Nurse Clinician III (RN) - Med/Surg - CLC (Days)

UTMB Health•Texas City, TX

About The Position

The Nurse Clinician III is an experienced registered nurse who provides competent, patient-centered nursing care in the assigned specialty area. The clinician applies knowledge and skills consistent with the Texas Nurse Practice Act, American Nurses Association standards, and UTMB policies and procedures. The role functions as part of an interdisciplinary team, uses predominantly interdependent decision-making, manages commonly encountered contingencies and emergencies, and serves as a resource for Nurse Clinician I or II. The clinician supports specialty-unit and institutional initiatives and health system goals. Responsibilities include assessing, planning, implementing, evaluating, and documenting patient care; identifying nursing diagnoses and individualizing care plans; carrying out physician orders; administering medications and treatments; and performing routine technical procedures for the specialty. The clinician provides patient and family education using evidence-based resources and Teach-Back, coordinates and prioritizes care, maintains safe handoffs and continuity, delegates appropriately, and uses technology competently. The role also involves ethical and culturally sensitive care, patient advocacy, respectful communication and collaboration, participation in unit leadership and quality improvement, and ongoing professional learning. General duties include completing competency and performance evaluations, performing and reporting point-of-care testing, maintaining infection control and a clean, safe environment, documenting accurately, practicing cost containment, and meeting UTMB and unit compliance requirements. Salary is commensurate with experience. The listed work schedule is days.

Requirements

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

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 plans as needed.
Execute physician orders for assigned patients; administer medications and treatments and provide competent, culturally congruent specialty nursing care under UTMB policies and standards.
Perform routine technical procedures and skills in the assigned specialty area.
Provide patient and family instruction based on identified learning needs; use evidence-based resources and Teach-Back, and adjust 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 practices such as bedside shift reports, handoff processes, and interdisciplinary rounding.
Delegate appropriately and seek guidance when needed; use patient-care technology competently.
Identify ethical situations, use available resources, and seek assistance to resolve issues as necessary.
Provide culturally sensitive care and act as a patient advocate, seeking guidance when necessary.
Communicate respectfully with healthcare team members and collaborate with the interprofessional team.
Participate in unit meetings and activities, shared leadership, unit-based quality improvement, in-services, continuing education, and an annual journal club.
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.
Complete required specialty competency tools, ongoing competency self-evaluations, and annual performance self-evaluation on time.
Perform and report point-of-care testing.
Organize work to complete assignments within specified time frames.
Maintain a clean and safe environment and perform or assist with aseptic technique, isolation, and infection-control measures.
Practice basic cost containment and complete accurate, concise, and legible patient, unit, and hospital documentation.
Meet periodic UTMB and unit-specific requirements for health screening, training, attendance, safety, and CPR; adhere to internal controls and reporting structure.