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

University of Texas Medical Branch (UTMB)•Webster, 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 role provides patient-centered, problem-focused care and functions as a member of the interdisciplinary team, predominantly making interdependent decisions. The clinician manages commonly seen contingencies and unexpected or emergency situations within the specialty population and serves as a resource for Nurse Clinician I or II. Care is based on American Nurses Association standards and UTMB policies, procedures, and standards, while supporting specialty-unit, nursing, institutional, and health-system goals. The position assesses, plans, implements, evaluates, and documents patient care; administers ordered medications and treatments; performs specialty-area procedures; and provides patient and family instruction using evidence-based resources and Teach-Back. The clinician coordinates care, maintains safety and continuity, delegates appropriately, communicates and collaborates with the healthcare team, and participates in unit leadership, quality improvement, education, and evidence-based practice activities. General duties include completing competency and performance evaluations, performing point-of-care testing, maintaining accurate records, supporting infection control and cost containment, and meeting UTMB and unit compliance requirements. Work schedule: Day shift. Salary is commensurate with experience.

Requirements

At least two years of clinical RN experience.
Current license or valid permit to practice in Texas; must be maintained.
Current Basic Life Support (BLS) certification.
RN license/certification.
Ability to meet standards for competent professional nursing practice under the Texas Nurse Practice Act.

Nice To Haves

Two years of IMU experience is strongly preferred.

Responsibilities

Assess, plan, implement, evaluate, and document daily care for assigned patients.
Identify nursing diagnoses and patient care needs; individualize and revise care plans as needed.
Execute physician orders, administer medications and treatments, and deliver 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, using evidence-based resources and Teach-Back; assess effectiveness and modify teaching strategies as needed.
Coordinate and prioritize patient care activities according to skill level and work complexity; maintain safety and continuity using handoffs, bedside shift reports, interdisciplinary rounding, and other appropriate processes.
Delegate appropriately, seek guidance when needed, and demonstrate effective time management and competent use of technology in patient care.
Identify ethical situations, use available resources, deliver culturally sensitive care, and advocate for patients.
Communicate respectfully with healthcare team members and collaborate with the interprofessional team to coordinate and prioritize care.
Recognize unit, nursing, and institutional leadership, strategic initiatives, health-system goals, and the importance of financial responsibility.
Attend and participate in unit meetings, activities, in-services, and continuing education; participate in unit shared leadership and quality-improvement activities.
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 patient care, seek knowledge to adopt change, and demonstrate commitment to lifelong learning.
Identify and report patient safety concerns, address immediate risks, engage in unit quality activities, and practice self-care and injury prevention.
Complete specialty-specific competency orientation tools, ongoing competency self-evaluations, and the annual self-evaluation on time.
Perform and report point-of-care testing.
Organize work to complete required assignments within specified time frames.
Maintain a clean and safe environment and perform or assist with aseptic technique, isolation procedures, and infection-control measures.
Practice basic cost containment for patients and the unit.
Complete accurate, concise, and legible documentation in patient, unit, and hospital records, including care delivery and telephone patient interactions.
Use electronic communication and documentation systems competently.
Meet UTMB and unit requirements for health screening, training, attendance, safety, and CPR; adhere to internal controls and reporting structures.