Nurse Clinician IV (RN) - NICU Angleton

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

About The Position

The Nurse Clinician IV (RN) is a proficient clinician who provides competent, holistic, specialty-appropriate nursing care in the NICU. The role balances independent and interdependent decision-making, collaborates with the interdisciplinary team, initiates team action to address patient care problems, and serves as a clinical leader on the unit. The nurse directs others in emergent or unusual situations and leads the development, implementation, and evaluation of evidence-based specialty practice standards. Care is delivered in accordance with the Texas Nurse Practice Act, American Nurses Association standards, and UTMB policies, procedures, and standards. The position assesses, plans, implements, evaluates, and documents patient care; teaches and advocates for patients and families; coordinates care and delegates appropriately; and contributes to communication, collaboration, leadership, education, evidence-based practice, quality improvement, and safety. General duties include completing competency and performance evaluations, performing point-of-care testing, maintaining infection control and accurate records, using electronic communication and documentation systems, meeting compliance requirements, and practicing cost containment. Full-time; salary is commensurate with experience.

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.
Current BLS certification.
Completion of the UTMB/Vizient Nurse Residency Program and an evidence-based practice project as required.

Nice To Haves

Two years of NICU experience preferred.

Responsibilities

Assess, plan, implement, evaluate, and document daily care for assigned patients.
Identify nursing diagnoses and patient care needs; develop, 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, use evidence-based educational resources and Teach-Back, and adjust teaching strategies as needed.
Identify the potential impact of family dynamics on care.
Plan, coordinate, and prioritize patient care activities according to skill level and work complexity; maintain safety and continuity through handoffs, bedside shift reports, and interdisciplinary rounds.
Delegate appropriately and seek guidance when needed; 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 healthcare team members, collaborate with the interprofessional team, and recognize colleagues who demonstrate UTMB core values.
Recognize unit, nursing, and institutional leaders, strategic initiatives, and health system goals; promote fiscal responsibility.
Attend and participate in unit meetings, shared leadership, quality improvement activities, in-services, and continuing education; participate in one journal club annually.
Complete the UTMB/Vizient Nurse Residency Program and an evidence-based practice project as required; maintain commitment to lifelong learning and adapt to change.
Identify patient safety concerns, report them appropriately, address immediate concerns, and engage in discussions and activities related to unit quality metrics and goals.
Complete specialty-specific Competency Based Orientation tools, ongoing competency self-evaluation, and the annual self-evaluation on time.
Perform and report point-of-care testing; organize work to complete assignments within specified time frames.
Maintain a clean, safe environment and 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 telephone patient interactions.
Use electronic communication and documentation systems competently; meet UTMB and unit-specific health screening, training, attendance, safety, and CPR compliance requirements; adhere to internal controls and reporting structure.