Nurse Clinician II (RN) - Labor & Delivery (Angleton) (Nights)

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

About The Position

The Nurse Clinician II is an Advanced Beginner Clinician who possesses the knowledge and skill necessary to meet nursing standards for professional practice specified in the Texas Nurse Practice Act without supervision. The nurse recognizes when assistance is needed and seeks appropriate resources. Practice balances dependent and interdependent decision making, with a focus on expanding knowledge and skills in the specialty area. Patient care is delivered through nursing-based practices aligned with the American Nurses Association Standards of Professional Practice and Professional Performance. The nurse values the specialty unit, nursing, institutional strategic initiatives, and health system goals. The role provides labor and delivery nursing care, including assessment, planning, implementation, evaluation, and documentation of care for assigned patients. It includes patient and family education, care coordination and delegation, collaboration with the interprofessional team, participation in quality improvement and shared leadership, and adherence to safety, ethical, regulatory, and organizational standards. The nurse must complete specialty-specific competency orientation and ongoing competency and performance evaluations, required training and compliance activities, and the UTMB/Vizient Nurse Residency Program with an evidence-based practice project as required. Salary is commensurate with experience.

Requirements

Registered Nurse with 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, maintained throughout employment.
Current Basic Life Support (BLS) certification.
Completion of required specialty-specific Competency Based Orientation tools by the initial performance evaluation due date.
Completion of annual self-evaluation and ongoing competency self-evaluation using the applicable competency and performance tools.
Completion of required UTMB and unit-specific compliance requirements, including health screening, training, attendance, safety, and CPR.

Responsibilities

Assess, plan, implement, evaluate, and document the daily care of 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 culturally congruent, specialty-appropriate nursing 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 and healthcare teaching based on identified learning needs, values, beliefs, barriers, and readiness to learn.
Identify the potential impact of family dynamics and use evidence-based resources for patient and family education.
Use Teach-Back to assess the effectiveness of education and modify teaching strategies as needed.
Plan, coordinate, and prioritize patient care activities according to skill level and work complexity.
Maintain safety and continuity of care using practices such as bedside shift reports, hand-off processes, and interdisciplinary rounding.
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 to resolve ethical issues.
Deliver culturally sensitive care and act as a patient advocate, seeking guidance when necessary.
Communicate respectfully with healthcare team members, seek help with challenging communication, and collaborate with the interprofessional team in coordinating care.
Recognize unit, nursing, and institutional leaders and strategic initiatives, and understand the importance of financial responsibility.
Attend and participate in unit meetings and activities, shared leadership, quality improvement activities, in-services, continuing education, and one journal club annually.
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 patient safety concerns, report them appropriately, address immediate safety issues, and engage in discussion and activities related to unit quality metrics and goals.
Practice self-care that supports personal well-being, personal safety, and injury prevention.
Complete required specialty-specific competency orientation tools and ongoing self-evaluation and annual performance evaluations on time.
Perform and report point-of-care testing.
Organize and prioritize work to complete assignments within specified time frames.
Maintain a clean, 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 for patient, unit, and hospital records, including care delivery and telephone patient interactions.
Use electronic communication and documentation systems competently.
Meet periodic UTMB and unit-specific requirements for health screening, training, attendance, safety, and CPR, and adhere to internal controls and reporting structure.