Registered Nurse - Pediatric Intermediate Care - Day Shift

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Full Time Professional Dallas, TX, US

Nexus Children's Hospital
- Dallas is seeking an experienced
Intermediate Care Registered Nurse (RN) to care for patients with complex medical, neurological, developmental, and behavioral conditions who require an intermediate or progressive level of care.

Our patients may have neurodevelopmental disorders, intellectual and developmental disabilities, traumatic brain injuries, autism spectrum disorders, seizure disorders, communication impairments, behavioral dysregulation, and other complex medical comorbidities.

The Intermediate Care RN combines acute and rehabilitative nursing practices with trauma-informed care and behavioral support. This position is ideal for a nurse with strong clinical assessment skills who can recognize subtle changes in patient condition, respond to potential deterioration, and provide compassionate, individualized care within an interdisciplinary environment.

• Provide direct nursing care to patients with complex medical, neurological, developmental, psychiatric, and behavioral conditions.
• Perform comprehensive initial and ongoing assessments using the nursing process.
• Identify patient risks, establish individualized outcomes, prioritize interventions, and evaluate responses to treatment.
• Recognize subtle changes in patient condition and promptly elevate clinical concerns through established pathways.
• Help prevent failure-to-rescue events through vigilant monitoring, critical thinking, and timely intervention.
• Assess and manage patients with neurological and cardiopulmonary conditions, airway needs, seizure disorders, wounds, and other complex clinical needs.
• Safely administer medications, blood products, enteral therapies, intravenous therapies, and other prescribed treatments.
• Monitor and reassess patients following treatments, medications, and clinical interventions.
• Use monitoring technology, early-warning indicators, clinical pathways, and decision-support tools to promote positive outcomes.
• Respond appropriately to escalating medical, neurological, or behavioral conditions and initiate emergency interventions according to hospital policy.

• Provide age-appropriate, developmentally appropriate, person-centered, and trauma-informed nursing care.
• Adapt care to each patient’s medical, behavioral, developmental, psychosocial, communication, and rehabilitation needs.
• Apply specialized knowledge of neurodevelopmental disorders, intellectual and developmental disabilities, traumatic brain injuries, autism, and communication disorders.
• Implement individualized behavioral-support and de-escalation strategies while maintaining a safe and therapeutic environment.
• Preserve patient dignity, autonomy, privacy, confidentiality, and self-determination.
• Use interpreters, visual supports, adaptive communication tools, and alternative communication methods when appropriate.
• Promote a respectful and healing environment for patients, families, and caregivers.

• Work closely with physicians, advanced practice providers, behavioral health clinicians, rehabilitation therapists, pharmacists, social workers, case managers, and direct-care staff.
• Develop and support individualized plans of care that integrate medical treatment, behavioral interventions, rehabilitation goals, and family involvement.
• Continuously…