Nurse Clinician II (RN) - GMC Overflow Unit (Nights)

University of Texas Medical Branch (UTMB)•Galveston, TX

About The Position

The Nurse Clinician II is an Advanced Beginner Clinician who provides specialty-appropriate patient care in accordance with the American Nurses Association Standards of Professional Practice and Professional Performance, the Texas Nurse Practice Act, and UTMB policies, procedures, and standards. The role requires independent practice without supervision within the nurse’s knowledge and skill, while recognizing when assistance is needed and seeking appropriate resources. Clinical decision-making balances dependent and interdependent practice, with a focus on expanding specialty knowledge and skills and supporting unit, nursing, institutional, and health system goals. The nurse assesses, plans, implements, evaluates, and documents care for assigned patients; administers medications and treatments; performs routine specialty-area procedures; and provides patient and family education. The role coordinates and prioritizes care, delegates appropriately, collaborates with the inter-professional team, and promotes patient safety, continuity, culturally sensitive care, quality improvement, evidence-based practice, and ongoing professional development. The position also requires compliance with UTMB and unit requirements for competency, documentation, infection control, safety, training, and performance evaluation.

Requirements

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; must be maintained.
Current BLS certification.
Completion of the UTMB/Vizient Nurse Residency Program and its required evidence-based practice project.
Completion of required specialty-specific competency orientation and ongoing competency and performance evaluations.

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 physician orders, administer medications and treatments, and provide competent, culturally congruent, specialty-appropriate care according to UTMB policies, procedures, and standards.
Perform routine technical procedures and skills in the assigned specialty area.
Provide basic patient and family instruction based on identified learning needs, including values, beliefs, barriers, and readiness to learn.
Use evidence-based resources and Teach-Back to educate patients and families, adapting teaching strategies as needed.
Coordinate and prioritize care according to skill level and work complexity; maintain patient safety and continuity through hand-offs, bedside shift reports, interdisciplinary rounding, and similar processes.
Demonstrate effective time management, delegate appropriately, and seek guidance when needed.
Use technology competently in patient care and documentation.
Identify ethical situations, use available resources, seek assistance as needed, and advocate for patients.
Deliver culturally sensitive care and communicate respectfully with patients, families, and healthcare team members.
Collaborate with the inter-professional team to plan, coordinate, and prioritize patient care.
Support unit and organizational goals, participate in shared leadership and unit meetings or activities, and recognize unit and hospital leadership and strategic initiatives.
Participate in unit-based quality improvement activities, in-services, continuing education, and one journal club annually.
Complete the UTMB/Vizient Nurse Residency Program and the required evidence-based practice project.
Use evidence-based resources to guide care and demonstrate commitment to lifelong learning and adapting to change.
Identify and report patient safety concerns, address immediate safety concerns, and engage in discussions and activities related to unit quality metrics and goals.
Complete specialty-specific Competency Based Orientation tools, ongoing competency self-evaluations, and annual self-evaluation on time.
Perform and report point-of-care testing.
Organize work to complete assigned duties within required 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.
Maintain accurate, concise, and legible documentation in patient, unit, and hospital records, including care delivery and patient-related telephone interactions.
Meet UTMB and unit compliance requirements for health screening, training, attendance, safety, and CPR, and adhere to internal controls and reporting structure.
Demonstrate self-care practices that support personal well-being, safety, and injury prevention.