Registered Nurse - Medical Surgical - Nights

i4 Search Group Healthcare; San Marcos (TX); On-site; USD 65,000 - 90,000; Full time

Job summary

The Legacy Realty LLC is seeking a Medical-Surgical Registered Nurse (RN) to practice independently in an acute hospital setting. The RN will use the nursing process to manage patient care, set long-range goals, handle contingencies, and supervise care team members.

Responsibilities include direct patient care, medication administration, accurate EHR documentation, patient education, and effective care coordination to ensure safe unit throughput.

Qualifications

• ADN required; BSN strongly preferred.
• Active RN license in Texas or multi-state Compact.
• BLS certification through AHA required.
• Minimum 12 months of independent nursing experience in acute care.

Responsibilities

• Direct patient care using the nursing process in an acute hospital setting.
• Address complex physical, psychological, cultural, and social needs.
• Administer medications and IV therapies; monitor side effects and efficacy.
• Maintain real-time EHR documentation of patient histories and interventions.
• Educate patients and families on disease management and discharge care.
• Coordinate admissions, transfers, and discharges to maximize throughput.
• Plan, direct, and evaluate nursing functions; oversee resources and staffing.

Skills

Direct patient care

Acute & complexity

Medication administration

Documentation (EHR)

Patient education

Care coordination

Leadership & unit support

Clinical standards

Health information systems

Medical equipment mastery

Patient safety & quality care

Education

Associate Degree in Nursing (ADN)

Bachelor of Science in Nursing (BSN)

RN license in Texas

BLS certification (AHA)

Tools

EMR systems

Job description

Job Summary

The Medical-Surgical Registered Nurse (RN) practices independently to deliver routine and complex care for patients within an acute hospital setting. Demonstrating a holistic awareness of the clinical environment, the RN utilizes the nursing process to manage patient care, set long-range goals, handle clinical contingencies, and appropriately delegate to and supervise other care team members.

Key Responsibilities

• Direct Patient Care: Provides comprehensive nursing care utilizing the nursing process (assessment, diagnosis, planning, intervention, and evaluation) consistent with the ANA Scope and Standards of Practice.
• Acute & Complexity: Confidently addresses complex physical, psychological, emotional, cultural, and social needs of patients and their families.
• Medication Administration: Administers medications, IV therapies, and clinical treatments using approved protocols; diligently monitors for side effects and treatment efficacy.
• Documentation: Maintains precise, real-time electronic health record (EHR) documentation of patient histories, active symptoms, clinical interventions, and patient responses.
• Patient Education: Evaluates learning needs and delivers targeted education regarding disease management, discharge planning, and post-discharge care to patients and families.
• Care Coordination & Flow: Anticipates and coordinates seamless patient admissions, transfers, and discharges to maximize safe unit throughput.
• Leadership & Unit Support: Plans, directs, and evaluates overall nursing functions on the unit during an assigned shift. Assesses floor staffing needs and demonstrates careful stewardship of medical supplies and equipment.

Technical & Core Competencies

• Clinical Standards Compliance: Adheres strictly to established hospital policies, state protocols, and regulatory control mechanisms.
• Health Information Systems: Proficient in electronic medical record entry, processing verbal or standing medical orders, and managing chart accuracy to minimize omissions or errors.
• Medical Equipment Mastery: Skilled in operating, troubleshooting, and verifying standard diagnostic tools and unit-specific clinical equipment safely.
• Patient Safety & Quality Care: Integrates evidence-based guidelines to promote positive patient outcomes; actively participates in quality improvement initiatives, immediate incident tracking, and real-time analysis of near-misses.

Job Requirements & Qualifications

• Education & Licensure: Degree: Associate Degree in Nursing (ADN) required; Bachelor of Science in Nursing (BSN) strongly preferred. Licensure: Active Registered Nurse (RN) license in the State of Texas or an active multi-state Compact RN license. Certifications: Active BLS (Basic Life Support) certification through the American Heart Association (AHA) required.
• Experience: Minimum Experience: 12 months of independent nursing experience in an acute care hospital environment.
• Preferred Specialty: Direct background in Medical-Surgical, Telemetry, Progressive Care (PCU), or Intermediate Care (IMC) environments.

Physical Requirements & Working Conditions

Environment

Fast-paced, high-acuity inpatient acute care hospital setting. Adherence to strict safety, security, and infection control protocols—including the correct utilization of Personal Protective Equipment (PPE) and power-operated lifting devices is mandatory.

Physical Activities

Must be able to perform physical demands typical of a hospital floor unit, including prolonged standing/walking, reaching, bending, kneeling, crouching, twisting, pushing/pulling, and lifting/carrying patients or heavy equipment.

Sensory Acuity

Requires visual acuity of at least 20/40, conversational hearing, color perception, and the clear ability to communicate effectively in English.