Registered Nurse - MedSurg SPC Med 7T

Jackson Healthcare Government Services · Houston, TX Full Time

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Job Description

The Medical-Surgical Registered Nurse (RN) provides comprehensive nursing care to adult patients in a fast-paced inpatient medical-surgical environment at Brooke Army Medical Center (BAMC), the Department of Defense's largest inpatient hospital and Level I Trauma Center. 7T is the Surgical Trauma Inpatient Unit. The RN delivers safe, evidence-based patient care, coordinates interdisciplinary treatment plans, and promotes optimal patient outcomes while adhering to military healthcare standards, Joint Commission requirements, and established nursing practices. Essential Duties and Responsibilities: The Medical-Surgical RN shall: Perform the full scope of professional nursing duties within granted clinical privileges and scope of practice. Conduct comprehensive patient assessments, including physical, psychosocial, family, and medical histories. Develop, implement, evaluate, and document individualized nursing care plans. Provide direct patient care, including: Medication administration by oral, IV, intramuscular, subcutaneous, transdermal, and rectal routes. Wound care and dress changes. Patient hygiene and mobility assistance. Blood product administration according to established protocols. Monitor patient conditions and respond appropriately to changes in health status. Recognize and intervene in life-threatening situations using established emergency procedures. Perform diagnostic procedures including phlebotomy and point-of-care testing as authorized. Educate patients and families regarding disease processes, medications, discharge instructions, and health maintenance. Maintain accurate, timely, and complete documentation in the electronic medical record. Communicate effectively with physicians, advanced practice providers, ancillary staff, and interdisciplinary teams. Supervise and delegate appropriate tasks to Licensed Vocational Nurses (LVNs) and unlicensed assistive personnel. Adhere to infection prevention and control policies and patient safety standards. Operate and troubleshoot patient care equipment, including infusion pumps, monitoring systems, and other clinical devices. Participate in quality improvement initiatives, staff meetings, training, and professional development activities. Adapt to changing patient acuity, staffing needs, and workload demands. Float to other comparable patient care units as assigned and within competency level. Minimum Qualifications: Education Associate Degree in Nursing (ADN) required. Bachelor of Science in Nursing (BSN) preferred. Graduate of a nursing program accredited by ACEN or CCNE. Licensure Current, active, unrestricted Registered Nurse license from any U.S. state, territory, district, or jurisdiction. License must remain current throughout employment. Experience Minimum one (1) year of RN experience within the last two (2) years in an acute care inpatient setting. Certifications Required: Basic Life Support (BLS) Preferred or Unit-Specific: Advanced Cardiac Life Support (ACLS) or Advanced Life Support (ALS) for designated Medical-Surgical specialty units. Additional certifications may be required based on assignmentKnowledge, Skills, and Abi

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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.