Hospital - Complex Surgical RN IV (Night Shift, Full Time)

UT Health San Antonio•San Antonio, TX

About The Position

The Acute Care RN IV practices as an expert nursing practitioner, providing care to 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 participating in efforts to increase nursing knowledge. The Registered Nurse IV functions as a clinical leader, supporting high-quality patient care, staff development, research utilization, and continuous improvement.

Requirements

Bachelor of Science in Nursing required.
Current Texas Board of Nursing or Compact State RN license, or a Temporary Texas RN License; permanent Texas license required within 90 days of hire when hired with a temporary license.
American Heart Association Basic Life Support (BLS) certification within 7 days of hire.
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, especially those affecting patient or employee safety or security.
Ability to use therapeutic communication with patients, families, and the interprofessional team to collaborate on the plan of care.
Strong assessment, organizational, and problem-solving skills, including the capacity to prioritize multiple tasks and role components.
Ability to function independently and exercise judgment in interactions 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, plan expert nursing care using the nursing process, and provide expert peer review to improve practice.
Ability to anticipate changes in patient condition before a critical incident and to support patient safety systems through role modeling.
Ability to lead research utilization and generation and invest in developing others.
Ability to apply expertise to improve patient care and contribute to the nursing profession’s 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.

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 care planning and coordinate care with interdisciplinary team members to achieve desired patient outcomes.
Demonstrate and role-model clinical expertise in specified patient populations, sharing expertise with 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 meet 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 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-area consultant in educational program design.
Help develop and provide clinical expertise for patient education materials.
Promote professional growth for self and staff, support a conducive learning environment, and provide educational experiences for students.
Foster staff recruitment and retention; provide feedback to nursing leadership to assist with personnel decisions and support staff performance feedback and professional goal-setting.
Model and promote continual feedback among staff and colleagues and integrate best-practice retention standards into practice.
Establish and promote standards of excellence in 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 changes to standards of care as appropriate.
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.