Nurse Clinician IV (RN) - NICU Angleton

UTMB Health•Angleton, TX

About The Position

The Nurse Clinician IV is a proficient clinician who provides competent, holistic professional nursing care in the NICU. The role balances independent and interdependent decision-making, collaborates effectively with the interdisciplinary team, and serves as a strong clinical leader on the unit. The clinician initiates team action to address patient-care problems, directs others during emergent or unusual situations, and leads the development, implementation, and evaluation of evidence-based specialty practice standards. Care is provided in accordance with the Texas Nurse Practice Act, American Nurses Association standards, and UTMB policies, procedures, and standards. The position includes assessing, planning, implementing, evaluating, and documenting patient care; educating patients and families; coordinating and delegating care; advocating for patients; and supporting communication and collaboration across the healthcare team. The clinician participates in unit leadership, quality improvement, continuing education, evidence-based practice, and research activities, while maintaining patient safety, documentation, infection-control practices, and required compliance.

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, maintained in good standing.
Current BLS certification.

Nice To Haves

Two years of NICU experience.

Responsibilities

Assess, plan, implement, evaluate, and document the daily care of assigned patients; identify nursing diagnoses and patient-care needs, develop individualized care plans, and revise them as needed.
Execute physician orders and administer medications and treatments in accordance with UTMB policies, procedures, and standards.
Provide culturally congruent, specialty-appropriate, competent nursing care in a caring and compassionate manner, and perform routine technical procedures and skills in the assigned specialty.
Provide patient and family instruction using evidence-based resources, account for learning needs and family dynamics, use Teach-Back, and adapt teaching strategies as needed.
Plan, coordinate, and prioritize patient-care activities; maintain safety and continuity through methods such as bedside shift reports, hand-off processes, and interdisciplinary rounding.
Delegate appropriately, seek guidance when needed, manage time effectively, and use technology competently in patient care.
Identify ethical situations, use available resources, provide culturally sensitive care, and advocate for patients.
Communicate respectfully with healthcare team members, seek support with challenging communication, recognize colleagues who demonstrate UTMB’s core values, and collaborate with the inter-professional team.
Recognize unit, nursing, and institutional strategic initiatives and health system goals; educate colleagues about unit or hospital leadership as appropriate.
Attend and participate in unit meetings and activities, support organizational goals, participate in unit-level shared leadership and quality-improvement activities, and attend 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, and demonstrate commitment to lifelong learning and adapting to change.
Identify patient-safety concerns and report them appropriately, address immediate safety concerns, and engage in discussion and activities related to unit quality metrics and goals.
Complete specialty-specific Competency Based Orientation tools by the initial performance evaluation due date and participate in ongoing competency and performance self-evaluation, 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; perform or assist with aseptic technique, isolation procedures, and infection-control measures.
Practice basic cost containment and complete accurate, concise, and legible patient, unit, and hospital documentation, including care delivery and telephone interactions.
Use electronic communication and documentation competently and meet UTMB and unit compliance requirements for health screening, training, attendance, safety, and CPR.