Nurse Clinician III (RN) - ED Clear Lake (7A-7P)

UTMB Health•Webster, TX

About The Position

The Nurse Clinician III is a competent, experienced clinician in the emergency department who provides specialty-appropriate nursing care in accordance with the Texas Nurse Practice Act, American Nurses Association standards, and UTMB policies and procedures. The role uses predominantly interdependent decision-making, problem-focused and patient-centered care, and responds to commonly encountered emergencies and contingencies. The clinician also serves as a resource for Nurse Clinician I and II staff and contributes to unit, nursing, and institutional initiatives and health system goals. The position assesses, plans, implements, evaluates, and documents patient care; administers prescribed medications and treatments; educates patients and families; coordinates care with the interprofessional team; and delegates appropriately. It also involves participation in shared leadership, quality improvement, continuing education, evidence-based practice, and unit activities. The clinician identifies and reports safety concerns, performs point-of-care testing, maintains infection-control practices, and completes required competency, compliance, and documentation responsibilities.

Requirements

Registered Nurse with at least two years of clinical RN experience.
Current Texas RN license or valid permit to practice in Texas.
Current BLS certification.
ACLS certification.
PALS or ENPC certification; experienced ED nurses must have it upon hire, while non-experienced ED nurses must obtain it within six months of hire.
TNCC certification, to 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 and individualize care plans and revise them as needed.
Execute physician orders and administer medications and treatments in accordance with UTMB policies, procedures, and standards.
Deliver culturally congruent, specialty-appropriate nursing care and perform routine technical procedures and skills in the assigned specialty.
Provide patient and family instruction using evidence-based resources and Teach-Back; adjust teaching strategies as needed.
Plan, coordinate, and prioritize care activities with the interprofessional team, maintaining safety and continuity through handoffs, bedside shift reports, and interdisciplinary rounding.
Delegate appropriately, manage time effectively, and use technology competently in patient care.
Identify ethical situations, use available resources, and advocate for patients; provide culturally sensitive care.
Communicate respectfully and collaboratively with healthcare team members and seek support when needed.
Recognize unit and organizational leaders, initiatives, strategic goals, and the importance of fiscal responsibility.
Attend unit meetings and continuing education, participate in shared leadership and unit quality-improvement activities, and participate in one journal club annually.
Complete the UTMB/Vizient Nurse Residency Program and an evidence-based practice project as required; pursue lifelong learning and adapt to change.
Identify patient-safety concerns, report them appropriately, and engage in unit quality-improvement activities.
Complete specialty-specific competency orientation and ongoing competency and performance self-evaluations.
Perform and report point-of-care testing; organize work to complete assignments within required time frames.
Maintain a clean, safe environment and follow aseptic technique, isolation, and infection-control measures.
Practice cost containment and complete accurate, concise, legible patient, unit, and hospital documentation.
Meet UTMB and unit compliance requirements for health screening, training, attendance, safety, and CPR; adhere to internal controls and reporting structure.