Nurse Clinician II (RN) - ED Clear Lake (7P-7A)

UTMB Health•Galveston, TX

About The Position

The Nurse Clinician II is an Advanced Beginner Clinician who provides specialty-appropriate nursing care in the Emergency Department. The role requires the knowledge and skill to meet professional nursing practice standards under the Texas Nurse Practice Act without supervision, while recognizing when assistance is needed and seeking appropriate resources. Practice balances dependent and interdependent decision-making, with an emphasis on expanding specialty knowledge and skills. Patient care is delivered in accordance with American Nurses Association standards and UTMB policies, procedures, and standards, while supporting unit, nursing, institutional, and health-system goals. The clinician assesses, plans, implements, evaluates, and documents care for assigned patients; administers medications and treatments; performs routine specialty procedures; teaches patients and families; and coordinates care with the interprofessional team. The role also involves patient advocacy, culturally sensitive care, safe delegation, quality improvement participation, continuing education, and compliance with UTMB and unit requirements. The position is in the ED at Clear Lake, with a 7 p.m. to 7 a.m. schedule.

Requirements

Registered Nurse with at least six months of clinical RN experience and/or successful completion of the probationary Nurse Clinician I period documented on the nursing evaluation tool.
Current Registered Nurse license or valid permit to practice in Texas; must be maintained.
Current BLS certification.
RN, BLS, ACLS, and PALS or ENPC required. Experienced ED nurses must have these upon hire; non-experienced ED nurses must obtain them within six months of hire.
TNCC certification must be obtained within six months of hire.

Responsibilities

Assess, plan, implement, evaluate, and document daily care for assigned patients.
Identify nursing diagnoses and patient care needs; develop individualized care plans and revise them as needed.
Execute physician orders and administer medications and treatments in accordance with UTMB policies, procedures, and standards.
Provide culturally congruent, specialty-appropriate nursing care in a caring and compassionate manner.
Perform routine technical procedures and skills in the assigned specialty area.
Provide patient and family instruction using evidence-based resources, assess learning needs and readiness, use Teach-Back, and adapt teaching strategies as needed.
Plan, coordinate, and prioritize care according to skill level and work complexity; promote safety and continuity through handoffs, bedside shift reports, and interdisciplinary rounding.
Delegate appropriately, seek guidance when needed, and demonstrate effective time management and competent use of technology in patient care.
Identify ethical situations, use available resources, and seek assistance to resolve ethical concerns.
Advocate for patients and provide culturally sensitive care using available resources to meet patient and family needs.
Communicate respectfully with healthcare team members and collaborate with the interprofessional team to coordinate patient care.
Attend and participate in unit meetings and activities, shared leadership, unit-based quality improvement, in-services, continuing education, and one annual journal club.
Complete the UTMB/Vizient Nurse Residency Program and an evidence-based practice project as required; pursue lifelong learning and use evidence-based resources to guide care.
Identify and report patient safety concerns, address immediate safety issues, and engage in discussion and activities related to unit quality metrics and goals.
Complete specialty-specific competency orientation, ongoing competency self-evaluations, annual self-evaluation, required screening and training, and other UTMB and unit compliance requirements.
Perform and report point-of-care testing.
Organize work to complete assignments within required time frames and maintain a clean, safe environment using aseptic technique, isolation procedures, and infection-control measures.
Practice cost containment and complete accurate, concise, and legible documentation in patient, unit, and hospital records, including telephone patient interactions.
Use electronic communication and documentation systems competently and adhere to internal controls and reporting structures.
Demonstrate self-care practices that support well-being, personal safety, and injury prevention.