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 provides specialty-appropriate patient care in Labor & Delivery. The role requires the knowledge and skill to meet professional nursing practice standards specified in the Texas Nurse Practice Act without supervision, while recognizing when assistance is needed and seeking appropriate resources. Practice involves a balance of dependent and interdependent decision-making, with a focus on expanding specialty-area knowledge and skills. Patient care is based on American Nurses Association standards of professional practice and performance and supports the specialty unit, nursing, institutional strategic initiatives, and health system goals. The clinician assesses, plans, implements, evaluates, and documents care for assigned patients; provides medication, treatment, technical procedures, patient and family education, and care coordination; and collaborates with the interprofessional team. The role also contributes to ethical and culturally congruent care, unit leadership and quality improvement, evidence-based practice, safety, and ongoing professional development. The clinician completes required competency, residency, compliance, documentation, and performance activities.

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.
Complete the UTMB/Vizient Nurse Residency Program and the required evidence-based practice project.
Complete required specialty-specific Competency Based Orientation tools by the initial performance-evaluation due date and participate in ongoing competency evaluation.
Meet periodic UTMB and unit-specific compliance 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 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 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, including values, beliefs, barriers, and readiness to learn.
Consider the potential impact of family dynamics and use evidence-based resources to educate patients and families.
Use Teach-Back to evaluate 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 patient safety and continuity of care through methods such as bedside shift reports, hand-off processes, and interdisciplinary rounds.
Manage time effectively and delegate appropriately, seeking guidance when needed.
Use technology competently in the delivery of patient care.
Identify ethical situations, use available resources, and seek assistance to resolve ethical issues when necessary.
Provide culturally sensitive care and act as a patient advocate, seeking guidance when needed.
Communicate respectfully with healthcare team members and seek support with challenging communication.
Recognize colleagues who demonstrate UTMB core values and collaborate with the interprofessional team in coordinating and prioritizing care.
Recognize unit and hospital leaders, strategic initiatives, health system goals, and the importance of financial responsibility.
Attend and participate in unit meetings and activities, shared leadership, unit-based quality improvement, in-services, and continuing education.
Participate in one journal club annually and complete the UTMB/Vizient Nurse Residency Program and required evidence-based practice project.
Pursue lifelong learning and use evidence-based resources to guide patient care; adapt to change by seeking relevant knowledge and information.
Identify patient safety concerns and report them appropriately; address immediate safety concerns and participate in unit quality-improvement activities.
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; participate in ongoing competency self-evaluation and complete the annual self-evaluation on time.
Perform and report point-of-care testing.
Organize 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 in patient, unit, and hospital records, including care delivery and telephone patient-related interactions.
Use electronic communication and documentation systems competently.
Meet periodic UTMB and unit-specific requirements for health screening, training, attendance, safety, and CPR; adhere to internal controls and reporting structure.