RN - MedSurg

HCA Medical City Lewisville · Lake Dallas, TX Full Time

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Job Description

The Registered Nurse (RN) in the Med-Surg unit is responsible for providing direct patient care in a fast-paced environment, assisting with the recovery of patients who require medical and surgical interventions. The RN will work collaboratively with the healthcare team to deliver high-quality, compassionate care to patients across a variety of diagnoses and procedures, ensuring patient safety, comfort, and well-being during their hospital stay. Key Responsibilities: Patient Assessment: Conduct comprehensive assessments of patients’ physical, emotional, and psychological needs. Develop, implement, and evaluate individualized care plans based on patient assessment and physician orders. Patient Care: Administer medications, treatments, and interventions as prescribed, ensuring patient safety and adherence to medical protocols. Monitor patient vital signs, lab results, and clinical progress, making necessary adjustments to care plans. Assist with activities of daily living (ADLs), including mobility, hygiene, and nutrition. Provide pre- and post-operative care and educate patients on procedures, medication, and recovery plans. Collaboration: Work closely with physicians, nurse practitioners, and other healthcare providers to coordinate care and ensure positive patient outcomes. Communicate effectively with patients, families, and the healthcare team regarding the plan of care and any changes in condition. Patient Education: Educate patients and their families about their conditions, treatment options, and discharge plans. Provide instructions on medication management, lifestyle changes, and follow-up care. Documentation: Accurately document patient assessments, interventions, progress, and outcomes in the medical record. Ensure compliance with hospital policies, standards, and regulatory requirements. Safety & Infection Control: Adhere to infection control and safety protocols to prevent hospital-acquired infections and ensure a safe environment. Respond quickly to changes in patient conditions, such as emergencies or complications. Supervision & Mentorship (if applicable): Assist in mentoring new staff or nursing students and provide guidance as needed. Serve as a resource for junior nursing staff in clinical decision-making.

This is a preview of the job listing. The full posting includes complete compensation details, benefits package, qualification requirements, and application instructions.

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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.