Adventist Health System Registerd Nurse (RN) Labor and Delivery PRN Nights in San Marcos, Texas


Central Texas Medical Center

As a member of Adventist Health System, we believe that total health is achieved through a balance of physical, mental, social and spiritual well-being. With each patient’s unique circumstances in mind, our multi-disciplinary care teams provide a vast array of services, combining state-of-the-art technology with a personal commitment to creating an exceptional patient experience.

Our team members also enjoy outstanding care in the form of comprehensive health benefits, a friendly, faith-based work environment, and plenty of opportunities to learn and grow. In addition to earning the Gallup Great Workplace Award six years in a row, we have received a Mother-Friendly Worksite designation from the Texas Department of State Health Services.

Our 178-bed hospital includes a Level IV Emergency and Trauma Center, Women’s Center, Level II NICU, Sleep Improvement Center, Institute for Advanced Wound Care Healing, Rehabilitation Institute, home health and hospice care. Through our CREATION Health Institute, we also play an active role in offering free health education and community events to help support a healthy lifestyle.


  • The registered nurse is responsible for assessing, evaluating, implementing and planning patient centered care for all assigned patients on the unit during his/her shift, according to the standards of care of Central Texas Medical Center.

  • Responsible for gathering and documenting complete data on each new admission to the unit. Responsible for compiling and maintaining accurate documentation in the plan of care on each patient including, but not limited to, spiritual care, end of life decisions, supplies and procedures, admission screen, patient and family teaching and counseling, and clinical path.

  • Actively participates in continuous quality improvement.

  • Manages all assigned personnel, supplies and equipment and promotes and participates in teamwork with physicians and personnel of this and other departments.

  • Follows all departmental safety policies and procedures regarding patient care and one’s personal protection and patient safety. Develops self professionally and participates in hospital and departmental activities.

  • Prepares operative sight for the surgical procedure.

  • Functions as the role of Scrub Nurse upon proven competency.

  • Prepares operating room for surgical procedures.

  • Provides complete and accurate nursing records on charts and log books. Provides accurate patient charges.

  • Updates patient care in response to monitored events.

  • Assists the anesthesia care provider during induction, intubation, and emergence from anesthesia.

  • Positions patient to optimize the surgical procedures and maintain patient safety.

  • Directs the plan of care in the operating room.

  • Performs accurate sponge, sharps, and instrument counts.

  • Sets up, tests, and connects all specialty equipment.

  • Constantly monitors the environment to assure patient, visitor, and staff safety.

  • Facilitates and encourages the bonding experience during the recovery period.

  • Understands the Computerized Physician Order Entry process and proficiently uses the electronic medical record for retrieval of patient information.

  • Understands computer downtime procedures.

  • Monitors Electronic Medical Record for new physician orders and diagnostic results.

  • Completes other tasks as assigned.


What you will need:

  • Graduate from an accredited school of nursing

  • Six months to one year related experience and/or trainingBaccalaureate Degree in Nursing preferred

  • Current certificate in BLS.

  • Current certificate in NRP or obtain within 3 months of hire.

  • Current certificate in ACLS or obtain within 3 months of hire.

  • Current certificate in an AWHONN approved Fetal monitoring course or obtain within 6 months of hire.

  • Current license as an RN in the state of Texas

  • Ability to apply commonsense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.

  • Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of organization.

  • Effective communication among employees, and between employees, patients, visitors and supervisors is essential to ensure quality patient care and to avoid misunderstanding, errors and miscommunications which could have a detrimental effect on the health, safety and well-being of patients and co-workers. In addition to these communication and safety concerns, individuals in this position must be able to effectively review patient and related medical records, understand nurse and/or physician verbal and written instructions, read labels of medications, safety information, policies & procedures, and hazardous chemicals. Therefore, to prevent misunderstandings, errors, and miscommunications in the provision of quality patient care and other job-related services, employees in this position are required to have the capability of fluently speaking, reading, and writing English.

  • Ability to work with mathematical concepts such as probability and statistical inference. Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations.

  • Must have some knowledge and experience in performing the duties associated with:

  • Knowledge of the Nursing Process, treatment and diagnostic methods for patients throughout the age spectrum.

  • Effective interpersonal and patient contact skills.

  • Ability to initiate, keep and maintain legible, accurate, concise patient records.

  • Demonstrate baseline competency in all areas of the indicated skills checklists and age specific competency.

  • Must have some computer experience, working with a healthcare software computer system is desirable.

  • Must have some knowledge and experience in performing the duties associated with:

  • Knowledge of AORN standards and perioperative nursing care.

  • Demonstrates ability to perform proficient IV skills and airway management.

  • Ability to keep neat, accurate, concise records.

  • Effective interpersonal and patient contact skills.

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

We are an equal opportunity employer and do not tolerate discrimination based on race, color, creed, religion, national origin, sex, marital status, age or disability/handicap with respect to recruitment, selection, placement, promotion, wages, benefits and other terms and conditions of employment.