About The Position

The Nurse Clinician III is a competent clinician with knowledge and skill to meet standards for professional nursing practice under the Texas Nurse Practice Act. The role requires experience and skill in the specialty area and competent participation on an interdisciplinary team. Practice is predominantly interdependent, problem-focused, and patient-centered. The nurse manages commonly encountered unexpected or emergency situations in the assigned specialty population and serves as a resource for Nurse Clinician I or II. Patient care is based on American Nurses Association standards and supports specialty-unit, nursing, institutional, and health-system goals. The nurse assesses, plans, implements, evaluates, and documents care for assigned patients; provides medications, treatments, procedures, and culturally congruent specialty nursing care; and educates patients and families using evidence-based resources and Teach-Back. The role coordinates and prioritizes care with the interprofessional team, delegates appropriately, promotes safety and continuity, communicates respectfully, advocates for patients, and participates in unit leadership, quality improvement, continuing education, and evidence-based practice activities. The position is part-time, 24 hours per week, on a 7 p.m.–7 a.m. schedule in the Emergency Department in Galveston. 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.
  • Current BLS certification.
  • Required certifications: RN, BLS, ACLS, and PALS or ENPC. Experienced ED nurses must have these upon hire; non-experienced ED nurses must obtain them within six months of hire.
  • TNCC certification must be obtained within six months of hire.

Responsibilities

  • Assess, plan, implement, evaluate, and document daily care for assigned patients.
  • Identify nursing diagnoses and patient-care needs, develop individualized care plans, and revise plans as needed.
  • Carry out physician orders and administer medications and treatments in accordance with UTMB policies, procedures, and standards.
  • Provide culturally congruent, specialty-appropriate nursing care and perform routine technical procedures in the assigned specialty.
  • Provide patient and family instruction based on identified learning needs; use evidence-based resources and Teach-Back, and adjust teaching strategies as needed.
  • Coordinate and prioritize patient-care activities according to skill level and work complexity, collaborating with the interprofessional team.
  • Maintain safety and continuity of care through practices such as bedside shift reports, hand-off processes, and interdisciplinary rounding.
  • Delegate appropriately and seek guidance when needed; demonstrate effective time management and competent use of technology in patient care.
  • Identify ethical situations, use available resources, and seek assistance as needed to resolve them.
  • Provide culturally sensitive care and advocate for patients and families.
  • Communicate respectfully with the healthcare team and seek support with challenging communication.
  • Participate in unit meetings, shared leadership, quality-improvement activities, in-services, continuing education, and one journal club annually.
  • Complete the UTMB/Vizient Nurse Residency Program and an evidence-based practice project as required.
  • Identify patient-safety concerns and report them appropriately; engage in unit quality metrics and improvement activities.
  • Complete required competency-based orientation and self-evaluation activities, annual performance evaluation, and required UTMB and unit compliance requirements.
  • Perform and report point-of-care testing; complete work assignments within specified time frames.
  • Maintain a clean and safe environment and follow aseptic technique, isolation, infection-control, and cost-containment practices.
  • Complete accurate, concise, and legible documentation and competently use electronic communication and documentation systems.
  • Support personal well-being, safety, and injury prevention.
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