Nurse Clinician III (RN) - NICU - Angleton Campus (Days/Nights)

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

About The Position

The Nurse Clinician III is a competent clinician who has the knowledge and skill to meet standards for professional nursing practice under the Texas Nurse Practice Act. The role requires experience and skill in the assigned specialty, competent participation on an interdisciplinary team, and predominantly interdependent decision-making. Care is problem-focused and patient-centered. The nurse manages commonly encountered contingency, unexpected, and emergency situations in the specialty population and serves as a resource for Nurse Clinician I or II. Patient care is based on American Nurses Association standards and UTMB policies, procedures, and standards, with attention to specialty-unit priorities, nursing, institutional initiatives, and health system goals. The nurse assesses, plans, implements, evaluates, and documents care for assigned patients; develops and revises individualized care plans; carries out physician orders; administers medications and treatments; and performs routine specialty procedures. The role includes patient and family education, care coordination and delegation, culturally sensitive and ethical care, advocacy, communication and collaboration, participation in unit leadership and quality improvement, ongoing learning, and maintenance of a safe care environment. The position is full-time, with day and night shifts available. Salary is commensurate with experience.

Requirements

  • Registered nurse with at least two years of clinical RN experience.
  • Current license or valid permit to practice in Texas; must be maintained.
  • Current Basic Life Support (BLS) certification.
  • Complete the UTMB/Vizient Nurse Residency Program and an evidence-based practice project as required.

Responsibilities

  • Assess, plan, implement, evaluate, and document daily care for assigned patients.
  • Identify nursing diagnoses and patient care needs; develop, individualize, and revise care plans 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.
  • Provide patient and family instruction based on identified learning needs; use evidence-based resources and Teach-Back, and adapt teaching as needed.
  • Identify potential effects of family dynamics on care.
  • Plan, coordinate, and prioritize care activities according to skill level and work complexity; maintain safety and continuity of care using hand-offs, 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, seek assistance when needed, provide culturally sensitive care, and advocate for patients.
  • Communicate respectfully with the healthcare team, seek support for challenging communication, and collaborate with the interprofessional team on patient care.
  • Recognize unit and institutional leaders, strategic initiatives, health system goals, and the importance of financial responsibility.
  • Attend and participate in unit meetings, shared leadership, in-services, and continuing education; participate in unit quality improvement and one annual journal club.
  • Complete the UTMB/Vizient Nurse Residency Program and its required evidence-based practice project.
  • Pursue lifelong learning, seek information to adapt to change, and use evidence-based resources to guide patient care.
  • Identify and report patient safety concerns, address immediate safety issues, engage with unit quality metrics and improvement activities, and practice self-care and injury prevention.
  • Complete specialty Competency Based Orientation tools, ongoing competency self-evaluation, and annual self-evaluation on time.
  • Perform and report point-of-care testing.
  • Organize and prioritize work to complete assignments within required time frames.
  • Maintain a clean, safe environment and perform or assist with aseptic technique, isolation, 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 interactions.
  • Use electronic communication and documentation systems competently.
  • Meet UTMB and unit compliance requirements for health screening, training, attendance, safety, and CPR; adhere to internal controls and reporting structure.
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