Nurse Clinician IV (RN) - ED Clear Lake (2P-2A)nnWebster, Texas, United StatesnnNursing & Care ManagementnnUTMB HealthnnRequisition # 2405432nnREQUIRED EDUCATION & EXPERIENCE:nnRN with bachelor’s in nursing, four years of clinical RN experience and approved specialty certification. Must possess and maintain a current RN license or valid temporary permit to practice in Texas. Current BLS required.nnLICENSES, REGISTRATIONS OR CERTIFICATIONS:nnRequired:nnBSNnnBLSnnACLSnnPALS/ENPCnnSpecialty CertificationnnJOB SUMMARY:nnProficient Clinician. Possesses knowledge and skill to meet standards for competent professional nursing practice as specified in the Texas Nurse Practice Act. Practice is characterized by a balance of interdependent/independent decision-making and a consistent holistic approach to patient care. Proficiently functions with the interdisciplinary team; initiates team action to address patient care problems. Serves as a strong clinical leader on the unit. Directs others in responding to emergent or unusual situations. Takes the lead in developing, implementing and evaluating evidence-based standards of practice for specialty area. Provides patient care through nursing practices based upon the American Nurses Association Standards of Professional Practice and Professional Performance. Values specialty unit, nursing, and institutional strategic initiatives and health system goals.nnESSENTIAL JOB FUNCTIONS:nnProfessional Practice:nnNursing ProcessnnUsing specialized knowledge and skills, proficiently assesses patients and identifies actual and potential nursing diagnoses/patient care needsnnProficiently identifies patient care needs, formulates appropriate nursing diagnoses, develops and individualizes care plan, and revises plan of care as needednnProficiently plans and prioritizes culturally congruent and specialty appropriate care for identified patientnnProficiently executes healthcare provider orders for all assigned patients. Administers medications and treatments and delivers culturally congruent and specialty appropriate proficient nursing care in accordance with UTMB's policies, procedures, and standards in a caring and compassionate mannernnProficiently performs routine and complex technical procedures/skills in assigned specialty areannPatient/Family Teaching & Health PromotionnnProvides complex patient/family instruction and healthcare teaching based on identified learning needs (patient values, beliefs, barriers, and readiness to learn)nnIdentifies potential impact of family dynamics on the teaching plan.nnUtilizes evidence-based resources to provide patient/family education, adhering to patient/family education policy 09.03.04.nnProficiently uses Teach-Back or other strategies to determine effectiveness and modifies strategies as needed.nnAnalyzes, selects, and utilizes individualized educational support material for patients and families (i.e. Elsevier).nnCoaches others in strategies for patient/family inclusion and serves as a resource to others for patients/families with complex learning needsnnCare Coordination & DelegationnnProficiently and independently plans, coordinates, and prioritizes patient care activities according to skill level and work complexitynnMaintains safety and continuity of care using methods such as bedside shift report, hand-off tools/processes, inter-professional rounding, etc.; Role models and coaches others to utilize these methodsnnEvaluates processes and outcomes of specialty area practices/methods.nnDemonstrates flexibility in time management to manage changing patient priorities; coaches and supports others to plan, coordinate and prioritize carennProactively initiates local efforts to improve planning, coordination, and prioritization of patient carennDelegates appropriately; may seek guidance or clarification of non-routinely delegated tasks; Coaches others to optimize safe & effective delegationnnDemonstrates proficient use of technology in the delivery of patient care and serves as a resource and provides trouble-shooting support to others; Participates in educating others in implementation of new technology/processes.nnProfessional Performance:nnEthics (legal/regulatory), Advocacy & Culturally Congruent CaresnnUsing specialized knowledge and skills, proficiently assesses patients and identifies actual and potential nursing diagnoses/patient care needsnnProficiently identifies patient care needs, formulates appropriate nursing diagnoses, develops and individualizes care plan, and revises plan of care as needednnProficiently plans and prioritizes culturally congruent and specialty appropriate care for identified patientnnProficiently executes healthcare provider orders for all assigned patients. Administers medications and treatments and delivers culturally congruent and specialty appropriate proficient nursing care in accordance with UTMB's policies, procedures, and standards in a caring and compassionate mannernnProficiently performs routine and complex technical procedures/skills in assigned specialty areannIdentifies ethical situations and initiates appropriate communication/consultation to address; recognizes situations in which personal bias may influence actions; facilitates communication with and provides support to team members to addressnnDelivers culturally sensitive care using available resources to meet the needs of patient/family; recognizes situations in which personal bias may influence; Role models culturally sensitive care to less experienced cliniciansnnActively serves as a patient/family advocate, consistently focuses on patient/family rights and meeting their individual needs; serves as a role model/coach to other staff who may need assistance with patient advocacynnCommunication & CollaborationnnSupports healthy work environment by demonstrating respectful verbal and non-verbal communication with all members of the healthcare team; may seek support with challenging communication issues; addresses behavior that does not support respectful environment; provides feedback to supervisor/manager related to colleague practice changes, disrespectful behaviors, etc.nnRecognizes colleagues when they go above and beyond in demonstrating UTMB’s core valuesnnProficiently plans, coordinates, and prioritizes patient care activities in collaboration/communication with inter-professional team, including consult recommendationsnnLeadershipnnActively facilitates communication with informal and formal unit/hospital leaders and can educate colleagues regarding unit/hospital leadership.nnActively leads area professional governance, unit meetings, or a unit initiative. ANDnnActively participates in hospital-level professorial governance, groups, or initiatives, and encourages colleague participation.nnCompletes one Professional Leadership Activity annually.nnMonitors unit, nursing, and institutional strategic initiatives and health system goalsnnRecognizes the importance of financial responsibility to promote fiscal health for the patient, unit and organizationnnDemonstrates openness to change by actively seeking knowledge and needed information; uses positive role modeling to promote understanding of change to colleagues; actively addresses colleagues demonstrating resistance to change by positive communication, education or other appropriate methodnnIncorporates methods/strategies to facilitate change behaviors with colleagues.nnExemplifies appropriate level of engagement when advocating and influencing patients, families, colleagues, other members of the healthcare team.nnActively supports implementation and dissemination of processes/standards at the unit level.nnFunctions as a skilled leader, providing direction and assistance to team membersnnAssumes the charge nurse role, coordinating the daily activities and patient care assignments of the unit as needednnIdentifies development needs of self and others; sets challenging and realistic goals and assists others with the development of challenging and realistic goalsnnEducation, Evidence-Based Practice & ResearchnnActively participates in unit meetings/activities and supports the philosophy and goals of the unit/department and UTMB.nnActively participates in presentations, professional development activities; encourages attendance/participation of colleaguesnnShares educational findings, experiences, and ideas with colleagues through professional governance meetings, presentations, professional development activities.nnServes as a role model; coaches colleagues to utilize evidence-based resources; identifies needs for additional resources.nnDemonstrates commitment to lifelong learning, as evidenced by advanced degree, certification in specialty care area, utilization/dissemination of evidence-based resources, etc.nnDemonstrates knowledge and utilization of evidence-based resources to guide patient care; serves as a role model and coaches colleagues to utilize evidence-based resources and identifies need for additional resources.nnParticipates in one journal club annually.nnIncorporates evidence-based resources into provision of care; provides feedback to others and uses findings to assess unit/department trendsnnQuality, Resources & SafetynnActively participates in unit-based quality improvement activities; encourages colleague participation.nnIdentifies patient safety concerns and reports appropriately; addresses immediate safety concerns appropriately; serves as a resource to assist colleagues to safely and effectively address patient or unit safety concerns. Coaches others in understanding unit and hospital quality metrics/outcomes data and improvement activities; actively engages in discussion, activities related to unit goals; participates in systematic processes to achieve quality outcomes.nnIdentifies area safety trends and leads problem-solving activities.nnActively participates in the development and/or promotion of mechanisms/processes for unit or hospital related improvement initiatives.nnPartners with unit leaders to implement safety solutions.nnDemonstrates self-care through practices that support personal well-being, personal safety and injury preventionnnServes as a resource to colleagues regarding the Electronic Health Record; identifies opportunities for system improvements and communicates ideas via appropriate channels; identifies practice gaps at the local level of practicennGeneral Requirements:nnCompletes required specialty specific Competency Based Orientation (CBO) tools by the initial performance evaluation due date for placement in employee file.nnActively participates in the initial and ongoing evaluation of competency using competency-based orientation (CBO) tools and e-performance nursing evaluation.nnCompletes the annual self-evaluation on time for competency and performance evaluation.nnPerforms and reports point of care testing (POCT).nnPrioritizes and organizes work so that required assignments are completed within a specified time frame.nnProvides and maintains a clean, safe environment and performs and/or assists others to perform proper aseptic technique, isolation procedures and infection control measuresnnPromotes and demonstrates acceptable productivity and practices cost containment for nursing practice and patient care.nnCompetently and consistently completes accurate, concise and legible documentation on all patient, unit and hospital records (including care delivery and telephone patient related interactions)nnCompetently utilizes electronic forms of communication and documentation.nnParticipates in the development and implementation of mechanisms/processes that promote optimal use of documentation systems.nnMeets periodic UTMB and unit specific compliance requirements for health screening, training, attendance, safety and CPR.nnAdheres to internal controls and reporting structurennSALARY RANGE:nnSalary commensurate with experience.nnWORK SCHEDULE:nnMid Shift.nnEqual Employment OpportunitynnUTMB Health strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. As a VEVRAA Federal Contractor, UTMB Health takes affirmative action to hire and advance women, minorities, protected veterans and individuals with disabilities.nnCompensation