the pillars of Methodist

Excellence to include: Applicable quality core measures, infection prevention, fall prevention,

medication administration safety, hourly rounding, and AIDET principles.

  1. Responsible to supervise tasks delegated to unlicensed personnel and accountable for tasks

performed by unlicensed personnel according to the Texas BON rules for delegated nursing tasks

(Chapter 224).

Additional Job Duties

  1. Recognizes and responds to crisis situations. Notifies appropriate individuals of actual or

impending crisis.

  1. Incorporates patient's cultural and spiritual beliefs into care by making appropriate referrals to

chaplain, social services, case manager, etc. Documents pertinent data including assessment,

interventions and evaluations.

  1. Participates in performance improvement activities of the hospital/unit. This may include data

collection. Participation on a team or implementing recommendations identified through quality


  1. Assists in providing education for staff through being a liaison and/or through preceptor ship.

Assists coworkers willingly and shares information/resources with team members.

  1. Supports the mission and vision of the Methodist Healthcare System and / Methodist Excellence/ by

providing courteous, compassionate and quality service to all customers by anticipating and

accommodating customer’s needs.

  1. Understands and is committed to helping the Methodist Healthcare System and its associated

facilities achieve its goals under the MHS Financial Performance Plan.

  1. Must learn and comply with System and facility safety policies and rules; must use appropriate

safety equipment and procedures at all times; must immediately report all unsafe conditions to

supervisors; must be familiar with all safety features of equipment, tools or materials encompassed

by job duties; and must check with supervisors (prior to job performance) if there is a question as

to the safe procedure to be used for any job function.

  1. Patient information is managed confidentially – including both written and electronic records.

Ensures physical and auditory privacy.

  1. Completes other duties as assigned.

Minimum Education, Experience, Training, Required Knowledge, Skill, Abilities and

Other Job-Related Characteristics :

  1. Education:

Graduate of an accredited diploma, associates, or baccalaureate degree nursing program

Note: Verification of high school graduation/GED is required for those who completed

nursing diploma programs.

  1. Experience:

A. RN I – Less than six months experience. MHS practice for RNs with less than

six months experience is to attend an RN Residency program.

B. RN II - A minimum of six months clinical experience as a licensed RN

C. RN III - ALL of the following:

1) One year clinical experience in a RN II role (in Lawson) within

Methodist Healthcare System. May submit completed application to

Clinical Nursing Excellence committee prior to one year, but no sooner

than 11 months experience in the RN II role.

2) Approved for and maintains requirements of the MHS Nursing

Clinical Excellence program RN level III.

D. RN IV - ALL of the following:

1) One year clinical experience in a RN III role (per Lawson) within

Methodist Healthcare System. May submit completed application to

Clinical Nursing Excellence committee prior to one year, but no sooner

than 11 months experience in the RN III role.

2) Approved for and maintains requirements of the MHS Nursing Clinical

Excellence Program RN level IV.


  1. Employee completes initial and ongoing training and competencies as defined by service

line, facility and department/unit which are specific to the needs of the patient population

served (if applicable).

  1. Preferred: Bachelor of Science in Nursing (BSN)

Minimum License, Certificates, or Registrations Required :

  1. Required: RN License to practice as a professional registered nursing in the state of


  1. Preferred: Certification in their specialty

Title: Registered Nurse (RN) - Cardiac Telemetry (Days)

Location: Texas-San Antonio-Methodist Hospital

Requisition ID: 02531-67592