RN STEP DOWN Unit Nights

CHS Shared Business Operations, LLC; Laredo (TX); On-site; USD 65,000 - 90,000; Full time

Job summary

CHS Shared Business Operations, LLC is seeking an RN to provide patient-centered care using the nursing process. You will coordinate assessments, planning and implementation in collaboration with physicians, nurses, and the care team.

The role emphasizes medication administration, monitoring, procedures assistance, patient education, infection control, and thorough documentation to support safe, high-quality outcomes.

Qualifications

• 0-2 years of experience in a clinical nursing role or student clinical rotations in an acute care setting required.
• Current RN license and BCLS certification required; ACLS/PALS preferred.
• Evidence of strong assessment, documentation, and patient education skills.

Responsibilities

• Coordinates and delivers patient-centered care in line with nursing protocols and policies.
• Administers medications, monitors effects, and documents administration accurately.
• Assists physicians during procedures within documented competency.
• Develops and updates individualized care plans with the health team.
• Performs life-saving interventions and participates in code team activities as needed.
• Educates patients and families on conditions, treatments, and post-discharge care.

Skills

Nursing process

Patient assessment

Medication administration

Communication

Infection control

Documentation

Team collaboration

CPR / life support

Quality improvement

Education

RN licensure

Nursing degree

Tools

Ventilators

IV pumps

Monitors

Job description

What We Offer

• Medical, Dental & Vision Coverage
• Flexible Spending Accounts (FSA)
• Employee Assistance Program (EAP)
• Competitive Pay
• 401(k) with Employer Match
• Life Insurance & Disability Coverage
• Vacation
• Sick Leave
• Holidays
• Personal Day
• Family Medical Leave
• Tuition Reimbursement
• Loan Forgiveness
• Internal Promotion Opportunities

Job Summary

The Registered Nurse (RN) provides patient-centered care through the nursing process of assessment, diagnosis, planning, implementation, and evaluation. This role is responsible for coordinating and delivering high-quality care based on established clinical protocols and physician/provider orders. The RN collaborates with physicians, nurses, and other healthcare professionals to ensure effective patient care and desired outcomes, while maintaining a supportive and compassionate environment for patients and their families.

Essential Functions

• Coordinates and delivers high-quality, patient-centered care in accordance with organizational policies, protocols, and the nursing process.
• Conducts thorough patient assessments and documents findings accurately, reporting changes in condition to the appropriate care team members.
• Utilizes knowledge of human growth and development to provide age-appropriate care and education.
• Administers prescribed medications, monitors for side effects, and documents administration in accordance with standards of practice.
• Assists physicians during procedures within the scope of documented competency and skill level.
• Collaborates with the healthcare team to develop, implement, and evaluate individualized care plans based on patient assessments and needs.
• Responds to medical emergencies and participates in life-saving interventions, such as CPR and code team activities, as appropriate.
• Advocates for the rights and needs of patients, ensuring their voices are heard and respected in care planning and delivery.
• Provides patient and family education on medical conditions, treatment plans, and post-discharge care, ensuring understanding and adherence to instructions.
• Implements and adheres to infection control protocols to prevent the spread of healthcare-associated infections.
• Monitors and operates medical equipment (e.g., IV pumps, monitors, ventilators) as needed for patient care and safety.
• Promotes patient safety by adhering to National Patient Safety Goals and maintaining a clean, safe environment for patients and staff.
• Participates in audits, chart reviews, and compliance checks to ensure adherence to standards of practice and regulatory requirements.
• Demonstrates responsible decision-making in planning, delegating, and providing care based on patient needs and organizational policies.
• Documents patient care and education thoroughly and promptly in the medical record.
• Engages in professional development to maintain clinical competency and understanding of current nursing standards and regulations.
• Participates in performance improvement initiatives, including data collection and process development, to enhance patient outcomes and care delivery.

Critical Care RN

• Administers medications and other treatments as prescribed, including intravenous medications and therapies.
• Manages complex medical equipment, including ventilators, monitoring devices, and other life-support systems.
• Performs procedures such as inserting central lines, managing tracheostomies, and providing advanced cardiac life support.

Additional Responsibilities

• Performs other duties as assigned.
• Maintains regular and reliable attendance.
• Complies with all policies and standards.

Qualifications

0-2 years of experience in a clinical nursing role or student clinical rotations in an acute care setting required.

Knowledge, Skills and Abilities

• Strong knowledge of the nursing process and clinical nursing practices.
• Ability to perform thorough patient assessments and communicate findings effectively.
• Proficient in administering medications and monitoring for side effects.
• Effective communication and interpersonal skills to collaborate with interdisciplinary teams.
• Strong organizational skills and attention to detail in documenting patient care.
• Knowledge of safety standards, infection control, and quality improvement initiatives.

Licenses and Certifications

• RN – Registered Nurse – State Licensure and/or Compact State Licensure required.
• BCLS – Basic Life Support required.
• ACLS – Advanced Cardiac Life Support preferred.
• PALS – Pediatric Advanced Life Support preferred.
• NRP – Neonatal Resuscitation preferred.
• Refer to facility or unit-specific guidelines for additional requirements.

This position is not eligible for immigration sponsorship now or in the future. Applicants must be authorized to work in the U.S. for any employer.