Nurse Clinician III (RN) - ADC ICU (Up to 19.99 hours/week)

Required Education & Experience

RN with two years of clinical RN experience. Must possess and maintain a current license or valid permit to practice in Texas. Current BLS required.

Required Licenses/Certifications

• RN
• BLS
• Competent Clinician

Job Summary

Essential job functions encompass professional nursing practice, patient and family education, care coordination, ethical advocacy, communication, leadership, education, quality and safety, and general operational requirements.

Professional Practice: Nursing Process

• 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’s orders for all assigned patients.
• Administer medications and treatments, delivering culturally congruent and specialty‑appropriate competent 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, if necessary, to resolve them.
• Utilize available resources when ethical issues arise.
• Deliver culturally sensitive care using resources to meet the needs of patients and families.
• 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 support with 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 unit/hospital 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.
• Participate in unit‑based quality improvement activities.
• Attend in‑services and continuing education activities.
• Participate in 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.).
• Demonstrate ability to accept and adopt change by seeking knowledge and needed information.
• Demonstrate knowledge of how to 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 discussion and activities related to unit goals.
• Demonstrate self‑care through practices that support personal well‑being, personal 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 so that required assignments are completed within specified time frames.
• Provide and maintain a clean, safe environment; perform and/or assist others with 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 (including care delivery and telephone patient‑related interactions).
• 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 structure.