Nurse Clinician III - TDCJ WSP Infirmary Galveston

LICENSES/CERTIFICATIONS:

RN

BLS

MINIMUM QUALIFICATIONS:

2 years of clinical RN experience

JOB DESCRIPTION:

Competent Clinician. Possesses knowledge and skill to meet standards for competent professional nursing practice as specified in the Texas Nurse Practice Act. Experienced, knowledgeable and skilled in specialty area. Competently functions as a member of the interdisciplinary team. Practice is characterized by predominantly interdependent decision-making. Practice is problem focused and patient centered in the manner care is provided. Able to manage unexpected or emergency situations that are commonly seen in 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 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

ESSENTIAL JOB FUNCTIONS:

Professional PracticeNursing Process

Competently and independently assesses, plans, implements, evaluates, and documents the daily care of assigned patients

Competently identifies patient care needs, formulates appropriate nursing diagnoses, develops and individualizes care plan, and revises plan of care as needed

Competently executes physician's orders for all assigned patients. Administers medications and treatments and delivers culturally congruent and specialty appropriate competent nursing care in accordance with UTMB's policies, procedures, and standards in a caring and compassionate manner

Competently and independently performs routine and complex technical procedures/skills in assigned specialty area

Patient/Family Teaching & Health Promotion

Provides uncomplicated and complex patient/family instruction and healthcare teaching based on identified learning needs (patient values, beliefs, barriers, and readiness to learn)

Coaches others in strategies for patient/family inclusion and serves as a resource to others for patients/families with complex learning needs

Identifies potential impact of family dynamics*

Utilizes evidence-based resources to provide patient/family education

Utilizes evidence-based teaching strategies such as Teach-Back, AskMe3®, return demonstration, etc.

Care Coordination & Delegation

Competently and independently 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, inter-disciplinary care rounds, etc.; Role models and coaches others to utilize these methods

Demonstrates flexibility in time management to manage changing patient priorities; coaches and supports others to plan, coordinate and prioritize care

Demonstrates competent use of technology in the delivery of patient care and serves as a resource and provides trouble shooting support to others

Delegates appropriately; may seek guidance or clarification of non-routinely delegated tasks

Professional Performance

Ethics (legal/regulatory), Advocacy & Culturally Congruent Care

Identifies ethical situations and seeks assistance, if necessary, to resolve.

Utilizes available resources when ethical issues arise.

Delivers culturally sensitive care using resources to meet the needs of patient/family.

Serves as a patient advocate, seeking guidance when necessary.

Communication &Collaboration

Supports healthy work environment by demonstrating respectful verbal and non-verbal communication with all members of the healthcare team. Seeks assistance for support with challenging communication.

Recognizes colleagues when they go above and beyond in demonstrating UTMB’s core values.

Plans, coordinates, and prioritizes patient care activities in collaboration with inter-professional team.

Leadership

Recognizes informal and formal unit/hospital leaders and can educate colleagues regarding unit/hospital leadership

Recognizes 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

Demonstrates openness to change by actively seeking knowledge and needed information; uses positive communication and role modeling to promote understanding of change to colleagues

Functions as a unit leader, providing direction and assistance to team members.

Mentors others and promotes professional development of les

Education, Evidence-Based Practice & Research

Actively attends/participates in unit meetings/activities and supports the philosophy and goals of the unit/department and UTMB

Actively participates in shared leadership at the unit level; encourages colleague participation*

Attends presentations, professional development activities; encourages attendance/participation of colleagues

Participates in one journal club annually*

Shares educational findings, experiences, and ideas with colleagues through shared leadership meetings, presentations, professional development activities*

Mentors others and develops learning opportunities

Demonstrates commitment to lifelong learning (evidence-based practice, specialty certification, advanced degree)

Demonstrates knowledge and utilization of evidence-based resources to guide patient care; coaches colleagues to utilize evidence-based resources

Quality, Resources & Safety

Identifies patient safety concerns, and reports appropriately; addresses immediate safety concerns appropriately

Coaches others regarding unit quality metrics/outcomes data and improvement activities; actively engages in discussion, activities related to unit goals; Participates in systematic processes to achieve quality outcomes

Demonstrates self-care through practices that support personal well-being, personal safety and injury prevention

Serves as a resource to colleagues regarding the Electronic Health Record; identifies opportunities for system improvements and communicates ideas via appropriate channels

General Requirements

Completes required specialty specific Competency Based Orientation (CBO) tools by the initial performance evaluation due date for placement in employee file.

Actively participates in the initial and ongoing evaluation of competency using Competency Based Orientation (CBO) tools and e-performance nursing evaluation.

Completes the annual self-evaluation on time for competency and performance evaluation.

Performs and reports point of care testing (POCT).

Prioritizes and organizes work so that required assignments are completed within a specified time frame.

Provides and maintains a clean, safe environment and performs and/or assists others to perform proper aseptic technique, isolation procedures and infection control measures.

Demonstrates acceptable productivity and practices cost containment for the unit/hospital and the patient.

Competently and consistently completes accurate, concise and legible documentation on all patient, unit and hospital records (including care delivery and telephone patient related 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.

MARGINAL OR PERIODIC JOB FUNCTIONS:

Performs related duties as required.

SALARY RANGE:

Salary commensurate with experience.

WORK SCHEDULE:

General