RN - Med Surg

MTK HealthCare · Grapevine, TX Full Time
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Job Description

Consults and coordinates with health care team members to assess, plan, implement and evaluate patient care plans. Prepares and administers (orally, subcutaneously, through an IV) and records prescribed medications. Reports adverse reactions to medications or treatments. Educates patients on surgical procedures. Records patients' medical information and vital signs. RN Med Surg Ortho Nights Join $$$ $$$ and $$ Medical Center - Grapevine as a Registered Nurse and be part of something better! Medical/Surgical Orthopedics Our Medical/Surgical Orthopedics unit is a fast-paced environment that includes high acuity patients. Are you looking to increase your knowledge base? Our Medical/Surgical Orthopedics leadership team fosters an environment that supports learning, mentoring, and building every team member. Medical/Surgical Orthopedics Patient Population: Surgical (orthopedic, neurosurgery, colorectal, gynecological, urology, plastics, bariatrics, general surgery, trauma), medical-cellulitis, SBO, AMS, GI, hospice, diabetes. Patient Ratios: 1:5 Number of Beds: 40 beds Department Specifics: Diverse workforce, team oriented, strongly promoted collaboration across all disciplines, self-scheduling, Magnet Designated with active unit shared governance structure. Shift: Full Time Nights; 7pm-7am Experience Required: 1 years of RN experience About Us Here at $$$ $$$ & $$ Health we promote the well-being of all individuals, families, and communities. $$$ $$$ and $$ is the largest not-for-profit healthcare system in Texas that empowers you to live well. Our Core Values are: We serve faithfully by doing what's right with a joyful heart. We never settle by constantly striving for better. We are in it together by supporting one another and those we serve. We make an impact by taking initiative and delivering exceptional experience. Benefits Our competitive benefits package empowers you to live well and provides: Eligibility on day 1 for all benefits Dollar-for-dollar 401(k) match, up to 5% Debt-free tuition assistance, offering access to many no-cost and low-cost degrees, certificates and more Immediate access to time off benefits At $$$ $$$ & $$ Health, your well-being is our top priority. Job Summary As a Registered Nurse, oversee patient care using a professional practice model. Responsibilities include patient assessment, recognizing health issues, creating care plans, and assessing patient responses. Secure patient travel. Know about patient needs in healthcare. Help patients and prevent issues. Follow the Texas Nursing Practice Act and delegate tasks based on condition and team competencies. Essential Functions of the Role As an RN, conduct detailed clinical assessments and prioritize patient and family needs. Create, implement, and evaluate care plans. Adjust plans to reach desired outcomes. Building relationships, managing discomfort, staying professional are vital in therapeutic connections with patients and families. Creating care plans reflecting values aids in resolving issues. You will help educate patients, families, nurses, and community members. Empower them with knowledge for better healthcar

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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 DFW 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 DFW 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.

DFW Area Salary Data

According to the Bureau of Labor Statistics, Registered Nurse positions in the DFW metroplex area earn a median wage of $48.76/hr ($101,421/yr). The typical range is $39.25 – $53.19/hr (25th–75th percentile).

Entry Level (10th) $73,403/yr
DFW Median $101,421/yr
Experienced (90th) $129,709/yr
vs. National Median +4.0%

Source: Bureau of Labor Statistics, Occupational Employment & Wage Statistics (Dallas-Fort Worth-Arlington, TX Metro Area). Salary data provided by DFW Senior Living Guide.

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