About The Position

The Clinical Registered Nurse (RN) I is an entry-level position for new graduate nurses who are in or finishing their new graduate orientation. The RN manages individualized patient care to promote and restore health in accordance with medical and nursing plans of care and established policies and procedures. The RN collaborates with physicians and multidisciplinary team members to develop, carry out, and evaluate the plan of care; provides nursing services within the scope defined by the Virginia Board of Nursing; and maintains a safe care environment while delivering quality care. This position is on LGH B31, a 36-private-room surgical unit. Typical patients and cases include general surgery (such as bowel obstructions, cholecystectomies, and appendectomies), wound management, stable trauma, vascular surgery, neurosurgery, bariatric weight-loss surgery, and medical-surgical care such as antibiotic treatment. The unit is a Medical Surgical Trauma Unit and holds MBSAQIP accreditation for metabolic and bariatric surgery. Centra Health is a regional, nonprofit healthcare system serving the Blue Ridge region. It has earned its fifth Magnet designation, recognizing its commitment to nursing excellence, professional development, and patient care.

Requirements

  • Diploma or Associate Degree in Nursing.
  • New graduate to six months of RN experience.
  • Registration as a registered nurse in the Commonwealth of Virginia and/or a compact license to practice in Virginia.
  • AHA BLS Provider certification.

Responsibilities

  • Conduct individualized patient assessments, prioritize data collection, and perform ongoing assessments based on patient condition and applicable policies or protocols.
  • Integrate nursing interventions into the multidisciplinary plan of care and develop or modify individualized care plans in coordination with other disciplines.
  • Establish measurable patient goals in consultation with patients, families, and the healthcare team.
  • Perform provider-ordered treatments accurately and promptly, and deliver therapeutic nursing interventions according to the individualized care plan.
  • Recognize potential problems and urgent or emergent risks, respond appropriately, and initiate emergency resuscitative measures when indicated.
  • Manage care for the assigned specialty patient population and provide culturally sensitive, nondiscriminatory care that preserves patient autonomy, dignity, and rights.
  • Collaborate with interdisciplinary team members to ensure care interventions are appropriate.
  • Evaluate patient responses to care, update interdisciplinary plans based on outcomes, document findings and progress, and work with the specialty team to improve outcomes.
  • Identify patient and family learning needs, adapt education to those needs, and assess understanding within the patient's abilities.
  • Communicate with patients and families, include them in the plan of care, and acknowledge their treatment decisions.
  • Maintain nursing competency and meet professional development needs, including required education and specialty requirements.
  • Coordinate multiple patient-care demands, supervise delegated care according to staff abilities and patient acuity, and report changes in patient condition.
  • Participate in service recovery and resolve conflicts appropriately, consistently, and promptly.
  • Support appropriate resource utilization, including flexing during low census; may begin training for charge nurse or preceptor duties if demonstrating leadership aptitude.
  • Participate in assigned quality-assurance data collection, communicate recurring practice concerns, and take part in initiatives related to quality indicators and unit metrics.
  • Demonstrate Centra safety behaviors, including Speak Up for Safety.
  • May participate in research, evidence-based practice, or quality-improvement projects and communicate or interpret relevant findings at an entry level.
  • Maintain confidentiality, act as a patient advocate, protect patient rights and dignity, and maintain professional nurse-patient boundaries.
  • Perform other duties as assigned.

Benefits

  • Eligible for a new-graduate bonus of up to $10,000.
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