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 demonstrates clinical leadership on the unit and serves as a resource and system-wide consultant to staff. The RN IV also participates in efforts to advance nursing knowledge and functions as a clinical leader. The position promotes communication, teamwork, and exceptional service; coordinates interdisciplinary care; and models clinical expertise for specified patient populations. It supports quality patient care through the nursing process, patient and family education, bedside point-of-care testing as required, and staff education and competency development. The RN IV contributes to staff recruitment, retention, performance feedback, professional growth, research utilization, practice standards, and performance improvement initiatives. The role requires a Bachelor of Science in Nursing, a current Texas Board of Nursing or Compact State RN license (or a temporary Texas RN license with a permanent Texas license obtained within 90 days of hire), and American Heart Association BLS certification within 7 days of hire.

Requirements

Bachelor of Science in Nursing required.
Current Texas Board of Nursing 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.
Demonstrated skills and competencies necessary to safely perform the assigned job, as determined through ongoing assessments and performance evaluations.
English speaking, reading, and writing proficiency sufficient 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 one's own professional practice and patient outcomes and to plan expert care using the nursing process.
Ability to provide expert peer review to improve professional practice.
Ability to provide anticipatory care and recognize changing patient conditions 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 while 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 and foster a teaching environment.

Responsibilities

Promote open communication, teamwork, and exceptional service, and ensure appropriate care and services are available to patients, clients, and families during assigned shifts.
Facilitate interdisciplinary collaboration and coordinate patient care to achieve desired outcomes.
Demonstrate and role-model clinical expertise in specified patient populations and share expertise with staff.
Promote and ensure use of the nursing process to provide quality patient care; assess 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 competency initiatives and consult on the design of specialty-area educational programs.
Contribute clinical expertise to patient education materials, promote professional growth, support a learning environment, and provide educational experiences for students.
Promote recruitment and retention, and provide feedback to nursing leadership to assist with staffing decisions.
Assist the Nurse Manager with staff performance feedback and professional goal-setting; model continual feedback and apply staff-retention best practices.
Establish and promote standards of excellence and provide input on program development, space needs, and fiscal realities.
Collaborate with the Nurse Manager to evaluate research relevant to practice, guide research development and implementation, promote appropriate changes in care standards, and share knowledge through publications, presentations, or other means.
Develop, implement, and evaluate 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.

Benefits

UT SELECT medical insurance offered free for employees; family coverage is available through payroll deduction.
Group term life insurance and basic accidental death and dismemberment insurance provided at no cost, with options to purchase additional coverage.
Three dental insurance plan options through Delta Dental.
Two vision plan options through Superior Vision Services.
Disability insurance enrollment option providing income protection for qualifying non-work-related illness or injury.
Flexible spending accounts for qualifying dependent care and health care expenses.
Retirement plan eligibility through TRS or, for eligible employees, ORP; voluntary retirement programs are also available.
Front-loaded paid time off of 128 to 208 hours annually based on years of service, with possible prorating in the first year.
Extended Illness Bank accrual of 8 hours per month, subject to the stated usage conditions.
Paid family leave of up to 240 hours after 6 months of consecutive employment.
12 paid holidays each year.
Employee discounts on services, tickets, and gym membership.