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

UTMB Health•Angleton, TX

About The Position

The Nurse Clinician II is an Advanced Beginner Clinician who provides specialty-appropriate nursing care in Labor & Delivery. 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 expanding specialty knowledge and skills. Patient care is based on American Nurses Association standards and supports unit, nursing, institutional, and health system goals. The nurse assesses, plans, implements, evaluates, and documents daily care for assigned patients; identifies nursing diagnoses and care needs; individualizes and updates care plans; carries out physician orders; and administers medications, treatments, and routine specialty procedures. The role also includes patient and family education, care coordination and delegation, collaboration with the interprofessional team, advocacy, safety and quality activities, continuing education, and participation in unit-based shared leadership and improvement initiatives. The nurse completes UTMB/Vizient Nurse Residency Program requirements and an evidence-based practice project.

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.
Current Basic Life Support (BLS) certification.

Responsibilities

Assess, plan, implement, evaluate, and document the daily care of assigned patients.
Identify nursing diagnoses and patient care needs, develop individualized care plans, and revise plans as needed.
Execute physician orders and administer medications and treatments.
Deliver culturally congruent, compassionate, specialty-appropriate nursing care in accordance with 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, using evidence-based resources and Teach-Back to evaluate effectiveness.
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, handoff tools, and interdisciplinary rounding.
Delegate appropriately, seek guidance when needed, and demonstrate effective time management and competent use of patient-care technology.
Identify ethical situations, use available resources, and seek assistance when needed to resolve ethical issues.
Deliver culturally sensitive care and serve as a patient advocate.
Communicate respectfully with healthcare team members and collaborate with the interprofessional team.
Attend and participate in unit meetings and activities, shared leadership, and unit-based quality improvement activities.
Attend in-services and continuing education activities and participate in one journal club annually.
Complete the UTMB/Vizient Nurse Residency Program and an evidence-based practice project as required.
Identify patient safety concerns, report them appropriately, and address immediate safety concerns.
Participate in discussions and activities related to unit quality metrics, outcomes, and improvement goals.
Complete specialty-specific competency orientation, ongoing competency self-evaluations, and annual performance self-evaluation.
Perform and report point-of-care testing.
Prioritize and organize work to complete assignments within specified time frames.
Maintain a clean, safe environment and perform or assist with aseptic technique, isolation, and infection-control measures.
Practice basic cost containment and maintain accurate, concise, and legible patient, unit, and hospital documentation.
Use electronic communication and documentation tools competently and meet UTMB and unit compliance requirements.