Nurse Clinician III - CLC PACU

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

About The Position

The Nurse Clinician III is a proficient clinician who practices in accordance with the Texas Nurse Practice Act and professional nursing standards. The role balances independent and interdependent decision-making and provides holistic, culturally congruent, specialty-appropriate patient care. The clinician collaborates with the interdisciplinary team, initiates action to address patient care problems, provides clinical leadership on the unit, and directs responses to emergent or unusual situations. The role also leads the development, implementation, and evaluation of evidence-based standards of practice for the specialty area, while supporting nursing, unit, institutional, and health system goals. The position provides and documents patient care; develops and revises individualized care plans; carries out physician orders; administers medications and treatments; and performs routine specialty procedures. It includes patient and family education, care coordination, delegation, advocacy, collaboration, participation in quality improvement and shared leadership, continuing education, and safe, effective use of clinical technology and resources. The schedule is three 12-hour shifts with rotating weekends.

Requirements

  • Bachelor's degree in nursing.
  • Four years of clinical RN experience.
  • Approved specialty certification.
  • Current RN license or valid temporary permit to practice in Texas; must be maintained.
  • Current BLS certification.

Responsibilities

  • Assess, plan, implement, evaluate, and document the daily care of assigned patients.
  • Identify nursing diagnoses and patient care needs; develop and revise individualized care plans.
  • Execute physician orders, administer medications and treatments, and deliver compassionate, culturally congruent, specialty-appropriate nursing care in accordance with policies and standards.
  • Perform routine technical procedures and skills in the assigned specialty area.
  • Provide patient and family instruction using evidence-based resources, assess learning needs and family dynamics, and use Teach-Back to evaluate understanding.
  • Coordinate and prioritize care with the interprofessional team, maintain safe continuity of care through handoffs and rounding, manage time effectively, and delegate appropriately.
  • Use technology competently in the delivery of patient care.
  • Identify ethical issues, seek assistance and resources when needed, provide culturally sensitive care, and advocate for patients.
  • Communicate respectfully and collaborate with healthcare team members; seek support for challenging communication.
  • Support unit and organizational goals, participate in unit-level shared leadership and quality improvement, and recognize the importance of financial responsibility.
  • Attend unit activities, in-services, and continuing education; participate in one journal club annually; complete the UTMB/Vizient Nurse Residency Program and its required evidence-based practice project.
  • Use evidence-based resources, pursue lifelong learning, and adapt to change by seeking needed knowledge.
  • Identify and report safety concerns, engage with unit quality metrics and improvement activities, and practice self-care and injury prevention.
  • Complete specialty competency orientation and ongoing competency and performance evaluations, including the annual self-evaluation.
  • Perform and report point-of-care testing; organize work to complete assignments within specified time frames.
  • Maintain a clean and safe environment and follow aseptic technique, isolation, and infection-control procedures.
  • Practice basic cost containment and maintain 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.
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