Operating Room Nurse jobs at UTMB HEALTHCARE SYSTEMS - 169 jobs

**Galveston, Texas, United States** **Hot** 1 additional location United States Nursing & Care Management HealthCare System Staffing Requisition # 2500844 . To provide competent age and specialty appropriate nursing care to assigned patients and to ensure the safety and comfort of patients/families according to legal, ethical, institutional, and professional standards. Major Duties/Critical Tasks + Competently and accurately assesses patients and identifies nursing diagnosis/patient care needs. + Competently plans and prioritizes age and specialty appropriate care of each patient assigned. + Includes patient/family education in daily plan. + Communicates relevant information to appropriate health care professionals. + Ensures planned interventions are consistent with the overall plan(s) of care. + Adheres to identified discharge plan. + Is familiar with the standards of care applicable to assigned area. + Safely and properly delivers age & specialty appropriate nursing care to assigned patients. + Executes physicians' orders for all assigned patients; administers medications and treatments, and delivers appropriate competent nursing care in accordance with UTMB's policies, procedures and standards + Encourages patient/family participation in care and provides emotional support and comfort measures to them. + Competently performs routine technical procedures/skills in specialty area assigned. + Provides patient/family instruction and healthcare teaching. + Practices and promotes proper aseptic technique, infection control measures, and body mechanics. + Evaluates the patient/family response to, and outcome(s) of, implemented care and modifies the plan of care accordingly. + Competently and consistently completed accurate, concise, and legible documentation on all patient, unit, and hospital records. + Respects and supports patient rights. + Practices principles of patient and employee confidentiality. + Recognizes ethical dilemmas, utilizes available resources and seeks assistance in dealing with them. + Practices positive guest and patient relations. + Consistently communicates in a professional and courteous manner. + Reports and seeks assistance in dealing with guest complaints/concerns. + Establishes and maintains a positive rapport with patient/family. + Utilizes research-based nursing interventions and supports the unit-based quality improvement activities. + Practices cost containment for patients and the unit. + Competently prioritizes and organizes work so that required assignments are completed within a specified time frame. + Effectively and efficiently uses time, equipment, and supplies. + Functions as in interdependent and supportive team member. + Assists in maintaining a positive learning environment. + Exchanges constructive feedback with peers. + Assumes responsibility for remaining current on job-related knowledge and skills and ongoing education/in-service/credentialing/certification/licensure requirements. + Perform related duties as required. Required Education/Experience + RN with current license or valid permit to practice professional nursing in Texas. + Two (2) years full time clinical RN experience with at least two (2) years in specialty area assigned (or similar experience). + Must have current BCLS certification obtained through American Heart Association (AHA) Equipment + Able to use equipment and related supplies for a selected patient population. + Able to use mechanical devices, such as those used in cardiopulmonary resuscitation, oxygen administration, and intravenous therapy. + Able to use related computer equipment Work Environments + Work environment is located in a comfortable indoor area. + Conditions such as noise, odors, cramped work space and/or fumes could sometimes cause discomfort. + Moderate to extreme physical effort may be required, such as walking, standing, performing CPR, and lifting materials, equipment, objects, and/or patients. + Occasional lifting may be very heavy and awkward, over 50 lbs. + Vision, hearing, talking, and sense of touch abilities must be adequate to enable one to quickly and accurately perform tasks such as reading small print, reading from monitoring equipment, defining details, sending and receiving clear and accurate oral communication. + Shift work is required at least 2 days per month. + Alertness and careful attention to detail will be required to avoid injury. + May be exposed to such occupational hazards as communicable diseases, radiation, chemotherapeutic agents, and disoriented or combative patients. Compensation + **Hiring Range: 70.00**

**Galveston, Texas, United States** **Hot** 1 additional location United States Nursing & Care Management HealthCare System Staffing Requisition # 2500844 . To provide competent age and specialty appropriate nursing care to assigned patients and to ensure the safety and comfort of patients/families according to legal, ethical, institutional, and professional standards. Major Duties/Critical Tasks + Competently and accurately assesses patients and identifies nursing diagnosis/patient care needs. + Competently plans and prioritizes age and specialty appropriate care of each patient assigned. + Includes patient/family education in daily plan. + Communicates relevant information to appropriate health care professionals. + Ensures planned interventions are consistent with the overall plan(s) of care. + Adheres to identified discharge plan. + Is familiar with the standards of care applicable to assigned area. + Safely and properly delivers age & specialty appropriate nursing care to assigned patients. + Executes physicians' orders for all assigned patients; administers medications and treatments, and delivers appropriate competent nursing care in accordance with UTMB's policies, procedures and standards + Encourages patient/family participation in care and provides emotional support and comfort measures to them. + Competently performs routine technical procedures/skills in specialty area assigned. + Provides patient/family instruction and healthcare teaching. + Practices and promotes proper aseptic technique, infection control measures, and body mechanics. + Evaluates the patient/family response to, and outcome(s) of, implemented care and modifies the plan of care accordingly. + Competently and consistently completed accurate, concise, and legible documentation on all patient, unit, and hospital records. + Respects and supports patient rights. + Practices principles of patient and employee confidentiality. + Recognizes ethical dilemmas, utilizes available resources and seeks assistance in dealing with them. + Practices positive guest and patient relations. + Consistently communicates in a professional and courteous manner. + Reports and seeks assistance in dealing with guest complaints/concerns. + Establishes and maintains a positive rapport with patient/family. + Utilizes research-based nursing interventions and supports the unit-based quality improvement activities. + Practices cost containment for patients and the unit. + Competently prioritizes and organizes work so that required assignments are completed within a specified time frame. + Effectively and efficiently uses time, equipment, and supplies. + Functions as in interdependent and supportive team member. + Assists in maintaining a positive learning environment. + Exchanges constructive feedback with peers. + Assumes responsibility for remaining current on job-related knowledge and skills and ongoing education/in-service/credentialing/certification/licensure requirements. + Perform related duties as required. Required Education/Experience + RN with current license or valid permit to practice professional nursing in Texas. + Two (2) years full time clinical RN experience with at least two (2) years in specialty area assigned (or similar experience). + Must have current BCLS certification obtained through American Heart Association (AHA) Equipment + Able to use equipment and related supplies for a selected patient population. + Able to use mechanical devices, such as those used in cardiopulmonary resuscitation, oxygen administration, and intravenous therapy. + Able to use related computer equipment Work Environments + Work environment is located in a comfortable indoor area. + Conditions such as noise, odors, cramped work space and/or fumes could sometimes cause discomfort. + Moderate to extreme physical effort may be required, such as walking, standing, performing CPR, and lifting materials, equipment, objects, and/or patients. + Occasional lifting may be very heavy and awkward, over 50 lbs. + Vision, hearing, talking, and sense of touch abilities must be adequate to enable one to quickly and accurately perform tasks such as reading small print, reading from monitoring equipment, defining details, sending and receiving clear and accurate oral communication. + Shift work is required at least 2 days per month. + Alertness and careful attention to detail will be required to avoid injury. + May be exposed to such occupational hazards as communicable diseases, radiation, chemotherapeutic agents, and disoriented or combative patients. Compensation + **Hiring Range: 70.00**

**Galveston, Texas, United States** Nursing & Care Management UTMB Health Requisition # 2506911 **Minimum Qualifications:** REQUIRED EDUCATION / EXPERIENCE: RN with two years of preferred clinical operating room, ICU, Cath Lab and other procedural areas RN experience. Must possess and maintain a current license or valid permit to practice in Texas. Current BLS required. **JOB SUMMARY:** 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. Experienced nurses transferring into the operating room must complete the operating room specific Competency Based Orientation (CBO) tool satisfactorily within the 6-month probationary period. Practice is characterized by predominantly interdependent and independent critical thinking decisions Practice is problem focused and patient centered in the manner care is provided. Provides safe and competent intraoperative patient care. Actively acquire knowledge and skills specific to patients undergoing a surgical procedure. Practice strong patient advocacy role and diligence in the preoperative review of documents and verification of surgical procedure, site and other critical safety checks prior to surgery. Safely circulate in emergent and urgent surgical cases and collaborate with physicians and other members of the surgical team during surgical time outs and debriefing procedures. Enforces aseptic and sterile techniques to all aspects of patient care. Effectively and safely operate highly specialize OR equipment 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 Practice, Nursing Process and UTMB's three domains for competency and advancement: Professional Practice, Professional Performance and Performance Improvement. **ESSENTIAL JOB FUNCTIONS:** · Validates specialized perioperative nursing knowledge · Indicates attainment of current perioperative nursing practice standards · Consults and coordinates with health care team members to assess, plan, implement and evaluate patient care plans · Participate actively in our surgical time out and debriefing · Ensures that operating on correct patient and the correct procedure is being performed · Observes, checks and monitors all equipment used during surgery to confirm they are running smoothly · Assists in positioning, responding to comfort/safety of patient · Provides for accurate care, handling and documentation of surgical specimens · Support the surgical technologist during the case effectively. · Performs surgical counts (Initial, Closing and Final) and reconcile incorrect counts per policy · Document accurately all surgical procedures, documentation, supplies and implants · Participate actively and support departmental initiatives related to patient safety, efficiency, cost containment, staff and physician satisfaction, and other projects mandated by the department. · Observes and enforces strict standards of asepsis · Able to take call status and respond to the emergencies per policy, "stay days" and work long and unpredictable hours. · Thrive and maintain collegiality and professionalism during high-stress situations. · Actively invest and engage in improving or maintaining staff morale and satisfaction · 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/or Competency and Clinical Advancement Program (CCAP) tools. · Independently and competently assists with activities for assigned area embodying UTMB's core values. · Independently and competently completes assesses patients and identifies actual and potential nursing diagnoses/patient care needs. · Competently plans and prioritizes culturally, age and specialty appropriate care for the identified patient group. · Independently and competently delivers culturally, age and specialty appropriate nursing care to the identified patient group. · Performs and reports point of care testing (POCT). · Provides and maintains a clean, safe environment and performs and/or assists others to perform proper aseptic technique, isolation procedures and infection control measures. · Serves as a patient advocate; may require assistance in difficult situations. · Develops and reports nursing plan of patient care and treatment. · Utilizes nursing research and quality improvement to enhance evidence-based practice. · Demonstrates acceptable productivity and practices cost containment for the practice and the patient. · Competently and consistently completes accurate, concise and legible documentation on all patient, unit and hospital records including hands on care delivery and telephone patient related interactions. · Competently utilizes electronic forms of communication and documentation. · Implements effective patient/family teaching and accurately assesses readiness to learn. · Identifies learning needs of self and others; sets challenging and realistic goals and develops learning opportunities to meet goals. · Demonstrates compassion and understanding. · Displays a professional verbal and non-verbal demeanor. · Puts needs of others above his/her own through accountability, compassion, integrity and respect. · Functions as an independent and supportive team member. · Achieves the required UTMB Competency and Clinical Advancement (CCAP) points to achieve / maintain the NC III level. · Completes the annual self-evaluation on time for competency and performance evaluation using CCAP tools. · 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 to commensurate experience. **Equal Employment Opportunity** UTMB 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 Federal Contractor, UTMB Health takes affirmative action to hire and advance protected veterans and individuals with disabilities. Compensation

**Galveston, Texas, United States** Nursing & Care Management UTMB Health Requisition # 2000313 **Minimum Qualifications:** RN from an accredited professional nursing school. Minimum of four (4) years RN experience, including recent Flight Nursing experience and Critical Care or Emergency Nursing. Must possess and maintain a current nursing license to practice in the United States. Current BCLS and ACLS certification(s). **Job Description:** To provide care and treatment for life support and/or stabilization of chronically or acutely ill and/or injured patients on station and/or on flights from and within Antarctica in collaboration with other health team members in support of the United States Antarctica Program. Responsible for ensuring and maintaining Medevac preparedness. **Specific Job-Related Duties:** + Autonomously evaluates critically ill or injured patients of all age groups, provides therapeutic intervention, emergency interventions, and preparation for transport (via ground, helicopter, or airplane) from station, field camps, accident scenes. + Acts as primary care attendant for Medevac patients in route to New Zealand. Maintains contact with all involved parties to ensure smooth information flow and appropriate patient support. + Maintains Medevac supplies and equipment prepared for immediate use. Provide nursing services within the McMurdo Station clinic and cross trains to support clinic services as needed. + Provides in-patient care when patients have been admitted to the ward. + Assesses for and detects changes in the status of patients and demonstrates a proactive approach to solving patient problems. + Maintains complete and accurate records of all patient encounters. + Communicates effectively in working with outside institutions/agencies to include National Science Foundation, Grantees, Antarctica Support Contract employees and subcontractors, and other USAP participants as well as New Zealand hospitals, EMS, police and fire department personnel. + Plans, organizes and positions equipment and supplies for use in emergency conditions before, during and after transports ensuring all medical equipment is returned properly to the clinic. + Collects, compiles and assesses clinical and demographic data regarding Medevacs and prepares an annual summary report with recommendations. + Performs all physical requirements of job in confined spaces and under adverse environmental conditions + Participates in staff meetings, in-service sessions, competencies, and maintenance of educational requirements for nursing certifications. + Participates in planning and coordination of Mass Casualty Incident drills. + Flight nurse is expected to complete transport missions initiated with in the timeframe of a work shift, understanding the completion of these missions might require working beyond normal work hours. **Job Functions:** + Performs a variety of marginal duties not listed, to be determined and assigned as needed. + May perform community duties such as shoveling snow, cooking, cleaning, and handling/loading cargo as necessary **Work Schedule:** *****Six to nine locum to work in Antarctica** **Equal Employment Opportunity** **_UTMB 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 Federal Contractor, UTMB Health takes affirmative action to hire and advance protected veterans and individuals with disabilities_** Compensation

Equal Employment Opportunity UTMB 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 Federal Contractor, UTMB Health takes affirmative action to hire and advance protected veterans and individuals with disabilities. REQUIRED EDUCATION / EXPERIENCE: RN with six months of clinical RN experience and/or successful completion of probationary NC I period documented on performance appraisal tool. Must possess and maintain a current Registered Nurse license or valid permit to practice in Texas. Current BLS required. JOB SUMMARY: Advanced Beginner Clinician. Possesses knowledge and skill necessary to meet nursing standards for professional practice specified in Texas Nurse Practice Act without supervision. Recognizes when assistance is needed and seeks appropriate resources. Practice is characterized by a balance of dependent and interdependent decision making. Provides safe, basic intraoperative patient care. Continue to acquire knowledge and skills specific to patients undergoing a surgical procedure. Practice strong patient advocacy role and diligence in the preoperative review of documents and verification of surgical procedure, site and other critical safety checks prior to surgery. Safely circulate in emergent and urgent surgical cases and collaborate with physicians and other members of the surgical team during surgical time outs and debriefing procedures. Enforces aseptic and sterile techniques to all aspects of patient care. Effectively and safely operate highly specialize OR equipment; focus is on expanding knowledge and skills for specialty area. Provides patient care through nursing based practices upon the American Nurses Association Standards of Professional Practice and Professional Performance and Association of Perioperative Nurses' (AORN) Standards. Values specialty unit, nursing, and institutional strategic initiatives and health system goals.

Equal Employment Opportunity UTMB 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 Federal Contractor, UTMB Health takes affirmative action to hire and advance protected veterans and individuals with disabilities Minimum Qualifications: RN from an accredited professional nursing school. Minimum of four (4) years RN experience, including recent Flight Nursing experience and Critical Care or Emergency Nursing. Must possess and maintain a current nursing license to practice in the United States. Current BCLS and ACLS certification(s). Job Description: To provide care and treatment for life support and/or stabilization of chronically or acutely ill and/or injured patients on station and/or on flights from and within Antarctica in collaboration with other health team members in support of the United States Antarctica Program. Responsible for ensuring and maintaining Medevac preparedness. Specific Job-Related Duties: Autonomously evaluates critically ill or injured patients of all age groups, provides therapeutic intervention, emergency interventions, and preparation for transport (via ground, helicopter, or airplane) from station, field camps, accident scenes. Acts as primary care attendant for Medevac patients in route to New Zealand. Maintains contact with all involved parties to ensure smooth information flow and appropriate patient support. Maintains Medevac supplies and equipment prepared for immediate use. Provide nursing services within the McMurdo Station clinic and cross trains to support clinic services as needed. Provides in-patient care when patients have been admitted to the ward. Assesses for and detects changes in the status of patients and demonstrates a proactive approach to solving patient problems. Maintains complete and accurate records of all patient encounters. Communicates effectively in working with outside institutions/agencies to include National Science Foundation, Grantees, Antarctica Support Contract employees and subcontractors, and other USAP participants as well as New Zealand hospitals, EMS, police and fire department personnel. Plans, organizes and positions equipment and supplies for use in emergency conditions before, during and after transports ensuring all medical equipment is returned properly to the clinic. Collects, compiles and assesses clinical and demographic data regarding Medevacs and prepares an annual summary report with recommendations. Performs all physical requirements of job in confined spaces and under adverse environmental conditions Participates in staff meetings, in-service sessions, competencies, and maintenance of educational requirements for nursing certifications. Participates in planning and coordination of Mass Casualty Incident drills. Flight nurse is expected to complete transport missions initiated with in the timeframe of a work shift, understanding the completion of these missions might require working beyond normal work hours. Job Functions: Performs a variety of marginal duties not listed, to be determined and assigned as needed. May perform community duties such as shoveling snow, cooking, cleaning, and handling/loading cargo as necessary Work Schedule: ***Six to nine locum to work in Antarctica

**League City, Texas, United States** Nursing & Care Management UTMB Health Requisition # 2507094 **Minimum Qualifications:** REQUIRED EDUCATION / EXPERIENCE: RN with two years of preferred clinical operating room, ICU, Cath Lab and other procedural areas RN experience. Must possess and maintain a current license or valid permit to practice in Texas. Current BLS required. **JOB SUMMARY:** 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. Experienced nurses transferring into the operating room must complete the operating room specific Competency Based Orientation (CBO) tool satisfactorily within the 6-month probationary period. Practice is characterized by predominantly interdependent and independent critical thinking decisions Practice is problem focused and patient centered in the manner care is provided. Provides safe and competent intraoperative patient care. Actively acquire knowledge and skills specific to patients undergoing a surgical procedure. Practice strong patient advocacy role and diligence in the preoperative review of documents and verification of surgical procedure, site and other critical safety checks prior to surgery. Safely circulate in emergent and urgent surgical cases and collaborate with physicians and other members of the surgical team during surgical time outs and debriefing procedures. Enforces aseptic and sterile techniques to all aspects of patient care. Effectively and safely operate highly specialize OR equipment 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 Practice, Nursing Process and UTMB's three domains for competency and advancement: Professional Practice, Professional Performance and Performance Improvement. **ESSENTIAL JOB FUNCTIONS:** ·Validates specialized perioperative nursing knowledge ·Indicates attainment of current perioperative nursing practice standards ·Consults and coordinates with health care team members to assess, plan, implement and evaluate patient care plans ·Participate actively in our surgical time out and debriefing ·Ensures that operating on correct patient and the correct procedure is being performed ·Observes, checks and monitors all equipment used during surgery to confirm they are running smoothly ·Assists in positioning, responding to comfort/safety of patient ·Provides for accurate care, handling and documentation of surgical specimens ·Support the surgical technologist during the case effectively. ·Performs surgical counts (Initial, Closing and Final) and reconcile incorrect counts per policy ·Document accurately all surgical procedures, documentation, supplies and implants ·Participate actively and support departmental initiatives related to patient safety, efficiency, cost containment, staff and physician satisfaction, and other projects mandated by the department. ·Observes and enforces strict standards of asepsis ·Able to take call status and respond to the emergencies per policy, "stay days" and work long and unpredictable hours. ·Thrive and maintain collegiality and professionalism during high-stress situations. ·Actively invest and engage in improving or maintaining staff morale and satisfaction ·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/or Competency and Clinical Advancement Program (CCAP) tools. ·Independently and competently assists with activities for assigned area embodying UTMB's core values. ·Independently and competently completes assesses patients and identifies actual and potential nursing diagnoses/patient care needs. ·Competently plans and prioritizes culturally, age and specialty appropriate care for the identified patient group. ·Independently and competently delivers culturally, age and specialty appropriate nursing care to the identified patient group. ·Performs and reports point of care testing (POCT). ·Provides and maintains a clean, safe environment and performs and/or assists others to perform proper aseptic technique, isolation procedures and infection control measures. ·Serves as a patient advocate; may require assistance in difficult situations. ·Develops and reports nursing plan of patient care and treatment. ·Utilizes nursing research and quality improvement to enhance evidence-based practice. ·Demonstrates acceptable productivity and practices cost containment for the practice and the patient. ·Competently and consistently completes accurate, concise and legible documentation on all patient, unit and hospital records including hands on care delivery and telephone patient related interactions. ·Competently utilizes electronic forms of communication and documentation. ·Implements effective patient/family teaching and accurately assesses readiness to learn. ·Identifies learning needs of self and others; sets challenging and realistic goals and develops learning opportunities to meet goals. ·Demonstrates compassion and understanding. ·Displays a professional verbal and non-verbal demeanor. ·Puts needs of others above his/her own through accountability, compassion, integrity and respect. ·Functions as an independent and supportive team member. ·Achieves the required UTMB Competency and Clinical Advancement (CCAP) points to achieve / maintain the NC III level. ·Completes the annual self-evaluation on time for competency and performance evaluation using CCAP tools. ·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 to commensurate experience. **Equal Employment Opportunity** UTMB 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 Federal Contractor, UTMB Health takes affirmative action to hire and advance protected veterans and individuals with disabilities. Compensation

**League City, Texas, United States** Nursing & Care Management UTMB Health Requisition # 2507059 **REQUIRED EDUCATION & EXPERIENCE:** RN 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. **REQUIRED LICENSES/CERTIFICATIONS:** + RN, BSN + BLS + Approved Specialty Certification **JOB SUMMARY:** Proficient 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. **ESSENTIAL JOB FUNCTIONS** **Professional Practice:** **Nursing Process** + Using specialized knowledge and skills, proficiently assesses patients and identifies actual and potential nursing diagnoses/patient care needs + Proficiently identifies patient care needs, formulates appropriate nursing diagnoses, develops and individualizes care plan, and revises plan of care as needed + Proficiently plans and prioritizes culturally congruent and specialty appropriate care for identified patient + Proficiently 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 manner + Proficiently performs routine and complex technical procedures/skills in assigned specialty area. **Patient/Family Teaching & Health Promotion** + Provides complex patient/family instruction and healthcare teaching based on identified learning needs (patient values, beliefs, barriers, and readiness to learn) + Identifies potential impact of family dynamics on the teaching plan. + Utilizes evidence-based resources to provide patient/family education, adhering to patient/family education policy 09.03.04. + Proficiently uses Teach-Back or other strategies to determine effectiveness and modifies strategies as needed. + Analyzes, selects, and utilizes individualized educational support material for patients and families (i.e. Elsevier). + Coaches others in strategies for patient/family inclusion and serves as a resource to others for patients/families with complex learning needs **Care Coordination & Delegation** + Proficiently 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-professional rounding, etc.; Role models and coaches others to utilize these methods + Evaluates processes and outcomes of specialty area practices/methods. + Demonstrates flexibility in time management to manage changing patient priorities; coaches and supports others to plan, coordinate and prioritize care + Proactively initiates local efforts to improve planning, coordination, and prioritization of patient care + Delegates appropriately; may seek guidance or clarification of non-routinely delegated tasks; Coaches others to optimize safe & effective delegation + Demonstrates 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. **Professional Performance:** **Ethics (legal/regulatory), Advocacy & Culturally Congruent Cares** + Using specialized knowledge and skills, proficiently assesses patients and identifies actual and potential nursing diagnoses/patient care needs + Proficiently identifies patient care needs, formulates appropriate nursing diagnoses, develops and individualizes care plan, and revises plan of care as needed + Proficiently plans and prioritizes culturally congruent and specialty appropriate care for identified patient + Proficiently 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 manner + Proficiently performs routine and complex technical procedures/skills in assigned specialty area + Identifies 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 address + Delivers 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 clinicians + Actively 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 advocacy **Communication & Collaboration** + Supports 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. + Recognizes colleagues when they go above and beyond in demonstrating UTMB's core values + Proficiently plans, coordinates, and prioritizes patient care activities in collaboration/communication with inter-professional team, including consult recommendations **Leadership** + Actively facilitates communication with informal and formal unit/hospital leaders and can educate colleagues regarding unit/hospital leadership. + Actively leads area professional governance, unit meetings, or a unit initiative. AND + Actively participates in hospital-level professorial governance, groups, or initiatives, and encourages colleague participation. + Completes one Professional Leadership Activity annually. + Monitors 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 role modeling to promote understanding of change to colleagues; actively addresses colleagues demonstrating resistance to change by positive communication, education or other appropriate method + Incorporates methods/strategies to facilitate change behaviors with colleagues. + Exemplifies appropriate level of engagement when advocating and influencing patients, families, colleagues, and other members of the healthcare team. + Actively supports implementation and dissemination of processes/standards at the unit level. + Functions as a skilled leader, providing direction and assistance to team members + Assumes the charge nurse role, coordinating the daily activities and patient care assignments of the unit as needed + Identifies development needs of self and others; sets challenging and realistic goals and assists others with the development of challenging and realistic goals **Education, Evidence-Based Practice & Research** + Actively participates in unit meetings/activities and supports the philosophy and goals of the unit/department and UTMB. + Actively participates in presentations, professional development activities; encourages attendance/participation of colleagues + Shares educational findings, experiences, and ideas with colleagues through professional governance meetings, presentations, professional development activities. + Serves as a role model; coaches colleagues to utilize evidence-based resources; identifies needs for additional resources. + Demonstrates commitment to lifelong learning, as evidenced by advanced degree, certification in specialty care area, utilization/dissemination of evidence-based resources, etc. + Demonstrates 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. + Participates in one journal club annually. + Incorporates evidence-based resources into provision of care; provides feedback to others and uses findings to assess unit/department trends **Quality, Resources & Safety** + Actively participates in unit-based quality improvement activities; encourages colleague participation + Identifies 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 + Identifies area safety trends and leads problem-solving activities + Actively participates in the development and/or promotion of mechanisms/processes for unit or hospital related improvement initiatives + Partners with unit leaders to implement safety solutions + 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; identifies practice gaps at the local level of practice **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 + Promotes and demonstrates acceptable productivity and practices cost containment for nursing practice and patient care. + 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. + Participates in the development and implementation of mechanisms/processes that promote optimal use of documentation systems. + Meets periodic UTMB and unit specific compliance requirements for health screening, training, attendance, safety and CPR. + Adheres to internal controls and reporting structure **SALARY RANGE:** Salary commensurate with experience. **Equal Employment Opportunity** UTMB 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 Federal Contractor, UTMB Health takes affirmative action to hire and advance protected veterans and individuals with disabilities. Compensation

**League City, Texas, United States** Nursing & Care Management UTMB Health Requisition # 2506650 **Minimum Qualifications:** REQUIRED EDUCATION / EXPERIENCE: RN with two years of preferred clinical operating room, ICU, Cath Lab and other procedural areas RN experience. Must possess and maintain a current license or valid permit to practice in Texas. Current BLS required. **JOB SUMMARY:** 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. Experienced nurses transferring into the operating room must complete the operating room specific Competency Based Orientation (CBO) tool satisfactorily within the 6-month probationary period. Practice is characterized by predominantly interdependent and independent critical thinking decisions Practice is problem focused and patient centered in the manner care is provided. Provides safe and competent intraoperative patient care. Actively acquire knowledge and skills specific to patients undergoing a surgical procedure. Practice strong patient advocacy role and diligence in the preoperative review of documents and verification of surgical procedure, site and other critical safety checks prior to surgery. Safely circulate in emergent and urgent surgical cases and collaborate with physicians and other members of the surgical team during surgical time outs and debriefing procedures. Enforces aseptic and sterile techniques to all aspects of patient care. Effectively and safely operate highly specialize OR equipment 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 Practice, Nursing Process and UTMB's three domains for competency and advancement: Professional Practice, Professional Performance and Performance Improvement. **ESSENTIAL JOB FUNCTIONS:** ·Validates specialized perioperative nursing knowledge ·Indicates attainment of current perioperative nursing practice standards ·Consults and coordinates with health care team members to assess, plan, implement and evaluate patient care plans ·Participate actively in our surgical time out and debriefing ·Ensures that operating on correct patient and the correct procedure is being performed ·Observes, checks and monitors all equipment used during surgery to confirm they are running smoothly ·Assists in positioning, responding to comfort/safety of patient ·Provides for accurate care, handling and documentation of surgical specimens ·Support the surgical technologist during the case effectively. ·Performs surgical counts (Initial, Closing and Final) and reconcile incorrect counts per policy ·Document accurately all surgical procedures, documentation, supplies and implants ·Participate actively and support departmental initiatives related to patient safety, efficiency, cost containment, staff and physician satisfaction, and other projects mandated by the department. ·Observes and enforces strict standards of asepsis ·Able to take call status and respond to the emergencies per policy, "stay days" and work long and unpredictable hours. ·Thrive and maintain collegiality and professionalism during high-stress situations. ·Actively invest and engage in improving or maintaining staff morale and satisfaction ·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/or Competency and Clinical Advancement Program (CCAP) tools. ·Independently and competently assists with activities for assigned area embodying UTMB's core values. ·Independently and competently completes assesses patients and identifies actual and potential nursing diagnoses/patient care needs. ·Competently plans and prioritizes culturally, age and specialty appropriate care for the identified patient group. ·Independently and competently delivers culturally, age and specialty appropriate nursing care to the identified patient group. ·Performs and reports point of care testing (POCT). ·Provides and maintains a clean, safe environment and performs and/or assists others to perform proper aseptic technique, isolation procedures and infection control measures. ·Serves as a patient advocate; may require assistance in difficult situations. ·Develops and reports nursing plan of patient care and treatment. ·Utilizes nursing research and quality improvement to enhance evidence-based practice. ·Demonstrates acceptable productivity and practices cost containment for the practice and the patient. ·Competently and consistently completes accurate, concise and legible documentation on all patient, unit and hospital records including hands on care delivery and telephone patient related interactions. ·Competently utilizes electronic forms of communication and documentation. ·Implements effective patient/family teaching and accurately assesses readiness to learn. ·Identifies learning needs of self and others; sets challenging and realistic goals and develops learning opportunities to meet goals. ·Demonstrates compassion and understanding. ·Displays a professional verbal and non-verbal demeanor. ·Puts needs of others above his/her own through accountability, compassion, integrity and respect. ·Functions as an independent and supportive team member. ·Achieves the required UTMB Competency and Clinical Advancement (CCAP) points to achieve / maintain the NC III level. ·Completes the annual self-evaluation on time for competency and performance evaluation using CCAP tools. ·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 to commensurate experience. **Equal Employment Opportunity** UTMB 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 Federal Contractor, UTMB Health takes affirmative action to hire and advance protected veterans and individuals with disabilities. Compensation

**League City, Texas, United States** Nursing & Care Management UTMB Health Requisition # 2507095 **Minimum Qualifications:** REQUIRED EDUCATION / EXPERIENCE: RN with two years of preferred clinical operating room, ICU, Cath Lab and other procedural areas RN experience. Must possess and maintain a current license or valid permit to practice in Texas. Current BLS required. **JOB SUMMARY:** 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. Experienced nurses transferring into the operating room must complete the operating room specific Competency Based Orientation (CBO) tool satisfactorily within the 6-month probationary period. Practice is characterized by predominantly interdependent and independent critical thinking decisions Practice is problem focused and patient centered in the manner care is provided. Provides safe and competent intraoperative patient care. Actively acquire knowledge and skills specific to patients undergoing a surgical procedure. Practice strong patient advocacy role and diligence in the preoperative review of documents and verification of surgical procedure, site and other critical safety checks prior to surgery. Safely circulate in emergent and urgent surgical cases and collaborate with physicians and other members of the surgical team during surgical time outs and debriefing procedures. Enforces aseptic and sterile techniques to all aspects of patient care. Effectively and safely operate highly specialize OR equipment 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 Practice, Nursing Process and UTMB's three domains for competency and advancement: Professional Practice, Professional Performance and Performance Improvement. **ESSENTIAL JOB FUNCTIONS:** ·Validates specialized perioperative nursing knowledge ·Indicates attainment of current perioperative nursing practice standards ·Consults and coordinates with health care team members to assess, plan, implement and evaluate patient care plans ·Participate actively in our surgical time out and debriefing ·Ensures that operating on correct patient and the correct procedure is being performed ·Observes, checks and monitors all equipment used during surgery to confirm they are running smoothly ·Assists in positioning, responding to comfort/safety of patient ·Provides for accurate care, handling and documentation of surgical specimens ·Support the surgical technologist during the case effectively. ·Performs surgical counts (Initial, Closing and Final) and reconcile incorrect counts per policy ·Document accurately all surgical procedures, documentation, supplies and implants ·Participate actively and support departmental initiatives related to patient safety, efficiency, cost containment, staff and physician satisfaction, and other projects mandated by the department. ·Observes and enforces strict standards of asepsis ·Able to take call status and respond to the emergencies per policy, "stay days" and work long and unpredictable hours. ·Thrive and maintain collegiality and professionalism during high-stress situations. ·Actively invest and engage in improving or maintaining staff morale and satisfaction ·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/or Competency and Clinical Advancement Program (CCAP) tools. ·Independently and competently assists with activities for assigned area embodying UTMB's core values. ·Independently and competently completes assesses patients and identifies actual and potential nursing diagnoses/patient care needs. ·Competently plans and prioritizes culturally, age and specialty appropriate care for the identified patient group. ·Independently and competently delivers culturally, age and specialty appropriate nursing care to the identified patient group. ·Performs and reports point of care testing (POCT). ·Provides and maintains a clean, safe environment and performs and/or assists others to perform proper aseptic technique, isolation procedures and infection control measures. ·Serves as a patient advocate; may require assistance in difficult situations. ·Develops and reports nursing plan of patient care and treatment. ·Utilizes nursing research and quality improvement to enhance evidence-based practice. ·Demonstrates acceptable productivity and practices cost containment for the practice and the patient. ·Competently and consistently completes accurate, concise and legible documentation on all patient, unit and hospital records including hands on care delivery and telephone patient related interactions. ·Competently utilizes electronic forms of communication and documentation. ·Implements effective patient/family teaching and accurately assesses readiness to learn. ·Identifies learning needs of self and others; sets challenging and realistic goals and develops learning opportunities to meet goals. ·Demonstrates compassion and understanding. ·Displays a professional verbal and non-verbal demeanor. ·Puts needs of others above his/her own through accountability, compassion, integrity and respect. ·Functions as an independent and supportive team member. ·Achieves the required UTMB Competency and Clinical Advancement (CCAP) points to achieve / maintain the NC III level. ·Completes the annual self-evaluation on time for competency and performance evaluation using CCAP tools. ·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 to commensurate experience. **Equal Employment Opportunity** UTMB 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 Federal Contractor, UTMB Health takes affirmative action to hire and advance protected veterans and individuals with disabilities. Compensation

Equal Employment Opportunity UTMB 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 Federal Contractor, UTMB Health takes affirmative action to hire and advance protected veterans and individuals with disabilities. Minimum Qualifications\: REQUIRED EDUCATION / EXPERIENCE: RN with two years of preferred clinical operating room, ICU, Cath Lab and other procedural areas RN experience. Must possess and maintain a current license or valid permit to practice in Texas. Current BLS required. JOB SUMMARY: 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. Experienced nurses transferring into the operating room must complete the operating room specific Competency Based Orientation (CBO) tool satisfactorily within the 6-month probationary period. Practice is characterized by predominantly interdependent and independent critical thinking decisions Practice is problem focused and patient centered in the manner care is provided. Provides safe and competent intraoperative patient care. Actively acquire knowledge and skills specific to patients undergoing a surgical procedure. Practice strong patient advocacy role and diligence in the preoperative review of documents and verification of surgical procedure, site and other critical safety checks prior to surgery. Safely circulate in emergent and urgent surgical cases and collaborate with physicians and other members of the surgical team during surgical time outs and debriefing procedures. Enforces aseptic and sterile techniques to all aspects of patient care. Effectively and safely operate highly specialize OR equipment 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 Practice, Nursing Process and UTMB's three domains for competency and advancement\: Professional Practice, Professional Performance and Performance Improvement. ESSENTIAL JOB FUNCTIONS\: · Validates specialized perioperative nursing knowledge · Indicates attainment of current perioperative nursing practice standards · Consults and coordinates with health care team members to assess, plan, implement and evaluate patient care plans · Participate actively in our surgical time out and debriefing · Ensures that operating on correct patient and the correct procedure is being performed · Observes, checks and monitors all equipment used during surgery to confirm they are running smoothly · Assists in positioning, responding to comfort/safety of patient · Provides for accurate care, handling and documentation of surgical specimens · Support the surgical technologist during the case effectively. · Performs surgical counts (Initial, Closing and Final) and reconcile incorrect counts per policy · Document accurately all surgical procedures, documentation, supplies and implants · Participate actively and support departmental initiatives related to patient safety, efficiency, cost containment, staff and physician satisfaction, and other projects mandated by the department. · Observes and enforces strict standards of asepsis · Able to take call status and respond to the emergencies per policy, “stay days” and work long and unpredictable hours. · Thrive and maintain collegiality and professionalism during high-stress situations. · Actively invest and engage in improving or maintaining staff morale and satisfaction · 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/or Competency and Clinical Advancement Program (CCAP) tools. · Independently and competently assists with activities for assigned area embodying UTMB's core values. · Independently and competently completes assesses patients and identifies actual and potential nursing diagnoses/patient care needs. · Competently plans and prioritizes culturally, age and specialty appropriate care for the identified patient group. · Independently and competently delivers culturally, age and specialty appropriate nursing care to the identified patient group. · Performs and reports point of care testing (POCT). · Provides and maintains a clean, safe environment and performs and/or assists others to perform proper aseptic technique, isolation procedures and infection control measures. · Serves as a patient advocate; may require assistance in difficult situations. · Develops and reports nursing plan of patient care and treatment. · Utilizes nursing research and quality improvement to enhance evidence-based practice. · Demonstrates acceptable productivity and practices cost containment for the practice and the patient. · Competently and consistently completes accurate, concise and legible documentation on all patient, unit and hospital records including hands on care delivery and telephone patient related interactions. · Competently utilizes electronic forms of communication and documentation. · Implements effective patient/family teaching and accurately assesses readiness to learn. · Identifies learning needs of self and others; sets challenging and realistic goals and develops learning opportunities to meet goals. · Demonstrates compassion and understanding. · Displays a professional verbal and non-verbal demeanor. · Puts needs of others above his/her own through accountability, compassion, integrity and respect. · Functions as an independent and supportive team member. · Achieves the required UTMB Competency and Clinical Advancement (CCAP) points to achieve / maintain the NC III level. · Completes the annual self-evaluation on time for competency and performance evaluation using CCAP tools. · 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 to commensurate experience.

Full-time Description ORGANIZATIONAL DESCRIPTION A Registered Nurse with basic knowledge of perioperative patient care. Coordinates and initiates patient care within the operating room. Acts as a patient advocate during the perioperative process to promote safety and the highest quality of care. Provides direction for other members of the surgical team, sterile and non-sterile. Provides direct patient care and educates patients and family members as needed. INTERACTION Primarily Interacts with: administration, physicians, employees, clinical and non-clinical departments, patients, visitors, and volunteers. PRIMARY FUNCTIONS Responsible for safely transporting patients to the operating room. Check the chart prior to procedure to verify that proper documentation is on the chart and that abnormal diagnostic studies are addressed prior to the transfer of patient to the OR. Work closely with the ASU in assuring that prophylactic antibiotics are: appropriate for the procedure, and administered timely via the proper route. Responsible for monitoring compliance with core measures. Verify integrity of sterile packages and verify expiration dates of all items introduced into the sterile field. Open sterile instrument packs, drapes, solutions, and supplies while maintaining sterility during transfer into the sterile field. Coordinate personnel within the operating suite verifying that the surgeon, anesthesia provider, and other team members are present. Stand by the patient during the induction of anesthesia to promote safety of the patient and assist the anesthetist if needed. Properly connect sterile devices and equipment from sterile field to non-sterile sources (suction, bovie, camera, light, etc.). Safely handle and prepare medications used in the sterile field. Identify, prepare, and pass suture to surgeon when needed. Participate in counting of sponges, needles, and instruments according to departmental policy. Recognize and verbalize breaks in sterile technique by self and others. Help prepare the Operating suites and readies equipment for procedures, including housekeeping needs, instruments, and equipment when needed. Properly care for tissue specimens, including packaging. Apply sterile dressings at the end of procedure without contamination of the dressing or the operative site. Properly prep the operative site prior to incision. Count sponges and sharps with the scrub member per policy. Assist with daily housekeeping duties within the surgical department as needed (including break room, sterile supply, endoscopy, scrub areas, anesthesia room, etc.) Initiate timeouts prior to procedure to avoid wrong site surgery. Keep an ongoing assessment of supplies needed versus supplies in the room. Remain in the operating room at all times unless relieved by another RN. Dispense medications needed on the back table, checking labels for correct medication and expiration dates. Communicate procedure status when necessary to the ASU to facilitate coordination of procedures and to update family members. Prepare specimens to be sent to that lab (enter in log book, verify proper packaging) Assist the anesthetist post-operatively during emergence from anesthesia and stands by the patient to promote safety. Accompany the patient and anesthetist to the PACU and give appropriate report to the receiving nurse. Assist staff in the cleaning and preparation of the operating room for subsequent procedures. Check narcotic sheet against stock per policy to be sure all narcotics have been signed for. Enter charges from the procedure and medications/ drugs used into the computer in a timely manner to assure proper capturing of charges. Participate in annual peer competency review process. Provide exemplary customer service. Maintain confidentiality and compliance with HIPAA. Cooperate with other personnel to achieve departmental objectives and maintain good employee relations, inter-departmental objectives and infection control policies. Cordially demonstrate timeliness and professionalism in appearance, communications, and actions during all interactions and with all individuals and entities. Solve practical problems, dealing with a variety of issues, and interpret a variety of instructions furnished in written and oral form. Attend meetings as required. Perform other duties as requested or assigned. Requirements ABILITY TO USE EQUIPMENT, TOOLS, MATERIALS, MACHINES: Computer, telephone, facsimile machine, copier, scanner, printer, calculator and other standard office equipment. Blood Pressure Cuffs, stethoscope, syringes, IV pumps, feeding pumps, beds, scales, lifts, hyper/hypothermia units, glucose monitors, PCA pumps, suction equipment, ventilators, crash cart, miscellaneous medical equipment and DME. EDUCATION/EXPERIENCE/SKILLS/ABILITIES Education: Associate degree in nursing required; bachelor degree in nursing preferred Valid RN license in Texas BLS/ACLS required. Experience: One year nursing experience preferred. 4-6 weeks preceptor training required. Personal Job-Related Skills / Abilities: Must be committed to quality and patient safety at all times. Excellent command / highly proficient in spoken and written English; bilingual in Spanish preferred. Basic computer skills, including but not limited to: Microsoft Office, electronic medical documentation, and email. Must be effective at adjusting to change, prioritizing duties, handling stress and effectively communicating face-to-face and/or over the telephone. Must be able to work independently, and flexibly, and as a part of a multidisciplinary team. Must be able to manage several interruptions throughout the shift. Must have strong interpersonal and communication skills, verbal and written. Must have strong time management skills. Must be able to work under pressure while interacting in a helpful, courteous manner with a high degree of patient contact. Sufficient hearing, vision and dexterity to perform duties safely. Physical and Mental Requirements: Physical: Activity Up to % Walking: 80 Squatting: 40 Standing: 80 Pulling: 25 Kneeling: 50 Reaching: 50 Sitting: 20 Lifting up to 50 lbs: 25 Pushing: 25 Wrist/Finger Movements: 90 Bending: 50 Climbing: 1 Mental: Stress Level Moderate to High Individual position core competencies: Quality Service Excellence Compassion Professionalism Fiscal Responsibility Required education within first 60 days (if employee is from outside organization). GrahamRMC Orientation Department Orientation Continuing/Annual Education and Training: As needed to maintain certification/ licensure of position BLS/ACLS Falling Star Program Safety Storm Program Supervision Employees Supervised: __No__ ADA REQUIREMENTS Each category is grouped under a percentage rating based on the frequency the condition is expected to occur. Frequency of Condition 1-33% 34-66% 67%+ 1-33% Extreme Heat Extreme Cold Extreme Swings in Temperature Extreme Noise Working Outdoors Mechanical Hazards Electrical Hazards Explosive Hazards Dust/Mite Hazards Chemical Hazards Toxic Waste Hazards Wet Hazards Heights Other Conditions 34-66% Radiation Hazards 67%+ Working Indoors Fume/Odor Hazards OSHA Classification: Identify with a check the OSHA Job Category that describes this job. The intent is to enhance worker protection by identifying any risk in the performance of routine and reasonably anticipated job-related functions. __X__ Category I: Tasks that involve exposure to blood, body fluids or tissues. All procedures or other job-related tasks involve an inherent potential for mucous membrane or skin contact with blood, body fluids or tissues or a potential for spills or splashes of them are Category I tasks. Use of appropriate protective measures, such as gloves, masks, goggles, and gown are required for every employee engaged in Category I tasks. _____ Category II: Tasks that involve no exposure to blood, body fluids or tissues but employment may require performing unplanned Category I tasks. The normal work routine involves no exposure to blood, body fluids or tissues, but exposure may be required as a condition of employment. Appropriate protective measure, such as gloves, masks, goggles, and gown are readily available to every employee engaged in Category II tasks. _____ Category III: Tasks that involve no exposure to blood, body fluids or tissues and Category I tasks are not a condition of employment. The normal work routine involves no exposure to blood, body fluids or tissues (although situations can be imagined or hypothesized under which anyone, anywhere might encounter potential exposure to body fluids). Persons who perform these duties are not called upon as part of their employment to perform or assist in emergency medical care or first-aid or to be potentially exposed in some other way. Tasks that involve handling implements or utensils, use of public or shared bathroom facilities or telephone and personal contacts such as handshaking are Category III tasks. ADDITIONAL INFORMATION The employee will demonstrate continuous commitment to the maintenance of a clean and safe work environment that is compliant with applicable regulatory agency requirements. The employee will follow established infection control procedures. The employee will ensure the effective and safe use of all equipment used in his/her activities, if applicable. The competence of the employee in performing his/her job duties is evaluated during orientation to his/her position and will be demonstrated, maintained, and improved on an ongoing basis. The employee will adhere to the assigned schedule and report to work on-time. The employee shall abide by the requirements set forth in the Code of Conduct and report suspected violations of the Code of Conduct. The employee will recognize, appreciate and incorporate an employee's, patient's and patient's family's unique differences, such as culture, spiritual beliefs, gender, race, ethnicity, lifestyle, socioeconomic status, age, and values, into an individualized plan of care or plan of action. The statements contained in this position description reflect the general duties considered necessary to describe the principal functions of the job as identified, and shall not be considered a detailed description of all the work requirements that may be inherent in the position. Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice. The job description does not constitute a contract of employment and the company or employee may exercise its employment-at-will rights at any time.

Full-time Description Registered Nurse (RN) - Full-Time Night Shift Join our dedicated healthcare team at Stonewall Memorial Hospital, where your skills and compassion can make a meaningful difference in patient care. We are seeking a reliable and experienced Registered Nurse (RN) to provide high-quality nursing services during night shifts. This is an excellent opportunity for a committed professional looking to grow within a supportive hospital environment. Key Responsibilities: - Provide comprehensive nursing care to patients in accordance with hospital policies and procedures - Monitor patient conditions and respond promptly to changes in status - Administer medications and treatments accurately and safely - Collaborate with interdisciplinary teams to develop and implement patient care plans - Document patient information accurately and maintain detailed records - Educate patients and their families about health management and post-discharge care - Ensure compliance with all safety and infection control protocols Requirements Skills and Qualifications: - Current and valid Registered Nurse (RN) license - Proven experience in a hospital setting preferred - Ability to work 12-hour night shifts reliably - Strong clinical assessment and critical thinking skills - Excellent communication and interpersonal skills - Ability to work effectively both independently and as part of a team - Demonstrated reliability and professionalism Stonewall Memorial Hospital offers a supportive work environment, opportunities for professional development, and a commitment to quality patient care. If you are a dedicated RN seeking full-time employment with night shifts, we encourage you to apply and become part of our compassionate healthcare team. Position includes competitive wages and benefits discussed upon interview. Please apply directly online ************************* or email resume ************************ Questions regarding the position call ************ ext. 230 or ext. 102

We are seeking dedicated and skilled Licensed Vocational Nurses (LVNs) to join our critical care hospital team on a PRN basis. This is an excellent opportunity for experienced nurses looking to contribute to a dynamic healthcare environment while maintaining flexibility in their schedule. Successful candidates will have the chance to demonstrate their expertise in a fast-paced setting, with potential pathways to full-time employment. Key Responsibilities: - Provide high-quality nursing care to patients in a critical care setting under the supervision of registered nurses and physicians - Monitor patient vital signs and respond promptly to changes in condition - Administer medications and treatments accurately and safely - Document patient care activities thoroughly and in compliance with hospital policies - Collaborate with healthcare team members to develop and implement patient care plans - Assist with patient assessments and provide emotional support to patients and their families Requirements Skills and Qualifications: - Valid and current Licensed Vocational Nurse (LVN) license - Prior experience in a critical care or hospital setting preferred - Strong clinical skills and knowledge of critical care procedures - Excellent communication and interpersonal skills - Ability to work independently and as part of a multidisciplinary team - Flexibility to work PRN shifts, including nights, weekends, and holidays - Ability to handle high-pressure situations with professionalism and compassion Join our team and become part of a healthcare organization committed to excellence, growth, and compassionate patient care. We offer competitive compensation, opportunities for advancement, and a supportive work environment that values your experience and dedication. Your expertise can make a meaningful difference in the lives of our patients. Got questions? Call ************ ext. 102 or email ************************. Ready to join us? Apply online at ***************************

Licensed Vocational Nurse (LVN) - Stonewall Living Center PRN STATUS Join our compassionate team at Stonewall Living Center, a dedicated senior residents' facility located in a charming small town, located in Stonewall County. We pride ourselves on providing high-quality healthcare with a big heart, and we are seeking licensed vocational nurses (LVNs) who are passionate about making a positive difference in the lives of our residents. This is an excellent opportunity for those looking to work in a supportive environment that values experience, dedication, and compassion. Key Responsibilities: - Provide direct nursing care to senior residents in accordance with physician orders and facility policies - Monitor residents' health status and report any changes or concerns to the healthcare team - Administer medications and treatments accurately and safely - Assist with activities of daily living and ensure residents' comfort and safety - Document resident care and maintain accurate medical records - Collaborate with interdisciplinary team members to develop and implement individualized care plans - Ensure compliance with all healthcare regulations and facility standards Requirements Skills and Qualifications: - Valid and current LVN license in the state - Prior experience in senior care or long-term care preferred - Strong communication and interpersonal skills - Compassionate, patient, and attentive to residents' needs - Ability to work independently and as part of a team - Flexibility to work various scheduled shifts; PRN position with potential to lead into full-time status - Basic knowledge of medical terminology and electronic health records At Stonewall Living Center, we foster a warm, welcoming environment where our staff can grow professionally while making a meaningful impact on residents' lives. We offer competitive wages reflective of experience, with details shared during the interview process. If you are dedicated to healthcare with compassion and want to be part of a team that truly cares, we encourage you to apply today. Please call ************ ext. 802 or ext. 102 to schedule interview or email ************************

**Galveston, Texas, United States** **New** Executive - Nursing & Patient Care UTMB Health Requisition # 2600396 The Director of Nursing - Professional Excellence provides strategic leadership and oversight for nursing excellence across UTMB Health, including the Magnet Recognition Program, centralized education, nursing strategic planning, and professional practice development. The Director plays a key role in advancing the professional practice model, aligning Magnet principles with system goals, and fostering a culture of excellence, collaboration, and innovation. **Scope:** The Director of Professional Excellence has strategic influence for nursing practice on the four hospital campuses and over 100 ambulatory clinics. **Responsibilities:** The Director of Nursing Professional Excellence is directly responsible for the leadership of developing the infrastructure that supports nursing excellence and the outcomes of that infrastructure. Creating a culture of excellence is essential for the best patient, nursing workforce, organizational, and consumer outcomes. Professional Excellence Leadership + Provides system-wide leadership in developing and sustaining structures that support Magnet characteristics, including transformational leadership, professional governance, quality outcomes, interprofessional collaboration, evidence-based practice, and innovation. + Oversee the centralized nurse educator structure to ensure standardized, evidence-based approaches to education, competency management, and workforce readiness. + Directs systemwide development of nursing competencies, professional development programs, and specialty certification initiatives. + Leads nursing strategic planning, project management, and internal/external communication initiatives that support organizational goals. + Identifies gaps and implements new programs to strengthen nursing excellence. Role Transition & Workforce Development + Oversee onboarding, nurse residency, apprenticeship, and leadership development programs that ensure effective role transition and retention. + Leads workforce initiatives focused on recruitment, retention, succession planning, and career advancement. + Strengthens academic partnerships to align clinical education with workforce needs. Evidence-Based Practice & Research + Champions a culture of inquiry and evidence-based decision-making. + Supports research dissemination, nursing innovation, and integration of best practices into clinical care. + Collaborates with academic and practice partners to advance nursing science. Healthy Work Environment + Promotes a culture of respect, collaboration, recognition, and authentic leadership. + Develop programs that foster mentorship, professional growth, and shared governance. Strategic Planning & Quality Outcomes + Ensures services and programs support optimal patient, workforce, and organizational outcomes. + Monitors and reports nursing-sensitive indicators, benchmarking performance against national standards. + Collaborates with leaders in nursing quality, informatics, and education to achieve measurable outcomes. Core Competencies: The Director of Professional Excellence performs his/her job by demonstrating technical ability, understanding job expectations, and compliance with organizational policies and procedures. The Director of Professional Excellence performs the following job responsibilities: Leadership + Serves as a visible, approachable leader who models excellence and collaboration. + Challenges the status quo to drive innovation and improvement. + Demonstrates strong communication, facilitation, and problem-solving skills. + Balances departmental priorities with system-wide objectives. Budget & Resource Management + Develops and manages operating and capital budgets aligned with organizational goals. + Build business cases for financial and workforce investments. + Ensures fiscal accountability and operational efficiency. Strategic Planning + Participates in developing long-range nursing goals and strategic initiatives. + Aligns nursing strategy with system priorities to enhance quality, safety, and satisfaction. + Monitors progress and outcomes of strategic initiatives. Quality & Compliance + Leads quality improvement initiatives that enhance patient and workforce outcomes. + Ensures compliance with regulatory and accreditation standards (The Joint Commission, CMS, Magnet, etc.). + Utilize performance data to inform improvement and drive accountability. Education & Mentorship + Fosters a learning culture that supports professional development and continuing education. + Mentors' leaders and clinicians, promoting evidence-based practice and research engagement. + Facilitate dissemination of internal research and best practices to external audiences. Human Resources Leadership + Promotes recruitment, retention, and engagement through mentorship and recognition. + Develops leadership capacity at all levels through coaching and shared governance. + Encourages a culture of respect, inclusivity, and high performance. Communication + Maintains transparent and timely communication with nursing staff, physicians, and leadership. + Ensures information from leadership meetings and quality initiatives is cascaded effectively. + Represents nursing excellence in internal and external forums. Personal and Professional Development + Engage in continuous self-development and lifelong learning. + Seeks feedback and demonstrates adaptability. + Models UTMB's values and commitment to excellence. Marginal or Periodic Functions: + Adheres to internal controls and reporting structure. + Performs related duties as required. **Minimum Qualifications:** + Masters degree in Nursing or related field plus five (5) years of progressive nursing leadership experience. + BSN and a valid Texas RN license or eligibility to apply for a Texas nursing license. **Preferred Qualifications:** + Prior experience as a Magnet Program Director. + A Doctoral degree in nursing or a related field. + Advanced certification in nursing specialty/leadership. **Equal Employment Opportunity** UTMB 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 Federal Contractor, UTMB Health takes affirmative action to hire and advance protected veterans and individuals with disabilities. Compensation

**League City, Texas, United States** Nursing & Care Management UTMB Health Requisition # 2506179 **Minimum Qualifications:** Graduation from a Licensed Vocational Nurse program and licensure/permit as avocational nursein the state of Texas. No experience required. Current BLS required. **Job Summary:** To provide direct nursing care to an assigned group of patients andperformsnursing procedures within the scope of their education and demonstrated abilities. **Job Duties:** + Provides direct nursing care to assigned patients. + Participates in assessing, planning, implementing, and evaluating the nursing care given + Performs admission, discharge, and transfer procedures. + Uses the nursing plan of care in daily assignments, able to review, and, under supervision, modify the plan of care. + Demonstrates ability to observe and record the signs, symptoms, and behaviors including the physiological status of patients, presents proposed revision of interventions,and desiredoutcomes + Delivers the designated nursing interventions to assigned patients that are consistent with the stated medical plan of care. + Notifies appropriate nursing and medical staff of changes in patient status; recognizes patient care priorities, multidisciplinary treatment plans, and potential patient care crises. + Follows physician's orders in the delivery of nursing care. + Maintains patient's privacy and confidentiality of information and records at all times. + Safely and properly administers medications and treatments. + Executes written physician's orders for assigned patients. + Assembles equipment and supplies for various diagnostic or treatment procedures in the specialty service area; performs or assists others with procedures or treatments. + Adheres to required infection control, isolation procedures, and aseptic techniques in the delivery of patient care. + Documents nursing care in all assigned patient records. + Adheres to internal controls established for department. + Performs related duties as required. **Work Schedule:** 40 hours per week. **Salary Range:** Actual salary commensurate with experience. **Equal Employment Opportunity** UTMB 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 Federal Contractor, UTMB Health takes affirmative action to hire and advance protected veterans and individuals with disabilities. Compensation

Equal Employment Opportunity UTMB 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 Federal Contractor, UTMB Health takes affirmative action to hire and advance protected veterans and individuals with disabilities. Minimum Qualifications\: Graduation from a Licensed Vocational Nurse program and licensure/permit as a vocational nurse in the state of Texas. No experience required. Current BLS required. Job Summary\: To provide direct nursing care to an assigned group of patients and performs nursing procedures within the scope of their education and demonstrated abilities. Job Duties: Provides direct nursing care to assigned patients. Participates in assessing, planning, implementing, and evaluating the nursing care given Performs admission, discharge, and transfer procedures. Uses the nursing plan of care in daily assignments, able to review, and, under supervision, modify the plan of care. Demonstrates ability to observe and record the signs, symptoms, and behaviors including the physiological status of patients, presents proposed revision of interventions, and desired outcomes Delivers the designated nursing interventions to assigned patients that are consistent with the stated medical plan of care. Notifies appropriate nursing and medical staff of changes in patient status; recognizes patient care priorities, multidisciplinary treatment plans, and potential patient care crises. Follows physician's orders in the delivery of nursing care. Maintains patient's privacy and confidentiality of information and records at all times. Safely and properly administers medications and treatments. Executes written physician's orders for assigned patients. Assembles equipment and supplies for various diagnostic or treatment procedures in the specialty service area; performs or assists others with procedures or treatments. Adheres to required infection control, isolation procedures, and aseptic techniques in the delivery of patient care. Documents nursing care in all assigned patient records. Adheres to internal controls established for department. Performs related duties as required. Work Schedule: 40 hours per week. Salary Range: Actual salary commensurate with experience.

**Texas, United States** **Hot** 1 additional location United States Nursing & Care Management HealthCare System Staffing Requisition # 2504699 To provide competent age and specialty appropriate nursing care to assigned patients and to ensure the safety and comfort of patients/families according to legal, ethical, institutional, and professional standards. Major Duties/Critical Tasks + Competently and accurately assesses patients and identifies nursing diagnosis/patient care needs. + Competently plans and prioritizes age and specialty appropriate care of each patient assigned. + Includes patient/family education in daily plan. + Communicates relevant information to appropriate health care professionals. + Ensures planned interventions are consistent with the overall plan(s) of care. + Adheres to identified discharge plan. + Is familiar with the standards of care applicable to assigned area. + Safely and properly delivers age & specialty appropriate nursing care to assigned patients. + Executes physicians' orders for all assigned patients; administers medications and treatments, and delivers appropriate competent nursing care in accordance with UTMB's policies, procedures and standards + Encourages patient/family participation in care and provides emotional support and comfort measures to them. + Competently performs routine technical procedures/skills in specialty area assigned. + Provides patient/family instruction and healthcare teaching. + Practices and promotes proper aseptic technique, infection control measures, and body mechanics. + Evaluates the patient/family response to, and outcome(s) of, implemented care and modifies the plan of care accordingly. + Competently and consistently completed accurate, concise, and legible documentation on all patient, unit, and hospital records. + Respects and supports patient rights. + Practices principles of patient and employee confidentiality. + Recognizes ethical dilemmas, utilizes available resources and seeks assistance in dealing with them. + Practices positive guest and patient relations. + Consistently communicates in a professional and courteous manner. + Reports and seeks assistance in dealing with guest complaints/concerns. + Establishes and maintains a positive rapport with patient/family. + Utilizes research-based nursing interventions and supports the unit-based quality improvement activities. + Practices cost containment for patients and the unit. + Competently prioritizes and organizes work so that required assignments are completed within a specified time frame. + Effectively and efficiently uses time, equipment, and supplies. + Functions as in interdependent and supportive team member. + Assists in maintaining a positive learning environment. + Exchanges constructive feedback with peers. + Assumes responsibility for remaining current on job-related knowledge and skills and ongoing education/in-service/credentialing/certification/licensure requirements. + Perform related duties as required. Required Education/Experience + RN with current license or valid permit to practice professional nursing in Texas. + Three (3) years full time clinical RN experience with at least two (2) years in specialty area assigned (or similar experience). + Must have current BLS, ACLS, and NRP certification obtained through American Heart Association (AHA) Equipment + Able to use equipment and related supplies for a selected patient population. + Able to use mechanical devices, such as those used in cardiopulmonary resuscitation, oxygen administration, and intravenous therapy. + Able to use related computer equipment Work Environments + Work environment is located in a comfortable indoor area. + Conditions such as noise, odors, cramped work space and/or fumes could sometimes cause discomfort. + Moderate to extreme physical effort may be required, such as walking, standing, performing CPR, and lifting materials, equipment, objects, and/or patients. + Occasional lifting may be very heavy and awkward, over 50 lbs. + Vision, hearing, talking, and sense of touch abilities must be adequate to enable one to quickly and accurately perform tasks such as reading small print, reading from monitoring equipment, defining details, sending and receiving clear and accurate oral communication. + Shift work is required at least 2 days per month. + Alertness and careful attention to detail will be required to avoid injury. + May be exposed to such occupational hazards as communicable diseases, radiation, chemotherapeutic agents, and disoriented or combative patients. Compensation + **Hiring Range: 70.00**