Hospital - Advanced Care RN IV (FT, Days)

UT Health San Antonio•San Antonio, TX

12d

About The Position

The Advanced Care RN IV practices as an expert nursing practitioner, caring for patients with multiple and complex problems. The role provides clinical leadership on the unit and serves as a resource and system-wide consultant to staff, while contributing to the advancement of nursing knowledge. The Registered Nurse IV functions as a clinical leader and supports high-quality, safe patient care through expert practice, staff education, research, and performance improvement.

Requirements

Current Texas Board of Nursing RN license or Compact State RN license, or a Temporary Texas RN License with a permanent Texas license obtained within 90 days of hire.
American Heart Association Basic Life Support (BLS) certification within 7 days of hire.
Bachelor of Science in Nursing (BSN).
Demonstrated skills and competencies necessary to safely perform the assigned job, as assessed through ongoing skills and competency assessments and performance evaluations.
Sufficient English speaking, reading, and writing proficiency to perform essential job functions, particularly those affecting patient or employee safety or security.
Ability to use therapeutic communication with patients, families, and the interprofessional team to collaborate on care plans.
Strong assessment, organizational, and problem-solving skills, including the ability to prioritize multiple tasks and role components.
Ability to function independently and exercise judgment when interacting with physicians, the interprofessional care team, patients, and families.
Ability to use critical thinking and clinical judgment to work autonomously within the Nurse Practice Act.
Ability to evaluate personal practice and patient outcomes and promote expert professional practice.
Ability to plan expert care using the nursing process, including assessment, diagnosis, intervention, and evaluation of outcomes.
Ability to provide expert peer review to improve professional practice.
Ability to provide anticipatory care and recognize changes in patient condition before a critical incident.
Ability to integrate and support patient safety systems and role-model the principle of doing no harm.
Ability to lead research utilization and generation and invest in developing others.
Ability to apply expertise to improve patient care and contribute to nursing knowledge and organizational nursing excellence.
Working knowledge of Microsoft Office products, including PowerPoint, Word, Excel, and Outlook.
Ability to serve as a preceptor and mentor by fostering a teaching environment.

Nice To Haves

Completion of preceptor education and leader approval makes the position eligible for preceptor premium pay.

Responsibilities

Promote open communication, teamwork, and exceptional service.
Ensure appropriate care and services are available to patients, clients, and families during assigned shifts.
Facilitate interdisciplinary collaboration in patient care planning and coordinate care with interdisciplinary team members.
Demonstrate and role-model clinical expertise in specified patient populations, sharing expertise with other staff.
Promote and ensure use of the nursing process to provide quality patient care.
Assess and anticipate patient and family learning needs and organize resources to address them.
Perform bedside point-of-care testing as required by the patient care plan.
Coordinate, design, and implement educational programs for staff, patients, and families.
Promote and ensure staff participation in continuing education, orientation, competency, in-service, and staff development offerings.
Participate in developing and implementing competency initiatives and serve as a specialty consultant in educational program design.
Help develop patient education materials and provide clinical expertise for them.
Promote professional growth for self and staff, support student learning, and provide educational experiences.
Create and promote an environment conducive to recruiting and retaining staff.
Provide feedback to nursing leadership regarding hiring, promotion, transfer, and termination decisions; assist the Nurse Manager with staff performance feedback and professional goal setting.
Model and promote continual feedback and apply best-practice staff retention standards.
Establish standards of excellence for areas of responsibility and ensure consistent implementation by staff.
Provide input on program development trends, space needs, and fiscal realities.
Collaborate with the Nurse Manager to evaluate research relevant to practice and promote appropriate changes to standards of care.
Guide research development and implementation, use appropriate research methods, and share knowledge through publications, presentations, or other means.
Develop, implement, and evaluate creative approaches to meeting goals.
Lead, participate in, and promote performance improvement initiatives focused on patient safety and quality of care.
Perform other job-related duties as assigned.