Nurse Clinician III (RN) - NICU Galveston (Nights)

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

About The Position

The Nurse Clinician III is an experienced, knowledgeable, and skilled clinician in the assigned specialty area who meets competent professional nursing practice standards under the Texas Nurse Practice Act. The nurse functions as a member of the interdisciplinary team, provides problem-focused and patient-centered care, and uses predominantly interdependent decision-making. The role includes managing commonly encountered contingency and emergency situations in the specialty population and serving as a resource for Nurse Clinician I or II. Care is based on the American Nurses Association Standards of Professional Practice and Professional Performance and supports specialty-unit, nursing, and institutional strategic initiatives and health-system goals. The nurse assesses, plans, implements, evaluates, and documents patient care; administers ordered medications and treatments; performs specialty-area procedures; teaches and advocates for patients and families; coordinates and delegates care; and collaborates with the interprofessional team. The role also includes participation in unit quality improvement, shared leadership, continuing education, an annual journal club, and the UTMB/Vizient Nurse Residency Program and required evidence-based practice project. The nurse maintains competency, documentation, safety, infection-control, compliance, and cost-containment practices.

Requirements

  • Two years of clinical RN experience.
  • Current license or valid permit to practice in Texas, maintained throughout employment.
  • Current BLS certification.
  • RN credential.

Nice To Haves

  • NICU experience preferred.

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 them as needed.
  • Execute physician orders, administer medications and treatments, and provide culturally congruent, specialty-appropriate nursing care in accordance with UTMB policies and standards.
  • Perform routine technical procedures and skills in the assigned specialty area.
  • Provide patient and family instruction using identified learning needs, evidence-based resources, and Teach-Back; adapt education strategies as needed.
  • Consider the potential impact of family dynamics on patient care.
  • Plan, coordinate, and prioritize care according to skill level and work complexity; maintain safety and continuity through handoffs, bedside shift reports, and interdisciplinary rounding.
  • Delegate appropriately, seek guidance when needed, manage time effectively, and use technology competently in patient care.
  • Identify ethical situations, use available resources, provide culturally sensitive care, and advocate for patients.
  • Communicate respectfully with healthcare team members and collaborate with the interprofessional team in coordinating patient care.
  • Recognize unit, 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, quality improvement, in-services, continuing education, and one journal club annually.
  • Complete the UTMB/Vizient Nurse Residency Program and its required evidence-based practice project.
  • Pursue lifelong learning, adopt changes using appropriate knowledge and resources, and use evidence-based resources to guide care.
  • Identify and report patient safety concerns, address immediate safety issues, and engage in discussions and activities related to unit quality metrics and improvement goals.
  • Complete specialty-specific competency orientation and ongoing competency and performance evaluations, including the annual self-evaluation.
  • Perform and report point-of-care testing.
  • Organize work to complete assignments on time and maintain a clean, safe environment using aseptic technique, isolation procedures, and infection-control measures.
  • Practice basic cost containment and complete accurate, concise, and legible documentation in patient, unit, and hospital records.
  • Use electronic communication and documentation tools competently and 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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