Clinical Registered Nurse II-Specialty A-SCH ED-FT/7p-7a

Centra Health•Farmville, 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 RN collaborates with physicians and multidisciplinary team members to develop, execute, and evaluate the plan of care; assumes a full patient assignment; and plans, analyzes, intervenes, and sets patient-care goals. The role provides nursing services to patients and families within the scope of practice defined by the Virginia Board of Nursing, maintains a safe care environment, and delivers quality care. The RN provides specialty patient care through assessment, planning, intervention, and evaluation. The role includes recognizing and responding to urgent or emergent risks, initiating resuscitative measures when appropriate, educating patients and families, coordinating care with interdisciplinary teams, supervising delegated care, and supporting service recovery and appropriate resource use. The RN also contributes to professional learning, quality improvement, safety, research or evidence-based practice activities, and may precept or mentor employees, assist with student orientation, and take on or prepare for a charge nurse role.

Requirements

Diploma or associate degree in nursing.
One year of registered nursing 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 or protocols.
Integrate nursing interventions into multidisciplinary plans of care using appropriate standards and patient outcomes.
Develop and modify individualized care plans incorporating the medical plan of care, other disciplines’ plans, and standards of care; establish measurable goals with patients, families, and the care team.
Perform ordered treatments accurately and promptly, and provide therapeutic nursing interventions for patients and families.
Recognize potential problems and urgent or emergent risks, respond appropriately, and initiate emergency resuscitative measures when indicated.
Manage care for a specialty patient population and provide culturally sensitive, nonjudgmental, nondiscriminatory care that preserves patient autonomy, dignity, and rights.
Collaborate with interdisciplinary team members to ensure interventions are appropriate and coordinate multiple, increasingly complex patient-care demands.
Evaluate patient responses to care, initiate changes to the interdisciplinary plan as needed, and problem-solve with the specialty team to improve outcomes.
Document assessment findings, patient responses to interventions, and progress toward resolving problems.
Identify patient and family learning needs, adapt teaching to those needs, assess knowledge within the patient’s abilities, and include patients and families in care planning.
Maintain professional competency and meet learning and development needs, including required education and specialty requirements.
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, promptly, and consistently.
Support appropriate resource utilization, including flexing during low census when needed.
Serve as a preceptor or mentor and work with employees on planned departmental orientation; may assist with orientation, instruction, direction, and evaluation of students.
Prepare for or function in a charge nurse role.
Participate in assigned quality assurance data collection, identify recurring specialty practice concerns, and contribute to initiatives based on quality indicators and unit metrics.
Demonstrate Centra safety behaviors, including Speak Up for Safety.
May participate in research or evidence-based practice projects; communicate research and quality improvement findings to peers; interpret relevant quality improvement data; and contribute to methods for improving care in deficient areas.
Maintain confidentiality, advocate for patients, and maintain professional nurse-patient boundaries.
Perform other duties as assigned.