Nurse Clinician II (RN) - CLC Pedi Med/Surg

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

About The Position

The Nurse Clinician II is an Advanced Beginner Clinician who provides patient care in the CLC Pedi Med/Surg specialty area. The clinician possesses the knowledge and skill to meet professional nursing practice standards specified in the Texas Nurse Practice Act without supervision, recognizes when assistance is needed, and seeks appropriate resources. Practice balances dependent and interdependent decision-making while expanding specialty knowledge and skills. Care is grounded in American Nurses Association standards of professional practice and professional performance and supports specialty unit, nursing, institutional, and health system goals. The role includes assessing, planning, implementing, evaluating, and documenting patient care; delivering medications and treatments; providing patient and family education; coordinating and delegating care; collaborating with the interprofessional team; and supporting ethical, culturally congruent, safe, evidence-based, and quality-focused practice. The clinician participates in unit activities, shared leadership, quality improvement, continuing education, and the UTMB/Vizient Nurse Residency Program, including its required evidence-based practice project. The position also requires completion of specialty-specific competency and performance evaluations, point-of-care testing, accurate documentation, infection control, compliance with required UTMB and unit requirements, and adherence to internal controls and reporting structures. Salary is commensurate with experience.

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, which must be maintained.
Current BLS certification.
Completion of the UTMB/Vizient Nurse Residency Program and required evidence-based practice project.
Ability to meet nursing standards of professional practice specified in the Texas Nurse Practice Act without supervision.
Ability to recognize when assistance is needed and seek appropriate resources.
Competent use of technology in patient care, communication, and documentation.
Ability to complete required competency, performance, compliance, and continuing education activities.

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, using evidence-based resources and Teach-Back; modify teaching strategies as needed.
Identify the potential impact of family dynamics on care.
Plan, coordinate, and prioritize patient care according to skill level and work complexity; maintain safety and continuity using handoffs, bedside shift reports, and interdisciplinary rounding.
Delegate appropriately, seek guidance when needed, and demonstrate effective time management and competent use of technology in patient care.
Identify ethical situations, use available resources, and seek assistance when needed; provide culturally sensitive care and advocate for patients.
Communicate respectfully with healthcare team members, seek support with challenging communication, and collaborate with the interprofessional team in planning and prioritizing care.
Recognize unit, hospital, nursing, and institutional leaders, strategic initiatives, and health system goals; recognize 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.
Complete the UTMB/Vizient Nurse Residency Program and its required evidence-based practice project; pursue lifelong learning and use evidence-based resources to guide care.
Identify patient safety concerns and report them appropriately; address immediate safety concerns and engage in discussion and improvement activities related to unit quality metrics and goals.
Complete specialty-specific Competency Based Orientation tools by the initial performance evaluation due date and participate in ongoing competency self-evaluation and annual performance self-evaluation.
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 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 telephone interactions; use electronic communication and documentation systems competently.
Meet periodic UTMB and unit-specific health screening, training, attendance, safety, and CPR compliance requirements; adhere to internal controls and reporting structures.
Demonstrate self-care practices that support personal well-being, personal safety, and injury prevention.