Nurse Clinician III (RN) - SICU (Nights)

Requisition #2605155 | Galveston, Texas, United States

About the Role

This position is for a Registered Nurse (RN) with a focus on nursing and care management within UTMB Health. The role involves delivering competent, culturally congruent, and specialty-appropriate nursing care in alignment with UTMB’s policies, procedures, and standards.

Requirements

• Current RN license or valid permit to practice in Texas.
• Two years of clinical RN experience.
• Current Basic Life Support (BLS) certification.
• Competent clinician with knowledge and skills to meet standards for professional nursing practice as specified in the Texas Nurse Practice Act.
• Experience, knowledge, and skill in the assigned specialty area.
• Ability to function as a member of the interdisciplinary team with predominantly interdependent decision-making.
• Problem-focused and patient-centered practice.
• Ability to manage unexpected or emergency situations commonly seen in the assigned specialty population.
• Serves as a resource for Nurse Clinician I or II.
• Manages commonly seen contingency situations on the clinical unit.

Responsibilities

Professional Practice: Nursing Process

• Assesses, plans, implements, evaluates, and documents the daily care of assigned patients.
• Identifies nursing diagnoses and patient care needs.
• Develops and individualizes care plans, revising as needed.
• Executes physician’s orders for all assigned patients.
• Administers medications and treatments, delivering culturally congruent and specialty-appropriate care in a compassionate manner.
• Performs routine technical procedures and skills in the assigned specialty area.

Patient/Family Teaching & Health Promotion

• Provides basic patient/family instruction and healthcare teaching based on identified learning needs (e.g., patient values, beliefs, barriers, and readiness to learn).
• Identifies potential impact of family dynamics.
• Utilizes evidence-based resources for 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 methods such as bedside shift report, hand-off tools/processes, and interdisciplinary rounding.
• Demonstrates effective time management skills.
• Delegates appropriately, seeking guidance when needed.
• Demonstrates competent use of technology in the delivery of patient care.

Professional Performance

• Ethics (Legal/Regulatory), Advocacy & Culturally Congruent Care:
  • Identifies ethical situations and seeks assistance if necessary.
  • 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 through respectful verbal and non-verbal communication with all members of the healthcare team.
  • Seeks assistance for support with challenging communication.
  • Recognizes colleagues who demonstrate UTMB’s core values.
  • Plans, coordinates, and prioritizes patient care activities in collaboration with the interprofessional team.
• Leadership:
  • Recognizes informal and formal unit/hospital leaders and educates colleagues regarding leadership.
  • Aligns with unit, nursing, and institutional strategic initiatives and health system goals.
  • Recognizes the importance of financial responsibility to promote fiscal health for the patient, unit, and organization.
• Education, Evidence-Based Practice & Research:
  • Attends and participates in unit meetings/activities, supporting the philosophy and goals of the unit, department, and organization.
  • Participates in shared leadership at the unit level.
  • Engages in unit-based quality improvement activities.
  • Attends in-services and continuing education activities.
  • Participates in one journal club annually.
  • Completes the UTMB/Vizient Nurse Residency Program and an evidence-based practice project as required.
  • Demonstrates commitment to lifelong learning (e.g., evidence-based practice, specialty certification, advanced degree).
  • Seeks knowledge and information to accept and adopt change.
  • Demonstrates ability to access and utilize evidence-based resources to guide patient care.
• Quality, Resources & Safety:
  • Identifies patient safety concerns and reports appropriately; addresses immediate safety concerns.
  • Identifies unit quality metrics/outcomes data and improvement activities; actively engages in discussions and activities related to unit goals.
  • Demonstrates self-care through practices supporting 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.
• Actively 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 complete required assignments within specified time frames.
• Provides and maintains a clean, safe environment, assisting with proper aseptic technique, isolation procedures, and infection control measures.
• Practices basic cost containment for patients and the unit.
• Completes accurate, concise, and legible documentation for all patient, unit, and hospital records (including care delivery and telephone interactions).
• 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.