HCSS Galveston Intensive Care Unit Registered Nurse

Galveston Island Pool Nurse Clinician

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, Nursing Process and UTMB's three domains for competency and advancement: professional practice, and professional performance. Values specialty unit, nursing, and institutional strategic initiatives and health system goals.

Nursing Process

• Assesses, plans, implements, evaluates, and documents the daily care of assigned patients
• Identifies actual and potential nursing diagnoses/patient care needs; develops and individualizes care plan, and revises plan of care as needed
• 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 technical procedures/skills in assigned specialty area:
• Competently demonstrates knowledge and skills to utilize equipment in assigned specialty area
• Independently capable of performing different aspect of responsibilities within the department
• Demonstrates competent knowledge and skills to interpret and respond to patient data and hemodynamic responses
• Competent in identifying cardiac rhythms, waveforms and abnormal ranges and taking appropriate intervention
• Competently demonstrates knowledge and competency in use of medications including cardiac medications, emergency drugs, moderate sedation and reversal agents
• Competently and consistently completes accurate, concise and documentation of the procedure event including monitoring of moderate sedation per policy

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
• Uses teach-back to determine effectiveness and modifies strategies as needed

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

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

• Identifies ethical situations and initiates appropriate communication/consultation to address
• Delivers culturally congruent care using available resources to meet the needs of patient/family; recognizes situations in which personal bias may influence
• Serves as a patient advocate; may seek guidance/assistance in difficult situations

Communication & Collaboration

• Supports healthy work environment by demonstrating respectful verbal and non-verbal communication with all members of the…