Operating Room Nurse jobs at UTMB HEALTHCARE SYSTEMS

**Galveston, Texas, United States** **New** 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** **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 # 2506298 **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. OR experience highly preferred. **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

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 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

**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 # 2502687 **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 # 2505944 **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 # 2506035 **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.

ORGANIZATIONAL DESCRIPTION The Registered Nurse (RN) is a licensed professional who assesses the patient, identifies nursing diagnoses based on responses to health problems, develops and implements an individualized plan of care, and evaluates the patient's response. The RN promotes safe passage for the patients by using knowledge of patient needs and the healthcare environment to assist patients to transition through the healthcare encounter without any preventable complications or delays. The RN delegates interventions to health care personnel based on the Texas Nursing Practice Act, each patient's condition and the competencies of the employee. INTERACTION Primarily Interacts with: administration, physicians, employees, clinical and non-clinical departments, patients, and visitors. PRIMARY FUNCTIONS Systematically evaluate the quality and effectiveness of nursing practice, including, but not limited to, nursing sensitive indicators. Create a compassionate, supportive, safe and therapeutic environment for patients, families and staff. Develop therapeutic relationships with patient and family and maintains appropriate boundaries. Manage both emotional and physical pain with the aim of promoting comfort and healing and preventing unnecessary suffering. Set priorities and assure the completion of care for all assigned patients. Give pertinent, accurate, concise organized reports and documents on record accordingly and inputs or retrieves information from Electronic Medical Record. Develop, interpret, implement, evaluate, and document a plan of care for each patient using the nursing process. Accurately assess all body systems (Respiratory, GI, GU, etc.) with emphasis on system requiring medical attention. Recognize and report significant changes in patient's condition to appropriate person. (i.e. charge nurse, physician) Assess patient's response to illness and hospital environment. Assess patient's needs for discharge planning involving education, home health, or skilled nursing home placement. Initiate written plan of care for each patient within 24 hours of admission. Review nursing plan of care daily and as patient status changes. Update plan daily by making entry on care plan and nursing notes. Include patient, family and other members of health care team, as appropriate in planning care. Administer medications to patients as prescribed by the physician and assess the effects. Administer blood and blood products as prescribed by the physician in a timely manner. Accurately transcribes and implements physician's orders. b. Accurately assesses desired and adverse effects of all medications given. c. Maintains documentation of medication administration (MAR, nurses notes, IV flow sheet) d. Demonstrates knowledge of dose specific to age/weight of patients. e. Documents blood transfusion therapy per policy. Able to provide relief to charge nurse. Able to respond to Emergency Department, if needed. Coordinate and direct care provided by other members of the nursing team. Delegate and direct nursing care/tasks to other members of the nursing team according to their skill level and in conformance with the Nurse Practice Act. Communicate effectively with other members of the nursing team. Assist other members of the nursing team in planning, implementing and evaluating patient care, taking in consideration patient's age and other special needs. Monitor the performance of members of the nursing team for which he/she is responsible of a daily basis. Instruct/teach staff in areas of weakness Corrects staff constructively, if errors are made. Utilize appropriate interpersonal skills when collaborating with interdisciplinary team members. Implement appropriate medical plan of care. Develop care plan that involves other disciplines of patient assessment, interventions and evaluations of that care. Manage self, patient and other employees in any emergency situation. Assist with orientation of new employees. Participate in quality/performance improvement initiatives. 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: 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, computer, telephone, facsimile machine, copier, scanner, printers, calculator and other standard office equipment. EDUCATION/EXPERIENCE/SKILLS/ABILITIES Education: Graduate of an accredited school of professional nursing as evidenced by RN Texas state licensure. Bachelors Degree preferred. BLS, ACLS, and PALS required. TNCC certification within 6 months of hire required. Experience: One year of experience preferred but not required. Personal Job-Related Skills / Abilities: Knowledge and understanding of nursing and patient care standards and procedures Knowledge of medical and professional nursing ethics and patient privacy rights. Must be committed to quality and patient safety at all times. Must have critical thinking and problem-solving skills. Ability to provide age-specific, quality, patient-centered care to all patients through the nursing process and standards of nursing practice with sensitivity and respect for the diversity of human experience and to develop, evaluate, implement and, as necessary, modify a patient care plan to meet the needs of individual patients. Excellent command / highly proficient in spoken and written English; Spanish bilingual 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: 50 Standing: 80 Pulling: 25 Kneeling: 50 Reaching: 50 Sitting: 10 Lifting up to 50 lbs: 30 Pushing: 25 Wrist/Finger Movements: 90 Bending: 50 Climbing: 10 Mental: Stress Level 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. Falling Star Program BLS/ACLS/PALS/TNCC 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 Fume/Odor Hazards Dust/Mite Hazards Chemical Hazards Toxic Waste Hazards Radiation Hazards Wet Hazards Heights 67%+ Working Indoors Other: Shifts: 12 hour shifts, Irregular hours, consecutive days 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 a patient's and 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.

ORGANIZATIONAL DESCRIPTION The Registered Nurse (RN) performs those activities for which the RN has been prepared through education and training. The RN provides nursing supervision in the planning for and provision of nursing care to patients and directs and evaluates care given by other licensed nurses and personnel and within scope of practice. The RN provides education, assesses needs, plans for, implements, evaluates and documents care being provided by nursing staff to each patient. The RN is responsible both for nursing care directly provided by that nurse and the care provided by others under her/his supervision. INTERACTION Primarily Interacts with: administration, physicians, employees, clinical and non-clinical departments, patients, visitors, and volunteers. PRIMARY FUNCTIONS Utilize the nursing process by demonstrating appropriate assessment, planning, implementation, and evaluation of the patient's care. Assess the patient; collect and document the patient's current health status and medical history. Complete and/or review Admission Data Record as defined by policy. Make accurate and ongoing assessment of patient's status and respond appropriately. Plan/Implement; set priorities for nursing actions in a logical sequence according to patient's needs and formulate a plan of care by the appropriate selection of Nurse Practice Standards. The Plan of Care is initiated on patient admission based on all aspects of the initial assessment. Plan includes physiological, psychosocial, and environmental factors: patient/significant other education and patient discharge planning. Evaluate; perform ongoing assessment and revise plan of care based on new data and patient's condition. Document accurate and ongoing assessment of patient status. Document patient care which reflects nursing intervention, patient response to care provided, patient needs, problems, capabilities, limitations, and progress toward goals. Documentation includes evidence of appropriate patient/significant other teaching, and the understanding of these instructions is noted in the medical record. Communicate with the physician regarding patient needs, the nursing assessments, and recommendations. Collaborate with other nurses and health team members to ensure the patient's wellbeing. Teach patient/significant other appropriate health information in a timely manner and share written informational material. Perform direct patient care, utilizing established procedures, policies, and standards as evidenced by client/staff feedback and Operations Coordinator observation. Administer medications according to policy and procedure Administer IV's according to policy and procedure. Observe and document patient's response to pertinent medications. Demonstrate ability and appropriate technical skills when administering treatments and procedures in accordance with physician's orders and policy and procedure (done within a timely manner). Demonstrate necessary skills and knowledge to provide care for patients according to policy and procedure. Demonstrate necessary skills and knowledge to provide care for patients according to division/unit specific competencies. Demonstrate ability to handle emergency situations in a prompt, precise, and professional manner. Provide personal patient care to provide comfort and well-being to the patient, acknowledging physiological and psychological needs. Perform indirect patient care, utilizing established procedures, policies, and standards. Give a thorough, concise report at change of shift. Demonstrate accurate and timely documentation according to hospital policy. Maintain a clean, neat, and safe environment for patient and staff according to policy and procedure. Demonstrate correct and safe technique in the use of equipment according to specific product information. Follow appropriate procedure for obtaining and returning or cleaning/disposing of equipment and supplies. Assist patients, family members or other clients with concern and empathy; respect their confidentiality and privacy and communicate with them in a courteous and respectful manner. Answer and refer telephone calls or other inquires to ensure accurate and timely communications are facilitated. Systematically evaluate the quality and effectiveness of nursing practice. Participate in quality of care activities as appropriate to the individual's position, education, and practice environment. Utilize the results of quality of care activities to initiate changes in practice. Utilize the results of quality of care activities to initiate changes throughout the health care delivery system, as appropriate. Evaluate his/her own nursing practice in relation to professional practice standards and relevant statues and regulations. Engage in performance appraisal on a regular basis, identifying areas of strength as well as areas for professional/practice development. Seek constructive feedback regarding his/her own practice. Take action to achieve goals identified during performance appraisal. Acquire and maintain current knowledge in nursing practice. Participate in ongoing education activities related to clinical knowledge and professional issues. Seek experiences to maintain clinical skills. Seek knowledge and skills appropriate to the practice setting. Demonstrate an integration of knowledge and clinical competence. Contribute to the professional development of peers, colleagues, and others. Share knowledge and skills with colleagues and others. Provide peers with constructive feedback regarding their practice. Mentor novice nurses and those new to the specialty. Contribute to an environment that is conducive to clinical education of nursing students, as appropriate. Decision and actions on behalf of patients are determined in an ethical manner. Assume the role of patient advocate. Deliver care in a nonjudgmental and nondiscriminatory manner that is sensitive to diversity. Deliver care in a manner that preserves/protects patient autonomy, dignity, and rights. Collaborate with the patient's significant others, and health care providers in providing patient care. Communicate with the patient's significant others and health care providers regarding patient care and nursing's role in the provision of care. Maintain confidentiality consistent with the rules and regulations of state and federal government. Consult with health care providers for patient care, as needed. Make referrals, including provisions for continuity of care, as needed. Consider factors relating to safety, effectiveness, and cost in planning and delivering patient care. Promote a safe and therapeutic environment for the recipients and providers of nursing care. Integrate components of the nursing process: assessment, diagnosis, outcome identification, planning, implementation, and evaluation. Individualize care and set priorities to address the patient's physical, psychological, educational, and social needs. Articulate the plan of care to other members of the health care team to promote collaborative efforts in achieving outcomes. Document the integrated components of the nursing process to show responses to interventions. Foster the development, regular review, and revision of evidence-based practice guidelines and organizational policies and procedures. Participate in the integration of caring into the practice environment. Demonstrate maturity and accountability for job performance. Support the philosophy, objectives and goals of the department and assesses areas of personal and professional growth. Demonstrate good judgment and analytical ability in preparing work for review. Promote confidence and uses complete discretion when discussing information. Maintain calm and effective behavior during stressful situations. Inspire confidence from callers, visitors, co-workers by remaining well informed and prepared at all times. Attentive to detail, record keeping and required paperwork inherent to the position. Demonstrate effective delegation skills. Complete assignments accurately and on time. Willingly accept assignments to special projects. Adjust personal schedule to complete assignments. Maintain assigned equipment, reports malfunction and orders services as necessary. Responsible for charging of supplies utilized. Participate in the required continuing education programs, including safety storm, and utilizes the information in area(s) of practice as evidenced by attendance records or certificates. Participate in performance improvement activities, including data collection, development of indicators, and evaluation criteria. Float to other areas as assigned with the proper orientation to these areas; respond to floating requests with a positive attitude. Demonstrate adherence to infection control policies as evidenced by in-service attendance records and employee practices. Notifies the Infection Control Practitioner of real or potential exposures. Demonstrate knowledge of OSHA regulations. Comply with OSHA regulations regarding Blood borne Pathogens Exposure Control Plan. Comply with OSHA regulations regarding TB Exposure Control plan. Demonstrate knowledge of the Hazardous Waste Management Plan. Appropriately segregate waste at the point of origin. Discard waste in appropriate bags, receptacles, etc. Demonstrate adherence to the safety policies as evidenced by in-service attendance records and employee practices. Demonstrate an understanding of fire drills, internal/external disaster plans and procedures, and evacuation procedures as evidenced by in-service records and participation in drills. Demonstrate adherence to risk management policies as evidenced by in-service attendance records and employee practices. Submit incident reports according to hospital policy. Notifies the Risk Manager of incidents involving injury or having the potential for injury. 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/PALS or ENPC Experience: One year nursing experience preferred. 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: 50 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: 5 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 Fume/Odor Hazards Dust/Mite Hazards Chemical Hazards Toxic Waste Hazards Radiation Hazards Wet Hazards Heights Other Conditions 67%+ Working Indoors 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

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 ************************

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 ***************************

The mission of Correctional Managed Care is to address the healthcare needs of underserved patient populations within the Texas Department of Criminal Justice (TDCJ) and the Texas Juvenile Justice Department (TJJD). : To provide direct nursing care to an assigned group of patients and performs nursing procedures within the scope of their education and demonstrated abilities. ESSENTIAL JOB FUNCTIONS : Provides direct nursing care to assigned patients. Participates in assessing, planning, implementing and evaluating the nursing care given. Performs admission, discharge, and transfer procedures. Using 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 the3 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 state 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 deliver 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 deliver of patient care. Documents nursing care in all assigned patient records. Adheres to internal controls and reporting structures. Performs related duties as required. EQUIPMENT : Standard patient care supplies, equipment and mechanical devices. WORK ENVIRONMENT : Located within the confines of a prison, jail or juvenile detention center. Security clearance is required; pre-employment drug testing is also required. REQUIRED EDUCATION/EXPERIENCE : High school or equivalent. Graduation from a Licensed Vocational Nurse Program and current license/permit as a vocational nurse in the State of Texas. No experience required. Current BLS-HP required. Will consider recent graduates with temporary permits. Salary is commensurate with years of relevant work 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.

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.

**Galveston, Texas, United States** Nursing & Care Management UTMB Health Requisition # 2504959 **Minimum Qualifications:** RN with six months of clinical RN experience and/or successful completion of probationary NC I period documented on nursing evaluation 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. 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. 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 VEVRAA Federal Contractor, UTMB Health takes affirmative action to hire and advance women, minorities, protected veterans and individuals with disabilities Compensation

**Galveston, Texas, United States** **Hot** 1 additional location United States Nursing & Care Management HealthCare System Staffing Requisition # 2505152 The ECMO Specialist (ES) is a licensed allied health care professional with a strong clinical background in neonatal, pediatric and/or adult critical care and advanced cardiopulmonary support. The ES has ≥ 2 years ICU experience or completion of an accredited cardiovascular perfusion training program. The ES is responsible for the coordination of clinical care for patients requiring the support of extracorporeal life support (ECLS) & mechanical circulatory support (MCS) devices under the direction & supervision of credentialed ECMO and advanced heart failure physicians. The ES adheres to the policies, guidelines & best practices set forth by the director, manager & coordinator of the ECMO department. The ES plays a key role in device management, patient monitoring, emergency response, and quality improvement initiatives. **Clinical Level Detail** The ECMO Specialist (ES) is a competent technical specialist, preceptor & ECMO primer. The ES is a proficient clinician in two high acuity clinical environments where care of an ECLS or MCS patient is provided (2 ICU's or Any ICU + OR, CVL, Transport etc.) & in two patient populations (Adult, Pediatric &/or Neonatal). **Clinical Level Minimal Experience** The required experience to qualify as an ES is ≥ 2 years' experience as an ES; or completion of an accredited program in cardiovascular perfusion, nursing, or respiratory therapy. Completed annual required hands-on drills, simulations & passed annual competency examination(s) for an ES. Completed clinical ECMO orientations in two patient populations (Adult, Pediatric &/or Neonatal). **Clinical Level Responsibilities** The ES is trained to independently prime, operate, troubleshoot & manage ECLS & MCS devices. The ES can independently initiate support & manage advanced ECLS & MCS care plans. The ES can independently troubleshoot clinical scenarios. The ES is trained to independently manage ECLS & MCS emergencies and coordinate the allied health care team to implement major interventions. The ES is a clinical preceptor and resource for level I & II specialists. MAJOR DUTIES / CRITICAL TASKS: **Programmatic Responsibilities** · **Education** : Collaborates with ECMO team leadership and contributes to education, training, precepting & mentoring of all ES I & II team members. · **Equipment:** Assists leadership with equipment maintenance, cleaning & troubleshooting of ECMO, MCS & ECMO monitoring equipment. Ensures backup ECMO circuit is primed & ready for use each shift. **Technical Specialist Responsibilities** · **Patient Identification:** Collaborates with multidisciplinary physician teams to identify patients indicated for ECLS or MCS therapies and in concordance with ECMO physician guides care team to adhere to indications and contraindications as found in program guidelines and policies. · **Initiation of Support:** Coordinates & collaborates with multidisciplinary care team to prepare patient and environment for the timely and safe initiation of ECLS or MCS support. · **Patient Management & Monitoring on Support** : Assess and manage patient clinical needs, including but not limited to patient assessment, hemodynamic monitoring, NIRS, blood gas interpretation, laboratory results, fluid balance, nutrition, respiratory support, neurologic status, infection control, sedation, pain management, hematology, and cardiac function. · **Documentation:** In collaboration with bedside clinician, follows department guidelines for EMR documentation. Utilizes the ECMO flow sheet & EMR to maintain ongoing detailed documentation of the ECMO case. This includes hourly charting in flowsheet, progress & procedure notes, events, complications, physician communication, input & output, medication, blood administration & physical assessment documentation associated with monitoring the delivery of ECMO therapy. · **Diagnostic Testing** : Coordinates with care team to ensure safe execution and delivery of diagnostic testing such as x-ray, ultrasound, echocardiography, EEG including safe and timely transportation to CT, invasive lab or operating room. Evaluates chest x-rays for endotracheal tube, ECMO cannula, or MCS device position & placement. · **Extracorporeal VAD Management** : Assist the physician during insertion of extracorporeal VAD devices; manage and troubleshoot equipment issues such as pump failures or circuit occlusions; monitor and optimize patient hemodynamics (e.g., flow rates, pressure support) and anticoagulation strategies to prevent thrombosis or bleeding; coordinate discontinuation and removal processes, ensuring safe weaning and device explanation. · **Percutaneously Inserted VAD Management** : Assist the physician during percutaneous insertion; manage and troubleshoot device-specific issues like position migration or suction events; assess patient hemodynamics and anticoagulation protocols; oversee discontinuation, including safe removal and post-removal monitoring. · **Implanted VAD Management** : Assist the physician & VAD coordinator during surgical implantation; manage and troubleshoot equipment such as driveline issues or pump thrombosis; evaluate and fine-tune patient hemodynamics and long-term anticoagulation strategies; facilitate discontinuation through explanation or transition to other therapies, following the guidance of the VAD coordinator. · **ECLS Circuit Priming and Initiation** : Prepare and prime ECLS circuits, including pumps, oxygenators, heat exchangers, shunt lines and associated components, ensuring sterility and functionality prior to patient connection. · **ECLS Circuit Blood Priming** : Safely blood primes ECMO circuits for patients as indicated by department guidelines, policies or as requested by cannulating ECMO physician. Maintains competency in strategies to anticoagulate, buffer, correct electrolytes, wash, hemoconcentrate & interpret ECMO circuit blood gases. · **ECMO Circuit Maintenance** : Continuously monitor and maintain ECMO circuit integrity, including adjusting blood flow rates, monitoring pressure gradients, to prevent complications like hemolysis or clot formation. · **ECMO Circuit Evaluation** : Using in-line tools and blood gas analyses to calculate metrics such as oxygen consumption (VO 2 ), oxygen delivery (DO 2 ), oxygen transfer rate, recirculation & sweep gas adjustment rate. · **ECMO Circuit Troubleshooting** : Identify and resolve issues such as circuit leaks, component failures, or suboptimal performance, including elective or emergent component changes when indicated. · **Anticoagulation Management on ECMO** : Monitor and adjust anticoagulation levels to balance the risk of circuit thrombosis and patient hemostasis. · **Clot Formation Management** : Evaluate clot formation through staging (e.g., visual inspection, pressure monitoring), triage severity, and recommend anticoagulation adjustments to mitigate risks of major patient events such as embolism or circuit failure. · **CVVHD/Hemodialysis Management (e.g., Prismaflex, NxStage, Aquadex)** : Assist in setup of continuous veno-venous hemodiafiltration (CVVHD) or hemodialysis devices integrated into the ECMO circuit; monitor therapy parameters including dialysate flow, ultrafiltration rates, electrolyte balance, and fluid removal; manage ongoing therapy by adjusting settings for optimal clearance and patient stability; troubleshoot issues such as filter clotting, pressure alarms, or access problems, following hospital guidelines for renal replacement therapy in ECMO patients. · **ECMO Circuit Ultrafiltration Techniques** : Safely crystalloid prime & insert hemofilter into the ECMO circuit shunt line. Implement slow continuous ultrafiltration (SCUF), zero-balance ultrafiltration (ZBUF), or countercurrent hemodialysis (CVVHD) using the ECMO circuit hemoconcentrator. Monitor & document fluid input & output, ultrafiltration volumes, patient hemodynamics, and electrolyte shifts; manage and troubleshoot blood & ultrafiltration flow rates, circuit integration issues and replace or remove hemoconcentrator as indicated. · **Cytokine and Inflammatory Marker Removal** : Safely crystalloid prime & insert cytokine absorbers into the ECMO circuit for removal of cytokines, endotoxins, and inflammatory markers as ordered by ECMO physician; monitor adsorption efficiency, absorber performance, and patient inflammatory biomarkers; manage and troubleshoot blood flow rate, adsorber saturation & circuit integration issues. Replace or remove cytokine absorber as indicated. · **Medication Administration to ECMO Circuit** : Following physician guidance and orders, administer patient-required medications directly into the ECMO circuit, collaborate with ECMO physician and reports concerning circuit sequestration & drug efficacy. Maintains up to date knowledge & understanding of the pharmacokinetic effects of all drugs and treatments given to the patient via the ECMO circuit. Examples but not limited to, vasoactive drip titration (e.g., adjusting norepinephrine or vasopressin doses for hemodynamic stability), sedatives, analgesics, antibiotics, and other supportive agents; monitor drug levels and effects, troubleshooting suboptimal responses or interactions. · **Blood Product Administration to ECMO Circuit** : Following physician guidance & orders, administer blood products (e.g., packed red blood cells, platelets, fresh frozen plasma, cryoprecipitate) via the ECMO circuit to maintain target blood count parameters and physician guided platelet & coagulation cascade functionality; monitor transfusion effects on circuit function and patient hemostasis; troubleshoot & monitor for transfusion-related complications & reactions. · **ECMO Circuit Flow Management** : Manage all ECMO circuit flows. Follow guidelines to set alarms, interpret changes in pressures, communicate concerns with ECMO physician & care team, coordinate appropriate interventions to resolve deviations greater than 10% from physician-ordered patient flow. · **Troubleshooting ECMO System Alarms** : Interpret and troubleshoot ECMO system alarms, triaging the need for planned, staged or emergency interventions. Communicate with care team and ECMO leadership to implement component, circuit or equipment exchanges in a safe and timely manner. · **Troubleshooting Ancillary Equipment Functionality & Alarms** : Address alarms from any device connected to the ECMO circuit, triaging the need for replacement and coordinating with ECMO leadership & patient care team to replace equipment in a safe and timely manner. · **ECMO Transport** : Safely lead and coordinate inter-facility and intra-facility ECMO transport. Ensure safe patient handling, circuit integrity, ECMO equipment functionality and ordered ECMO flows are maintained. · **Weaning, Withdrawal & Decannulation from ECMO** : Assess patient readiness for weaning & follow guidelines & physician orders to safely wean ECMO flow (V-A/V-PA) or sweep gas (V-V). Coordinate patient care team to safely transition patient off ECMO and ensuring vent settings are no longer in "ECMO rest settings" and inotropic support is available. Assist ECMO physician in decannulation procedure. Compassionately support family and coordinate with ECMO physician and care team to withdraw ECMO when end of life measures are ordered. **Emergency Responses** The ECMO Specialist will master the necessary skills with repeated clinical drills until meeting the ECMO director, manager, and/or coordinators' expected time and best practice goals in response to ECMO emergencies. These guidelines & goals are set to minimize loss of flow & reduce risk of secondary harm that may occur during the interruption of extracorporeal life support therapy. Emergency response training includes, but not limited to: · **Power failure** : Ensure equipment is connected to generator backed red outlet. If power failure is extended ensure backup equipment is readily available to swap consoles prior to battery depletion. · **Equipment Failure & Hand Cranking** : Triage the need for emergency hand cranking, coordinating with the allied health care team to start emergency ventilation & patient management strategies. Hand crank to maintain goal-directed flow using visual indicators of RPM's and patient vital signs. Coordinate the replacement of failed ECMO system components. · **Blood Pump Failures** : Rapidly triage and differentiate blood pump failures (clotted cone, decoupling), mitigate loss of flow possible, clamp circuit if not and safely & rapidly replace failed blood pump or circuit. · **Air Entrainment** : Detect and eliminate air bubbles in the circuit using bubble detectors and de-airing techniques, clamp ECMO circuit, isolate patient from air embolism, remove air from circuit and re-establish flow. Replace entire circuit if unable to clear air from a mass air entrainment. Investigate and identify the cause of air entrainment and resolve prior to initiating flow to the patient & through the circuit. · **Cannula Dislodgement** : If an ECMO cannula dislodges, clamp dislodged cannula, coordinating with the care team & ECMO physician for immediate surgical intervention while maintaining patency of functioning cannula and attempting to salvage ECMO circuit. Prepare backup circuit for circuit exchange if indicated. Support cannulating physician with re-insertion or exchange of dislodged cannula and safely initiating ECMO. · **Cannula Malpositioning or Impedance of Flow** : Manage cannula malpositioning or flow impedance by interpreting circuit pressures to identify the cannula with increased impedance. Reposition patient or attempt to correct cannula malpositioning to re-establish goal flow. If impedance is unresolvable, contact cannulating physician. Coordinating patient stabilization, positioning and diagnostic imaging to further investigate impedance. Prepare for surgical interventions, mechanical thrombectomy, or cannula exchange if indicated. · **Uncontrolled Hemorrhage** : Manage acute or uncontrolled bleeding by administering fluids or blood products to ECMO circuit to maintain goal flow and stopping anticoagulation. Assist care team by utilizing ECMO circuit as a method of rapid & mass transfusion. · **Advanced Life Support (ACLS, PALS, BLS):** Collaborate with the multidisciplinary team to stabilize hemodynamics of the patient and adjust ACLS & PALS algorithm to augment the support capabilities of the current ECLS or MCS strategy. · **Circuit Exchange** : Triage the need for planned or emergent circuit exchange and coordinate with the allied health care team safely complete a full circuit exchange if indicated. · **Circuit Tubing or Component Fracture, Rupture or Failure:** Respond to circuit tubing or component fracture, rupture or failure by clamping affected sections, replacing tubing or component and restoring circuit integrity to minimize loss of support & prevent blood loss or air entrainment. · **Circuit Obstruction of Flow** : Detect and correct obstruction of flow by evaluating circuit pressures, identifying problem location and visually inspecting for kinks, clamps or thrombus. Repositioning tubing, components, holders & brackets to restore optimal flow. If obstruction is unresolvable due to internal obstruction/thrombosis, triage the need use push-pull techniques for mechanical thrombectomy or to replace section, component or entire circuit and execute appropriate action to restore goal flow. · **Oxygenator Failure** : Manage oxygenator failure by monitoring blood flow & gas exchange metrics (e.g., rising pressure drops or reduced oxygenation and/or ventilation), triaging for immediate or planned replacement & coordinating oxygenator or circuit change-out procedure with care team. KNOWLEDGE/SKILLS/ABILITIES · Satisfactory maintenance of clinical competencies for level of position · Satisfactory completion of 90% and above on annual ECMO exam · Satisfactory completion of required special procedure classes · Knowledge regarding quality improvement and standards of care within practice area · Experience teaching patients and families · Excellent communication skills · Knowledge of and ability to evaluate and assess arterial blood gas measurements · Ability to respond to emergent or stressful situations appropriately, calmly, and in a timely manner REQUIRED EDUCATION / EXPERIENCE: **·** **Licensed as Respiratory Care Practitioner AND RRT OR CRRT Credentialed by the National Board for Respiratory Care OR Registered Nurse license in the state of Texas OR Certified Clinical Perfusionist (CCP) as recognized by the American Board of Cardiovascular Perfusion (ABCP) AND State of Texas Licensure as a Licensed Perfusionist** + Graduate of a Commission on Accreditation for Respiratory Care (CoARC) accredited School for Respiratory Care OR Degree in Nursing OR Graduate of Perfusion Program Preferred Baccalaureate degree and certification in care specific area + Two (2) years directly related critical care experience in adult or neonatal and/or pediatric care including patient assessment, technical skills and psychosocial aspects of care. + Two (2) yearsof experience as an ECMO Specialist (ECMO Primer) & maintains active competencies to prime and initiate ECMO · Bachelor's Degree or higher in allied health or healthcare related discipline + Must have current ACLS, BLS, and PALS obtained through American Heart Association (AHA) **WORKING ENVIRONMENT/EQUIPMENT** + May be required to travel in ambulance with patient. + May be exposed to such occupational hazards as communicable diseases, blood borne pathogens, ionizing & non-ionizing radiation, hazardous medications and disoriented or combative patients or others. + Standard office equipment, standard patient care supplies, and other related equipment. + Conditions such as noise, odors, cramped workspace 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. Frequent lifting over 20 lbs. may occur. + Occasional lifting may be 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 and written communication. + Frequent periods of concentrated or focused attention will be needed to interpret visual, auditory, and sensory inputs. + Alertness and careful attention to detail will be required to avoid injury. + Manual dexterity in order to operate equipment. + Ability to assist with positioning and transporting patients, pushing beds, carts and wheelchairs. + Requires corrected hearing and vision to normal range. + Possibility to work overtime at times to care for ECMO patients. + Staffing Scheduling - Will respond to ECMO activation within 120 minutes + Primer Scheduling - Not required. If volunteering for primer scheduling, willrespond to ECMO activation calls within 60 minutes and will communicate & collaborate with leadership regarding all activations. Any qualifications to be considered as equivalents in lieu of stated minimums require the prior approval of the Executive Director of Human Resources. Compensation + **Hiring Range: 100.00**