week)

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

3d•Onsite

About The Position

The Nurse Clinician III is a competent clinician who provides professional nursing care in the emergency department. The role requires knowledge and skill that meet the standards for competent professional nursing practice under the Texas Nurse Practice Act, with experience and expertise in the specialty area. The nurse functions as a member of an interdisciplinary team, primarily making interdependent decisions, and provides problem-focused, patient-centered care. The position manages unexpected or emergency situations commonly encountered in the specialty and serves as a resource for Nurse Clinician I or II. 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; administers ordered medications and treatments; performs specialty-area technical skills; teaches patients and families; coordinates and delegates care; and collaborates with the interprofessional team. The role also contributes to unit quality improvement, shared leadership, continuing education, evidence-based practice, patient safety, and required competency and compliance activities. This is a part-time position scheduled for 24 hours per week, with a 7 a.m.–7 p.m. shift in Galveston. Salary is commensurate with experience.

Requirements

At least two years of clinical RN experience.
Current license or valid permit to practice in Texas.
Current BLS certification.
RN credential required.
ACLS and PALS or ENPC required for experienced ED nurses upon hire; non-experienced ED nurses must obtain them within six months of hire.
TNCC certification must 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, 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, using evidence-based resources and Teach-Back; modify teaching strategies as needed.
Consider the potential impact of family dynamics on care.
Plan, coordinate, and prioritize care activities according to skill level and work complexity; support safety and continuity through handoffs, bedside shift reports, and interdisciplinary rounding.
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, and seek assistance as needed; provide culturally sensitive care and advocate for patients.
Communicate respectfully with the healthcare team and collaborate with the interprofessional team to coordinate and prioritize care.
Recognize unit and organizational leaders, strategic initiatives, health-system goals, and the importance of fiscal responsibility.
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; pursue lifelong learning and apply evidence-based resources to care.
Identify and report patient safety concerns, address immediate safety issues, engage in unit quality-improvement work, and practice self-care and injury prevention.
Complete specialty-specific competency-based orientation tools, ongoing competency self-evaluation, and annual performance 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 procedures.
Apply basic cost-containment practices and maintain accurate, concise, legible patient, unit, and hospital documentation, including telephone-related interactions.
Use electronic communication and documentation systems competently; meet UTMB and unit compliance requirements and adhere to internal controls and reporting structures.