Nurse Clinician IV (RN) - CLC NICU (Nights)

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

11h

About The Position

The Nurse Clinician IV is a proficient clinician who practices according to the standards of competent professional nursing practice specified in the Texas Nurse Practice Act. The role balances interdependent and independent decision-making with a consistent, holistic approach to patient care. The clinician works proficiently with the interdisciplinary team, initiates team action to address patient-care problems, serves as a strong clinical leader on the unit, and directs others during emergent or unusual situations. The clinician leads development, implementation, and evaluation of evidence-based standards of practice for the specialty area. Patient care is grounded in the American Nurses Association Standards of Professional Practice and Professional Performance and aligned with specialty, nursing, institutional, and health-system goals. The role provides and coordinates specialty nursing care, patient and family education, and care transitions; collaborates and delegates appropriately; and contributes to unit leadership, quality improvement, evidence-based practice, and ongoing professional learning. General duties include completing competency and performance evaluations, performing point-of-care testing, maintaining infection-control and safety practices, documenting care accurately, meeting compliance requirements, and practicing cost containment. The position is in the CLC NICU and is listed for nights.

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; the posting also lists RN as a required license/certification.
Current BLS certification.
Completion of the UTMB/Vizient Nurse Residency Program and its required evidence-based practice project, as specified in the job duties.

Nice To Haves

Two years of NICU RN experience preferred.

Responsibilities

Assess, plan, implement, evaluate, and document daily care for 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 nursing care in a caring and compassionate manner.
Perform routine technical procedures and skills in the assigned specialty area.
Provide patient and family instruction based on identified learning needs, values, beliefs, barriers, and readiness to learn.
Identify potential effects of family dynamics, use evidence-based education resources, and use Teach-Back to assess and adjust teaching strategies.
Plan, coordinate, and prioritize patient-care activities according to skill level and work complexity.
Maintain patient safety and continuity of care through practices such as bedside shift reports, hand-off tools, and interdisciplinary rounding.
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 necessary to resolve issues.
Deliver culturally sensitive care and act as a patient advocate, seeking guidance when necessary.
Communicate respectfully and collaborate with healthcare team members and the inter-professional team.
Recognize unit and institutional leaders, strategic initiatives, health-system goals, and the importance of financial responsibility.
Attend and participate in unit meetings and activities, shared leadership, quality-improvement activities, in-services, and continuing education.
Participate in one journal club annually and complete the UTMB/Vizient Nurse Residency Program and required evidence-based practice project.
Pursue lifelong learning and use evidence-based resources to guide care; seek information and adapt to change.
Identify patient-safety concerns, report them appropriately, address immediate concerns, and participate in unit quality and improvement activities.
Use self-care practices that support well-being, personal safety, and injury prevention.
Complete specialty-specific Competency Based Orientation tools by the initial performance-evaluation due date and participate in ongoing competency self-evaluation and annual performance evaluation.
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 measures.
Practice basic cost containment for patients and the unit.
Complete accurate, concise, and legible documentation in patient, unit, and hospital records, including care delivery and telephone patient-related interactions.
Use electronic communication and documentation systems competently.
Meet periodic UTMB and unit-specific requirements for health screening, training, attendance, safety, and CPR; adhere to internal controls and reporting structure.