Nurse Clinician II (RN) - ED Galveston (FT/7P-7A)

Location: Galveston, Texas, United States

Job Summary

Advanced Beginner Clinician. Possesses knowledge and skill necessary to meet nursing standards for professional practice specified in 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. Focus is on expanding knowledge and skills for specialty area. Provides patient care through nursing‑based practices upon the American Nurses Association Standards of Professional Practice and Professional Performance. Values specialty unit, nursing, and institutional strategic initiatives and health system goals.

Requirements

• RN with six months of clinical RN experience and/or successful completion of probationary NC I period documented on nursing evaluation tool.
• Current Registered Nurse license or valid permit to practice in Texas.
• Current BLS certification.
• Required licenses & certifications: RN, BLS, ACLS, and PALS/ENPC.
• Experienced ED nurses must have required certifications upon hire; non‑experienced ED nurses must obtain them within 6 months of hire.
• TNCC certification must be obtained within 6 months of hire.

Essential Job Functions

Professional Practice: Nursing Process

• Assess, plan, implement, evaluate, and document daily care of assigned patients.
• Identify nursing diagnoses/patient care needs and develop individualized care plans, revising as needed.
• Execute physician’s 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 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 team members.
• Seek assistance for challenging communication.
• Recognize 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 leadership.
• Recognize unit, nursing, and institutional strategic initiatives and health system goals.
• Understand 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.