Nurse Clinician III (RN) - ED Clear Lake Campus (3P-3A)

UTMB Health•Webster, TX

About The Position

The Nurse Clinician III is a competent clinician with the knowledge and skill to meet professional nursing practice standards specified in the Texas Nurse Practice Act. The role requires experience and expertise in the emergency department specialty, effective participation on an interdisciplinary team, and predominantly interdependent decision-making. Care is problem-focused and patient-centered. The clinician manages commonly encountered unexpected, emergency, and contingency situations in the assigned specialty and serves as a resource for Nurse Clinician I or II. Patient 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 Nurse Clinician assesses, plans, implements, evaluates, and documents patient care; provides culturally congruent care and patient/family education; coordinates and delegates care appropriately; and collaborates with the interprofessional team. The role also includes participation in unit activities, shared leadership, quality improvement, continuing education, evidence-based practice, safety initiatives, and required competency and performance evaluations. The clinician completes the UTMB/Vizient Nurse Residency Program and an evidence-based practice project as required.

Requirements

Registered Nurse with at least two years of clinical RN experience.
Current Texas license or valid permit to practice in Texas.
Current BLS certification.
Required certifications: RN, BLS, ACLS, and PALS or ENPC. Experienced ED nurses must have these upon hire; non-experienced ED nurses must obtain them within six months of hire.
TNCC certification must be obtained within six months of hire.
Complete the UTMB/Vizient Nurse Residency Program and an evidence-based practice project as required.

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 and administer medications and treatments in accordance with UTMB policies, procedures, and standards.
Provide compassionate, culturally congruent, specialty-appropriate nursing care and perform routine technical procedures in the assigned specialty.
Provide patient and family instruction using evidence-based resources and Teach-Back, adapting teaching to learning needs and readiness.
Plan, coordinate, and prioritize patient-care activities; maintain safety and continuity using hand-off processes, bedside shift reports, and interdisciplinary rounding.
Delegate appropriately and seek guidance when needed; demonstrate effective time management and competent use of technology in patient care.
Recognize ethical situations, use available resources, and advocate for patients while providing culturally sensitive care.
Communicate respectfully and collaborate with members of the healthcare team and interprofessional team.
Participate in unit meetings and activities, shared leadership, quality-improvement activities, in-services, continuing education, and one journal club annually.
Complete the UTMB/Vizient Nurse Residency Program and an evidence-based practice project as required.
Identify patient-safety concerns and report or address them appropriately; engage in discussion and activities related to unit quality metrics and goals.
Complete specialty-specific competency orientation tools, ongoing competency self-evaluations, 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, safe environment and use appropriate aseptic technique, isolation procedures, and infection-control measures.
Practice basic cost containment and complete accurate, concise, and legible patient, unit, and hospital documentation.
Use electronic communication and documentation systems competently and 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.