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Clinical Nurse Specialist II
2 months ago
EDUCATIONAL REQUIREMENTS / EXPERIENCE:
Registered Nurse with a minimum of six months of clinical experience or successful completion of the probationary NC I period as documented in the nursing evaluation tool. Must hold and maintain a valid Registered Nurse license or permit to practice in Texas. Current Basic Life Support (BLS) certification is mandatory.
POSITION OVERVIEW:
This role is designated for an Advanced Beginner Clinician. The incumbent possesses the requisite knowledge and skills to fulfill nursing standards for professional practice as outlined in the Texas Nurse Practice Act, operating without direct supervision. The clinician is adept at recognizing when additional support is necessary and actively seeks appropriate resources. The practice is characterized by a blend of dependent and interdependent decision-making processes, with a focus on enhancing knowledge and skills within a specialized area. Patient care is delivered through nursing practices aligned with the American Nurses Association Standards of Professional Practice and Professional Performance, while valuing the strategic initiatives of the specialty unit, nursing, and the overarching health system goals.
KEY RESPONSIBILITIES:
Professional Practice
Nursing Process
- Conducts assessments, formulates plans, implements interventions, evaluates outcomes, and documents the daily care of assigned patients.
- Identifies nursing diagnoses and patient care requirements. Develops and customizes care plans, revising them as necessary.
- Implements physician's orders for all assigned patients. Administers medications and treatments while delivering culturally sensitive and specialty-appropriate nursing care in accordance with institutional policies and standards.
- Performs routine technical procedures and skills pertinent to the assigned specialty area.
Patient/Family Education & Health Promotion
- Provides foundational patient and family education based on identified learning needs, including patient values, beliefs, barriers, and readiness to learn.
- Recognizes the potential impact of family dynamics on patient care.
- Utilizes evidence-based resources to facilitate patient and family education.
- Employs the Teach-Back method to assess the effectiveness of education and adjusts strategies as necessary.
Care Coordination & Delegation
- Plans, coordinates, and prioritizes patient care activities based on skill level and complexity of work.
- Ensures safety and continuity of care through methods such as bedside shift reports and interdisciplinary rounding.
- Exhibits effective time management skills.
- Delegates tasks appropriately while seeking guidance when necessary.
- Demonstrates proficient use of technology in patient care delivery.
Professional Performance
Ethics, Advocacy & Culturally Sensitive Care
- Identifies ethical dilemmas and seeks assistance when needed to resolve them.
- Utilizes available resources to address ethical issues as they arise.
- Delivers culturally competent care, employing resources to meet the diverse needs of patients and families.
- Acts as a patient advocate, seeking guidance when necessary.
Communication & Collaboration
- Fosters a healthy work environment by demonstrating respectful communication with all healthcare team members.
- Recognizes and appreciates colleagues who exemplify the core values of the institution.
- Plans, coordinates, and prioritizes patient care activities in collaboration with the inter-professional team.
Leadership
- Identifies both informal and formal leaders within the unit and educates colleagues about leadership roles.
- Recognizes the strategic initiatives of the unit, nursing, and the organization.
- Understands the importance of financial responsibility in promoting fiscal health for patients, the unit, and the organization.
Education, Evidence-Based Practice & Research
- Participates in unit meetings and activities, supporting the philosophy and goals of the department and organization.
- Engages in shared leadership at the unit level.
- Contributes to unit-based quality improvement initiatives.
- Attends in-services and continuing education opportunities.
- Participates in at least one journal club annually.
- Completes the required Nurse Residency Program and an evidence-based practice project.
- Demonstrates a commitment to lifelong learning, including evidence-based practice, specialty certification, and advanced degrees.
- Shows adaptability to change by seeking knowledge and information.
- Demonstrates the ability to access and utilize evidence-based resources to guide patient care.
Quality, Resources & Safety
- Identifies and reports patient safety concerns, addressing immediate issues appropriately.
- Recognizes unit quality metrics and engages in discussions and activities related to unit goals.
- Practices self-care through methods that support personal well-being and safety.
GENERAL REQUIREMENTS:
- Completes required specialty-specific Competency Based Orientation tools by the designated evaluation due date.
- Actively engages in ongoing self-evaluation of competency.
- Completes the annual self-evaluation on time.
- Conducts and reports point of care testing.
- Prioritizes and organizes work to meet required assignments within specified time frames.
- Maintains a clean and safe environment, adhering to proper aseptic techniques and infection control measures.
- Practices cost containment for patients and the unit.
- Ensures accurate and legible documentation for all patient and unit records.
- Utilizes electronic communication and documentation effectively.
- Meets compliance requirements for health screening, training, attendance, safety, and CPR.
- Adheres to internal controls and reporting structures.
LICENSES/CERTIFICATIONS:
- Registered Nurse (RN)
- Basic Life Support (BLS)
SALARY RANGE:
Salary is commensurate with experience.
WORK SCHEDULE:
Night shift
