About The Position

The Nurse Clinician II is an Advanced Beginner Clinician who provides nursing care in the NICU. The role requires the knowledge and skills to meet professional nursing practice standards specified in the Texas Nurse Practice Act without supervision. The nurse recognizes when assistance is needed and seeks appropriate resources, balancing dependent and interdependent decision-making while expanding specialty-area knowledge and skills. Patient care is based on American Nurses Association standards of professional practice and professional performance, UTMB policies and standards, and the organization’s strategic initiatives and health system goals. The nurse assesses, plans, implements, evaluates, and documents care for assigned patients; administers medications and treatments; performs routine specialty procedures; and provides culturally congruent, compassionate care. The role also includes patient and family education, care coordination and delegation, collaboration with the inter-professional team, participation in unit quality improvement and shared leadership activities, continuing education, and attention to patient safety and responsible use of resources. The position requires completion of the UTMB/Vizient Nurse Residency Program and an evidence-based practice project as required, along with ongoing competency, compliance, and documentation responsibilities.

Requirements

  • Registered Nurse with six months of clinical RN experience and/or successful completion of the probationary NC I period documented on the nursing evaluation tool.
  • Current Registered Nurse license or valid permit to practice in Texas, maintained throughout employment.
  • Current Basic Life Support (BLS) certification.
  • Completion of the UTMB/Vizient Nurse Residency Program and an evidence-based practice project as required.
  • Completion of specialty-specific Competency Based Orientation tools by the initial performance evaluation due date.
  • Ability to provide nursing care meeting professional practice standards specified in the Texas Nurse Practice Act without supervision.
  • Ability to recognize when assistance is needed and seek appropriate resources.

Responsibilities

  • Assess, plan, implement, evaluate, and document daily care for assigned patients.
  • Identify nursing diagnoses and patient care needs; develop and individualize care plans and revise them as needed.
  • Execute physicians’ orders for assigned patients.
  • Administer medications and treatments and provide culturally congruent, specialty-appropriate nursing care in accordance with UTMB policies, procedures, and standards.
  • Perform routine technical procedures and skills in the assigned specialty area.
  • Provide patient and family instruction based on identified learning needs, use evidence-based resources and Teach-Back, and modify teaching strategies as needed.
  • Plan, coordinate, and prioritize patient care activities according to skill level and work complexity.
  • Maintain patient safety and continuity of care through practices such as bedside shift reports, hand-off processes, and interdisciplinary rounding.
  • Delegate appropriately and seek guidance when needed; demonstrate effective time management and competent use of technology in patient care.
  • Identify ethical situations, use available resources, and seek assistance when needed to resolve ethical concerns.
  • Provide culturally sensitive care and advocate for patients, seeking guidance when necessary.
  • Communicate respectfully with healthcare team members, seek support for challenging communication, and collaborate with the inter-professional team on patient care.
  • Recognize unit, nursing, and institutional leaders, strategic initiatives, and health system goals; recognize the importance of financial responsibility.
  • Attend and participate in unit meetings and activities, shared leadership, quality improvement activities, in-services, and continuing education.
  • Participate in one journal club annually; complete the UTMB/Vizient Nurse Residency Program and the required evidence-based practice project.
  • Use evidence-based resources to guide patient care and seek knowledge and information to adopt change and support lifelong learning.
  • Identify and report patient safety concerns, address immediate safety issues, and engage in discussion and activities related to unit quality metrics and improvement goals.
  • Practice self-care that supports personal well-being, safety, and injury prevention.
  • Complete specialty-specific Competency Based Orientation tools by the initial performance evaluation due date and participate in ongoing competency self-evaluation and annual performance evaluation.
  • Perform and report point-of-care testing.
  • Prioritize and organize work to complete assignments within specified time frames.
  • Maintain a clean and safe environment and perform or assist with aseptic technique, isolation procedures, and infection control measures.
  • Practice basic cost containment for patients and the unit.
  • Complete accurate, concise, and legible documentation in patient, unit, and hospital records, including care delivery and telephone patient interactions.
  • Competently use electronic communication and documentation systems.
  • Meet periodic UTMB and unit-specific requirements for health screening, training, attendance, safety, and CPR; adhere to internal controls and reporting structure.
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