Clinical Registered Nurse II - Specialty A-LGH Emergency Room-PT/11a-7p

Centra Health•Lynchburg, VA

About The Position

The Clinical Registered Nurse II manages individualized patient care by promoting and restoring patients’ health in accordance with medical and nursing plans of care and established policies and procedures. The role collaborates with physicians and multidisciplinary team members to develop, execute, and evaluate plans of care. The nurse assumes a full patient assignment and plans, analyzes, intervenes, and sets appropriate patient care goals. Nursing services are provided to patients and families within the scope of practice defined by the Virginia Board of Nursing, while maintaining a safe care environment and delivering quality care. The position assesses patients, develops and updates individualized care plans, performs ordered treatments and therapeutic interventions, responds to urgent or emergent risks, and evaluates patient outcomes. The RN educates and communicates with patients and families, collaborates with the interdisciplinary team, supervises delegated care, and reports changes in patient condition. The nurse also supports service recovery, resource stewardship, precepting and orientation, quality improvement, evidence-based practice, and ethical, confidential, patient-centered care. Other duties may be assigned.

Requirements

Diploma or Associate Degree in Nursing.
One year of registered nurse experience.
Registration as a registered nurse in the Commonwealth of Virginia and/or a compact license to practice in Virginia.
AHA BLS Provider certification.
For the Emergency Department: Advanced Cardiac Life Support and Pediatric Advanced Life Support.

Responsibilities

Conduct individualized and ongoing patient assessments, prioritize data collection, and reprioritize care based on patient condition and applicable policies and protocols.
Integrate nursing interventions into multidisciplinary plans of care using appropriate standards and patient outcomes.
Develop and modify individualized care plans and establish measurable patient goals in consultation with patients, families, and the health care team.
Perform provider-ordered treatments accurately and promptly, and provide therapeutic nursing interventions according to the individualized plan of care.
Recognize potential problems, respond to urgent or emergent risks, and initiate emergency resuscitative measures when appropriate.
Manage care for a specialty patient population and provide culturally sensitive, non-discriminatory 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 care plans as needed, and work with the specialty team to improve outcomes.
Document assessment findings, responses to interventions, and progress toward resolving patient problems.
Identify patient and family learning needs, provide adapted education, assess understanding within the patient’s abilities, and involve them in the plan of care.
Assess and meet personal learning and professional development needs, maintain current specialty competency, and attend required educational programs.
Make sound decisions when coordinating complex patient care demands, supervise delegated care according to personnel abilities and patient acuity, and report changes in condition.
Participate in service recovery and resolve conflicts appropriately, consistently, and promptly.
Support appropriate resource utilization, including flexing during low census.
Serve as a preceptor or mentor and work with employees through planned department orientation; may assist with student orientation, instruction, direction, and evaluation.
Be prepared to take on the charge nurse role or perform charge nurse duties.
Participate in assigned quality assurance data collection, identify recurring specialty practice concerns, and contribute to initiatives based on quality and specialty indicators.
Demonstrate Centra safety behaviors, including Speak Up for Safety.
May participate in research or evidence-based practice projects; communicate and interpret relevant findings and contribute to methods that improve care quality.
Maintain confidentiality, advocate for patients, protect patient autonomy, dignity, and rights, and maintain professional nurse-patient boundaries.
Perform other duties as assigned.