Nurse Clinician III (RN) - ICU Angleton (Nights)

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

About The Position

The Nurse Clinician III is an experienced, knowledgeable, and skilled clinician in the assigned specialty area who provides competent professional nursing practice consistent with the Texas Nurse Practice Act and American Nurses Association standards. The role functions as a member of the interdisciplinary team, uses predominantly interdependent decision-making, and provides problem-focused, patient-centered care. The clinician manages commonly seen contingency, unexpected, and emergency situations in the specialty population and serves as a resource for Nurse Clinician I or II. The position supports specialty unit, nursing, and institutional initiatives and health system goals. The Nurse Clinician assesses, plans, implements, evaluates, and documents patient care; individualizes care plans; carries out physician orders; administers medications and treatments; and performs routine technical procedures. The clinician provides patient and family education, coordinates and prioritizes care with the interprofessional team, delegates appropriately, supports patient safety and quality improvement, and participates in unit activities, shared leadership, continuing education, and evidence-based practice. The role also includes required orientation and competency evaluations, point-of-care testing, accurate documentation, infection-control practices, cost containment, and compliance with UTMB and unit requirements.

Requirements

  • At least two years of clinical RN experience.
  • Current license or valid permit to practice in Texas, maintained as current.
  • Current BLS certification.
  • RN.

Responsibilities

  • Assess, plan, implement, evaluate, and document daily care for assigned patients.
  • Identify nursing diagnoses and care needs; develop, individualize, and revise plans of care.
  • 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 based on identified learning needs, use evidence-based resources and Teach-Back, and adapt teaching as needed.
  • Coordinate and prioritize patient care activities, maintain safety and continuity of care, and use effective time management.
  • Delegate appropriately and seek guidance when needed.
  • Use technology competently in the delivery of patient care.
  • Identify ethical situations, use available resources, provide culturally sensitive care, and advocate for patients.
  • Communicate respectfully and collaborate with the healthcare team and interprofessional partners.
  • Recognize unit, nursing, and institutional initiatives and health system goals, and support fiscal responsibility.
  • Attend and participate in unit meetings and activities, shared leadership, quality improvement, in-services, and continuing education.
  • Participate in one journal club annually and complete the UTMB/Vizient Nurse Residency Program and required evidence-based practice project.
  • Use evidence-based resources to guide care and demonstrate commitment to lifelong learning and adapting to change.
  • Identify and report patient safety concerns, address immediate risks, and engage in discussion and activities related to unit quality goals.
  • Practice self-care, personal safety, and injury prevention.
  • Complete specialty-specific competency-based orientation tools, ongoing competency self-evaluation, and 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, and infection-control measures.
  • Practice basic cost containment for patients and the unit.
  • Complete accurate, concise, and legible patient, unit, and hospital documentation, including care delivery and 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 structures.
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