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Registered Nurse II

2 months ago


San Antonio, Texas, United States UT Health San Antonio Full time
Job Summary:

The Registered Nurse II position is a licensed staff nurse and functions at the competent stage. The RN II position is responsible for providing professional nursing care to a diverse patient population, conducting nursing assessments, assisting with exams and treatment, patient education, and maintenance of medical records.

The RN II position provides direct patient care effectively and efficiently which may include patients with varied and complex needs.

This position communicates and collaborates with the physicians and interprofessional health care team to facilitate, coordinate, and maintain compassionate, efficient, quality care and achievement of desired treatment outcomes.

The RN II position demonstrates clinical competence when providing care, using technology, administering medications, performing procedures, and managing emergencies, acting as a patient and family advocate to monitor and maintain patient rights.

This position assumes leadership roles with progressive responsibility including but not limited to participating in or leading unit and shared governance initiatives, serving as preceptor to students or new employees, and possibly contributing to service line or hospital-wide initiatives in partnership with management.

Key Responsibilities:
  • Utilize therapeutic communication to establish a relationship with patients, families, and interprofessional health care team to collaborate on the plan of care.
  • Contribute to teamwork by awareness of overall unit acuity, consistently offering assistance, and responding positively to requests for assistance. Collaborate to foster healthy relationships in the work environment. Seek guidance from and offer guidance to interprofessional health care team, when appropriate, and apply feedback to improve patient outcomes.
  • Implement staff education specific to patient populations and unit processes, coach and mentor other staff and students. May include preceptorship. Use peer-to-peer accountability towards improvement of department score for turnover/retention/employee engagement.
  • Conduct nursing assessments, assist with exams and treatment, and maintenance of medical records. Practice in a manner that is congruent with cultural diversity and inclusion principles.
  • Develop, update, and communicate plan of care, including discharge, in partnership with the patient, family, and interprofessional health care team, using the nursing process. Prioritize care based on the patient's needs, abilities, and preferences. Advocate on patient/family's behalf to identify and resolve clinical and ethical concerns, utilizing appropriate resources.
  • Provide patient teaching based on learning needs, use appropriate resources, incorporating planning for care after discharge. Consistently evaluate the patient's comprehension and adapt teaching methods accordingly.
  • Help drive improvement of department score for patient satisfaction, through peer-to-peer accountability to service standards.
  • Follow the standards related to regulatory requirements and professional practice. Identify areas of practice improvements with research-based evidence to achieve core measure and patient safety outcomes, supported by accurate documentation.
  • Provide and modify care to complex patients and coordinate care with the interprofessional team based on evaluation of the patient's condition, supported by accurate documentation. Utilize clinical judgement, using an evidence-based analytical approach.
  • Improve quality and safety scores on the unit-based scorecard, through peer-to-peer accountability, reporting near misses, and collaborating with the interprofessional health care team.
  • Display self-motivation to independently manage time effectively, timely document care, minimize incidental overtime, and prioritize daily tasks. Contribute towards meeting department financial targets through decreasing length of stay, optimizing efficiency, and other areas according to department specifications.
  • Identify and present areas for innovation, efficiency, and improvement in patient care or unit operations using evidence-based practice literature. Offer innovative solutions through evidence-based practice/performance improvement projects and shared governance activities.
  • Champion new care pathways or service line implementation to improve service to the community. Identify trends for improvement opportunities or practice changes and support initiatives. Research the change and present options to shared governance and leadership.
  • Perform other job-related duties as assigned.