Nurse Clinician III (RN) - MICU (Nights)

Required Education & Experience

• Registered Nurse (RN) with two years of clinical RN experience.
• Must possess and maintain a current license or valid permit to practice in Texas.
• Current Basic Life Support (BLS) certification required.

Required Licenses/Certifications

• RN
• BLS
• Competent Clinician
• Demonstrated knowledge and skill to meet standards for competent professional nursing practice as specified in the Texas Nurse Practice Act.
• Experienced, knowledgeable, and skilled in the specialty area.
• Ability to function as a member of an interdisciplinary team with predominantly interdependent decision‑making.
• Practice is problem‑focused and patient‑centered.
• Ability to manage unexpected or emergency situations commonly seen in the assigned specialty population.
• Serves as a resource for Nurse Clinician I or II.
• Can manage commonly seen contingency situations that arise on the clinical unit.
• Provides patient care based on the American Nurses Association Standards of Professional Practice and Professional Performance.
• Values specialty‑unit nursing and institutional strategic initiatives and health‑system goals.

Professional Practice

• Assesses, plans, implements, evaluates, and documents daily care of assigned patients.
• Identifies nursing diagnoses and patient care needs; develops and individualizes care plans and revises them as needed.
• Executes physician’s orders for all assigned patients.
• Administers medications and treatments and delivers culturally congruent, specialty‑appropriate nursing care in accordance with UTMB policies, procedures, and standards.
• Performs routine technical procedures/skills in the assigned specialty area.

Patient/Family Teaching & Health Promotion

• Provides basic patient/family instruction and healthcare teaching based on identified learning needs, values, beliefs, barriers, and readiness to learn.
• Identifies potential impact of family dynamics.
• Utilizes evidence‑based resources to provide patient/family education.
• Uses Teach‑Back to determine effectiveness and modifies strategies as needed.

Care Coordination & Delegation

• Plans, coordinates, and prioritizes patient care activities according to skill level and work complexity.
• Maintains safety and continuity of care using bedside shift report, hand‑off tools/processes, interdisciplinary rounding, etc.
• Demonstrates effective time‑management skills.
• Delegates appropriately, seeking guidance when needed.
• Demonstrates competent use of technology in the delivery of patient care.

Ethics, Advocacy & Culturally Congruent Care

• Identifies ethical situations and seeks assistance to resolve them.
• Utilizes available resources when ethical issues arise.
• Delivers culturally sensitive care using resources to meet patient/family needs.
• Serves as a patient advocate, seeking guidance when necessary.

Communication & Collaboration

• Supports a healthy work environment by demonstrating respectful verbal and non‑verbal communication with all team members.
• Seeks assistance for challenging communication situations.
• Recognizes colleagues who exemplify UTMB’s core values.
• Plans, coordinates, and prioritizes patient care activities in collaboration with the inter‑professional team.

Leadership

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

Education, Evidence‑Based Practice & Research

• Attends/participates in unit meetings and activities, supporting the unit’s philosophy and goals.
• Participates in shared leadership at the unit level.
• Engages in unit‑based quality improvement activities.
• Attends in‑services and continuing education activities.
• Participates in at least one journal club annually.
• Completes the UTMB/Vizient Nurse Residency Program and an evidence‑based practice project as required.
• Demonstrates commitment to lifelong learning (evidence‑based practice, specialty certification, advanced degree, etc.).
• Accepts and adopts change by seeking knowledge and needed information.
• Knows how to access and utilize evidence‑based resources to guide patient care.

Quality, Resources & Safety

• Identifies patient safety concerns and reports them appropriately; addresses immediate safety concerns.
• Identifies unit quality metrics/outcomes data and improvement activities; actively engages in related discussions and activities.
• Demonstrates self‑care practices that support personal well‑being, safety, and injury prevention.

General Requirements

• Completes required specialty‑specific Competency Based Orientation (CBO) tools by the initial performance evaluation due date.
• Participates in ongoing self‑evaluation of competency using CBO tools and e‑performance nursing appraisal.
• Completes the annual self‑evaluation on time for competency and performance evaluation.
• Performs and reports point‑of‑care testing (POCT).
• Prioritizes and organizes work to meet specified time frames for assignments.
• Maintains a clean, safe environment; follows aseptic technique, isolation procedures, and infection control measures.
• Practices basic cost containment for patients and the unit.
• Consistently completes accurate, concise, and legible documentation for all patient, unit, and hospital records.
• Competently utilizes electronic forms of communication and documentation.
• Meets periodic UTMB and unit‑specific compliance requirements for health screening, training, attendance, safety, and CPR.
• Adheres to internal controls and reporting structure.