HCA, Hospital Corporation of America Acute Care Nurse Practitioner - Orthopedic and Spine Navigator in Round Rock, Texas

St. David’s Round Rock Medical Center is part of St. David’s HealthCare , one of the largest health systems in Texas, which was recognized with a Malcolm Baldrige National Quality Award in 2014. With 171 beds, the hospital’s comprehensive services include advanced cardiac care at the Heart Hospital of Austin at St. David's Round Rock—the first specialized cardiac facility in Williamson County—with the only Hybrid Operating Room (OR) in the county; as well as emergency services in a 24-hour emergency department, including advanced trauma care with a Level II Trauma Center; St. David's Urgent Care Round Rock; and St. David's Emergency Center in Cedar Park. St. David’s Round Rock Medical Center is also known for providing advanced orthopedic and robotic services, among other complex specialties. In 2016, the hospital received the Distinguished Hospital Award for Clinical Excellence from Healthgrades and also earned a national distinction for patient safety from The Leapfrog Group .


The Nurse Practitioner (NP) is responsible for patient navigation and care for all patients of the Orthopedic and Spine service line. The NP is responsible for conducting rounds on patients, performing assessments, coordinating and evaluating the plan of care, and implementing discharge plans at the direction and supervision of the Primary Physician as permitted under Texas law. The NP also administers medications/treatments and assists with procedures as ordered by the Physicians. The NP will meet with each patient before surgery, the morning of surgery and after surgery to include a discharge phone call. The NP works collaboratively with the healthcare team to assure the safe and accurate delivery of care. In addition to the day to day duties of the NP, this person will coordinate community events and education to connect St. David’s Round Rock Medical Center to the community.

While the NP is subject to practice under the protocols established and approved by the medical staff as required by Texas law, in all other respects the NP is subject to the Hospital’s authority.

Nurse Practitioner Responsibilities:

To the extent consistent with the scope of his/her practice permitted under Texas state law, the NP performs the following:

  1. Facilities admission processes, treatment plans and discharge processes under the guidance and direction of responsible physicians.
  2. Conducts rounds on all patients as requested by treating physicians, conducts assessments, reviews x-ray and lab data, reviews medications and hemodynamics status, and provides treatment plans based on physician direction.
  3. Documents patient progress, transcribes treatment and discharge orders per protocols and completes discharge summary and forms.
  4. Provides direct patients care interventions per established protocols (i.e., inserts PICC lines, discontinues chest tubes, central lines, and temporary pacemaker wires) as defined in the standards of practice.
  5. Facilitates on-going education and coordination of care through communications with patient, staff, and physician.
  6. Coordinates patient care and consultation in collaboration with physicians, appropriate office personnel, team members, and peers.
  7. Works closely with Case Management others and to facilitate in-service and educations opportunities for staff and community events.
  8. Works closely with Staff Development facilitate in-service and educational opportunities for staff.
  9. Conducts patient education and orthopedic activities as indicated.

    1. Coordinates community events and education related to the orthopedics and spine service line.
    2. Meet with patients prior to their surgery, the morning of their surgery, guide their care throughout the hospital stay and discharge, and conduct discharge phone calls to follow up with the patient once they return home.
    3. Have a comfort level in working with many different disciplines and community groups.



    § Master’s Degree in Nursing

    § Graduate of accredited Acute Care Nurse Practitioner program



    • Licensed APRN in the State of Texas.
    • BLS Certification at the time of hire.
    • ACLS Certification within (6) months of employment.
    • DEA &DPS required to exercise prescriptive authority.


    § 3 years orthopedic experience either as staff RN or NP.

    § 1 year experience in Level 1 or II Trauma preferred

Job: *Physicians Physicians Assistants & Extenders

Title: Acute Care Nurse Practitioner - Orthopedic and Spine Navigator

Location: Texas-Round Rock-Round Rock Medical Center

Requisition ID: 06240-58659