Nurse Clinician IV (RN) - ICU Angleton (Nights)

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

76d

About The Position

The Nurse Clinician IV is a proficient clinician who meets standards for competent professional nursing practice under the Texas Nurse Practice Act. The role balances independent and interdependent decision-making with a holistic approach to patient care, functions effectively with the interdisciplinary team, initiates action to address patient-care problems, and serves as a strong clinical leader on the unit. The nurse directs others during emergent or unusual situations and leads the development, implementation, and evaluation of evidence-based specialty practice standards. Patient care is delivered according to American Nurses Association standards and in support of specialty-unit, nursing, institutional, and health-system goals. The position provides and documents assigned patient care; develops and revises individualized plans of care; carries out physician orders; administers medications and treatments; and performs technical procedures in the assigned specialty. It includes patient and family education, care coordination and delegation, advocacy, culturally congruent care, interprofessional collaboration, unit-level leadership and quality improvement, evidence-based practice, and attention to patient safety and responsible use of resources. The nurse also completes required competency and performance evaluations, participates in continuing education and the UTMB/Vizient Nurse Residency Program and evidence-based practice project, and meets UTMB and unit-specific compliance requirements.

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.

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, administer medications and treatments, provide culturally congruent and specialty-appropriate nursing care, and perform routine technical procedures in the assigned specialty.
Provide patient and family instruction based on learning needs; use evidence-based resources and Teach-Back, and adjust education strategies as needed.
Coordinate and prioritize patient-care activities; maintain safety and continuity using hand-offs, bedside shift reports, and interdisciplinary rounding.
Delegate appropriately and demonstrate effective time management and competent use of technology in patient care.
Identify ethical issues, seek assistance and resources as needed, provide culturally sensitive care, and advocate for patients.
Communicate respectfully and collaborate with the interprofessional team in planning, coordinating, and prioritizing care.
Recognize unit, nursing, and institutional leaders, strategic initiatives, health-system goals, and the importance of financial responsibility.
Participate in unit meetings and activities, shared leadership, quality improvement, in-services, continuing education, and one annual journal club.
Complete the UTMB/Vizient Nurse Residency Program and its required evidence-based practice project; pursue lifelong learning and apply evidence-based resources to patient care.
Identify and report patient safety concerns, participate in discussion and improvement activities related to unit quality metrics, and practice self-care and injury prevention.
Complete specialty-specific competency orientation, ongoing competency self-evaluation, and annual performance self-evaluation.
Perform and report point-of-care testing; organize work to complete assigned duties within specified time frames.
Maintain a clean and 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 interactions.
Use electronic communication and documentation systems competently and meet periodic UTMB and unit requirements for health screening, training, attendance, safety, and CPR.
Adhere to internal controls and the reporting structure.