Registered Nurse, GR

Townsen Memorial Hospital · Houston, TX Full Time
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Job Description

Registered Nurse, GR SUMMARY: The Registered Nurse Graduate is responsible for providing safe, patient-centered care under the supervision of an experienced RN. This role supports the transition to professional practice through hands-on experience while developing clinical skills, judgment, and communication within a team-based environment. ESSENTIAL FUNCTIONS: Maintains a clean, safe, and therapeutic environment in pre-operative, post-operative, and observation/inpatient areas Performs focused patient assessments and contributes to ongoing evaluation of patient status Monitors patients and promptly reports changes in condition to the RN, physician, or appropriate team member •Assists in admitting, preparing, and recovering patients undergoing procedures Administers medications and treatments in accordance with physician orders, organizational policy, and under appropriate supervision Provides basic patient and family education, reinforcing instructions related to procedures, recovery, and discharge Participates in the development and implementation of individualized care plans Ensures required documentation (consents, test results, history and physical) is complete prior to procedures Documents patient care accurately, timely, and in accordance with policy Performs pre-operative and post-operative patient follow-up calls as directed Communicates effectively with patients, families, and interdisciplinary team members Provides emotional support to patients and families to reduce anxiety and promote comfort Participates in discharge planning by identifying patient needs and communicating them to the care team Maintains patient confidentiality and privacy in accordance with HIPAA and organizational policies Adheres to all safety protocols, reports hazards or incidents promptly, and supports a culture of safety Utilizes downtime effectively and assists team members to support workflow and patient care needs Demonstrates professionalism and adherence to organizational standards of conduct Performs other related tasks as needed KNOWLEDGE, SKILLS, AND ABILITIES: Developing proficiency in the nursing process: assessment, planning, implementation, and evaluation Demonstrates emerging critical thinking and clinical judgment skills, seeking guidance as needed Recognizes changes in patient condition and appropriately escalates concerns Builds competency in medication administration and clinical procedures Learns to prioritize and organize patient care responsibilities effectively Demonstrates willingness to learn, accept feedback, and apply new knowledge in practice Adapts to changing patient needs, workflows, and clinical environments Maintains composure and professionalism in high-stress or fast-paced situations Demonstrates attention to detail in patient care and documentation Develops effective communication skills with patients, families, and healthcare team members Demonstrates basic computer skills, including use of electronic medical records (EMR) and Microsoft Office Works with increasing independence while recognizing limits and seeking assistance appropriately Practices within the scope of the Texas Nurse Practice Act and adheres to ethical and professional standards EDUCATION AND EXPERIENCE: Associates Degree in Nursing Registered Nurse in the State of Texas Basic Life Support certified PIa7f6feed5753-26172-41383096

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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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