Nurse Clinician II (RN) - ED Clear Lake (10A-10P)

Minimum Qualifications

RN with six months of clinical RN experience and/or successful completion of a probationary NC I period documented on the nursing evaluation tool. Must possess and maintain a current Registered Nurse license or valid permit to practice in Texas. Current BLS required.

Required Licenses & Certifications

• RN
• BLS
• ACLS
• PALS/ENPC
• TNCC – must obtain within 6 months from the date of hire
• Experienced ED nurses must have TNCC upon hire; non‑experienced ED nurses must obtain it within 6 months

Job Summary

Advanced Beginner Clinician. Possesses the knowledge and skill necessary to meet nursing standards for professional practice as specified in the Texas Nurse Practice Act without supervision. Recognizes when assistance is needed and seeks appropriate resources. Practice is characterized by a balance of dependent and interdependent decision‑making, with a focus on expanding knowledge and skills for the specialty area. Provides patient care through nursing‑based practices in accordance with the American Nurses Association Standards of Professional Practice and Professional Performance, and aligns with specialty unit, nursing, and institutional strategic initiatives and health‑system goals.

Professional Practice

• Assess, plan, implement, evaluate, and document the daily care of assigned patients.
• Identify nursing diagnoses and patient care needs; develop and individualize care plans, revising them as needed.
• Execute physician orders for all assigned patients.
• Administer medications and treatments and deliver culturally congruent, specialty‑appropriate nursing care in accordance with UTMB policies, procedures, and standards.
• Perform routine technical procedures/skills in the assigned specialty area.

Patient/Family Teaching & Health Promotion

• Provide basic patient/family instruction and healthcare teaching based on identified learning needs, values, beliefs, barriers, and readiness to learn.
• Identify potential impact of family dynamics.
• Utilize evidence‑based resources to provide patient/family education.
• Use Teach‑Back to determine effectiveness and modify strategies as needed.

Care Coordination & Delegation

• Plan, coordinate, and prioritize patient care activities according to skill level and work complexity.
• Maintain safety and continuity of care using bedside shift report, hand‑off tools/processes, interdisciplinary rounding, etc.
• Demonstrate effective time‑management skills.
• Delegate appropriately, seeking guidance when needed.
• Demonstrate competent use of technology in the delivery of patient care.

Professional Performance – Ethics, Advocacy & Culturally Congruent Care

• Identify ethical situations and seek assistance to resolve them.
• Utilize available resources when ethical issues arise.
• Deliver culturally sensitive care using resources to meet patient/family needs.
• Serve as a patient advocate, seeking guidance when necessary.

Communication & Collaboration

• Support a healthy work environment by demonstrating respectful verbal and non‑verbal communication with all members of the healthcare team.
• Seek assistance for challenging communication situations.
• Recognize and acknowledge colleagues who exemplify UTMB’s core values.
• Plan, coordinate, and prioritize patient care activities in collaboration with the inter‑professional team.

Leadership

• Recognize informal and formal unit/hospital leaders and educate colleagues regarding unit/hospital leadership.
• Understand unit, nursing, and institutional strategic initiatives and health‑system goals.
• Recognize the importance of financial responsibility to promote fiscal health for the patient, unit, and organization.

Education, Evidence‑Based Practice & Research

• Attend/participate in unit meetings/activities and support the philosophy and goals of the unit, department, and organization.
• Participate in shared leadership at the unit level.
• Engage in unit‑based quality improvement activities.
• Attend in‑services and continuing education activities.
• Participate in at least one journal club annually.
• Complete the UTMB/Vizient Nurse Residency Program and an evidence‑based practice project as required.
• Demonstrate commitment to lifelong learning (evidence‑based practice, specialty certification, advanced degree, etc.).
• Accept and adopt change by seeking knowledge and needed information.
• Access and utilize evidence‑based resources to guide patient care.

Quality, Resources & Safety

• Identify patient safety concerns and report appropriately; address immediate safety concerns.
• Identify unit quality metrics/outcomes data and improvement activities; actively engage in related discussions and activities.
• Demonstrate self‑care practices that support personal well‑being, safety, and injury prevention.

General Requirements

• Complete required specialty‑specific Competency Based Orientation (CBO) tools by the initial performance evaluation due date.
• Actively participate in ongoing self‑evaluation of competency using CBO tools and e‑performance nursing appraisal.
• Complete the annual self‑evaluation on time for competency and performance evaluation.
• Perform and report point‑of‑care testing (POCT).
• Prioritize and organize work to ensure assignments are completed within specified time frames.
• Maintain a clean, safe environment and practice proper aseptic technique, isolation procedures, and infection control measures.
• Practice basic cost containment for patients and the unit.
• Consistently complete accurate, concise, and legible documentation for all patient, unit, and hospital records.
• Competently utilize electronic forms of communication and documentation.
• Meet periodic UTMB and unit‑specific compliance requirements for health screening, training, attendance, safety, and CPR.
• Adhere to internal controls and reporting structures.