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

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

About The Position

The Nurse Clinician III is a competent clinician who applies the knowledge and skills needed to meet professional nursing practice standards under the Texas Nurse Practice Act. The role requires experience and skill in the specialty area, effective 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 for the assigned specialty population and serves as a resource for Nurse Clinician I or II colleagues. Patient care follows American Nurses Association standards and UTMB policies, procedures, and standards, while supporting specialty-unit, nursing, institutional, and health-system goals. The nurse assesses, plans, implements, evaluates, and documents patient care; provides patient and family education; coordinates and delegates care; collaborates with the interprofessional team; and contributes to unit quality, safety, education, and shared leadership activities. The position also requires completion of the UTMB/Vizient Nurse Residency Program and an evidence-based practice project as required, alongside ongoing competency, performance, compliance, and professional-development activities.

Requirements

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

Responsibilities

Assess, plan, implement, evaluate, and document daily care for assigned patients.
Identify nursing diagnoses and care needs; develop individualized care plans and revise them as needed.
Carry out 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 area.
Provide patient and family instruction based on identified learning needs, and use evidence-based resources and Teach-Back to evaluate and adapt education.
Coordinate and prioritize patient-care activities according to skill level and work complexity; maintain safe continuity of care 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 the healthcare team and collaborate with the interprofessional team on patient-care activities.
Recognize unit, nursing, and institutional leaders, initiatives, and health-system goals; support fiscal responsibility.
Attend and participate in unit meetings and activities, shared leadership, quality-improvement work, in-services, and continuing education; 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 use evidence-based resources to guide care.
Identify and report patient-safety concerns, address immediate risks, and engage with unit quality metrics and improvement activities.
Complete specialty Competency Based Orientation tools and ongoing competency and performance self-evaluations, including the annual self-evaluation on time.
Perform and report point-of-care testing; organize work to complete assignments within required time frames.
Maintain a clean and safe environment and perform or assist with aseptic technique, isolation procedures, and infection-control measures.
Practice cost containment and complete accurate, concise, and legible documentation in patient, unit, and hospital records, including patient-related 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.
Demonstrate self-care practices that support personal well-being, safety, and injury prevention.