About The Position

The Clinical Registered Nurse (RN) 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 RN collaborates with physicians and multidisciplinary team members to develop, execute, and evaluate the multidisciplinary plan of care. The RN assumes a full patient assignment and plans, analyzes, intervenes, and sets patient-care goals accordingly. Nursing services are provided to patients and families within the scope of practice defined by the Virginia Board of Nursing. The RN maintains a safe care environment and delivers quality care. This specialty Emergency Room role includes assessment, planning, intervention, evaluation, patient and family education, collaboration, professional development, service recovery, resource stewardship, improvement activities, research and evidence-based practice, and ethical nursing care. The RN may serve as a preceptor or mentor and must be able to be trained for a charge nurse role or already function in that role.

Requirements

  • Diploma or Associate Degree in Nursing.
  • At least one year of Registered Nurse experience.
  • Registered nurse license in the Commonwealth of Virginia or a compact license to practice in Virginia.
  • American Heart Association BLS Provider certification.
  • For Emergency Department roles, Advanced Cardiac Life Support and Pediatric Advanced Life Support are required.

Responsibilities

  • Conduct individualized and ongoing patient assessments, prioritize data collection, and reprioritize care according to patient condition and applicable policies, procedures, and protocols.
  • Integrate nursing interventions into multidisciplinary plans of care using appropriate standards and patient outcomes.
  • Develop and modify individualized care plans that incorporate the medical plan and other disciplines’ input; establish measurable goals with patients, families, and the health care team.
  • Perform provider-ordered treatments accurately and promptly and deliver therapeutic nursing interventions under the individualized plan of care.
  • Recognize potential problems and urgent or emergent patient risks, initiate resuscitative measures as appropriate, and manage care for a specialty patient population.
  • Provide culturally sensitive, nonjudgmental, nondiscriminatory care that preserves patient and family autonomy, dignity, and rights.
  • Collaborate with interdisciplinary team members and coordinate increasingly complex patient-care demands.
  • Evaluate patient responses to care, revise interdisciplinary care plans as needed, document assessment findings and responses, and work with the specialty team to improve outcomes.
  • Identify patient and family learning needs, provide adapted education, confirm understanding within the patient’s abilities, and involve patients and families in care planning and treatment decisions.
  • Maintain nursing specialty competency and professional development; attend required education and pursue clinical development opportunities.
  • Supervise delegated care according to staff abilities and patient acuity, and report changes in patient condition to appropriate personnel.
  • Participate in service recovery and resolve conflicts appropriately and promptly.
  • Support appropriate resource utilization, including flexing during low census; serve as a preceptor or mentor and assist with staff orientation or student instruction as needed.
  • Participate in assigned quality assurance data collection, identify recurring practice concerns, and contribute to initiatives related to quality indicators and unit-based metrics.
  • Use Centra safety behaviors, including Speak Up for Safety.
  • May participate in research or evidence-based practice projects; communicate and interpret quality improvement findings and contribute to methods that improve care.
  • Maintain confidentiality, act as a patient advocate, protect patient rights and dignity, and maintain professional nurse-patient boundaries.
  • Perform other duties as assigned.
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