Nurse Clinician II (RN) - ED League City (7p-7a)

University of Texas Medical Branch (UTMB)•League City, TX

37d

About The Position

The Nurse Clinician II is an Advanced Beginner Clinician who provides patient 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 a focus on developing specialty-area knowledge and skills. Care is based on American Nurses Association standards and supports specialty-unit, nursing, institutional, and health-system goals. The nurse assesses, plans, implements, evaluates, and documents care for assigned patients; administers ordered medications and treatments; performs routine technical procedures; educates patients and families; coordinates and delegates care; collaborates with the interprofessional team; and contributes to unit quality, safety, and learning activities. The position is in the ED in League City, with a 7 p.m.–7 a.m. schedule. Salary is commensurate with experience.

Requirements

Registered Nurse with at least 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.
Current BLS certification.
RN credential required.
ACLS and PALS or ENPC required upon hire for experienced ED nurses; non-experienced ED nurses must obtain them within six months of hire.
TNCC certification must be obtained within six months of hire.
Complete required specialty-specific Competency Based Orientation tools by the initial performance evaluation due date.
Meet UTMB and unit-specific requirements for health screening, training, attendance, safety, and CPR.

Responsibilities

Assess, plan, implement, evaluate, and document daily care for assigned patients.
Identify nursing diagnoses and care needs; develop individualized care plans and revise them as needed.
Execute physician orders, 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 learning needs, values, beliefs, barriers, and readiness to learn; use evidence-based resources and Teach-Back, and adapt teaching strategies as needed.
Identify the potential impact of family dynamics on care.
Plan, coordinate, and prioritize care activities; maintain safety and continuity through handoffs, bedside shift reports, interdisciplinary rounding, and other processes.
Delegate appropriately, seek guidance when needed, manage time effectively, and use technology competently in patient care.
Identify ethical situations, use available resources, and seek assistance as needed; provide culturally sensitive care and advocate for patients.
Communicate respectfully with the healthcare team and collaborate with the interprofessional team to coordinate and prioritize care.
Recognize unit and institutional leaders, strategic initiatives, health-system goals, and the importance of financial responsibility.
Attend and participate in unit meetings, activities, shared leadership, in-services, and continuing education; participate in unit quality-improvement activities and one journal club annually.
Complete the UTMB/Vizient Nurse Residency Program and its required evidence-based practice project.
Use evidence-based resources to guide care, pursue lifelong learning, and adapt to change by seeking needed information.
Identify and report patient-safety concerns, address immediate concerns, and engage in discussion and activities related to unit quality metrics and improvement goals.
Complete specialty-specific competency orientation, ongoing competency self-evaluation, annual self-evaluation, and required compliance activities.
Perform and report point-of-care testing.
Prioritize and organize work to complete assignments within required time frames.
Maintain a clean and safe environment and perform or assist with aseptic technique, isolation, 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 interactions.
Use electronic communication and documentation systems competently.
Follow internal controls and reporting structures.