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; assumes a full patient assignment; and plans, analyzes, intervenes, and sets patient care goals. The RN provides 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 role includes assessing patients, developing and adapting individualized care plans, providing ordered treatments and therapeutic nursing interventions, responding to urgent and emergent risks, and evaluating and documenting patient responses. The RN identifies and addresses patient and family learning needs, supports their participation in care decisions, and collaborates with the interdisciplinary team. The position also involves professional development, delegation and supervision of care, service recovery, resource stewardship, orientation and mentoring, quality improvement activities, and maintaining patient confidentiality and professional boundaries. Other duties may be assigned.

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.
  • Specialty-specific advanced life support certification requirements apply: ACLS for the listed specialties; PALS for Pediatrics; and both ACLS and PALS for the Emergency Department.

Responsibilities

  • Conduct individualized and ongoing patient assessments, prioritize data collection, and reprioritize care according to the patient’s condition and applicable policies, procedures, or protocols.
  • Integrate nursing interventions into the multidisciplinary plan of care and develop, modify, and integrate individualized care plans with measurable patient goals.
  • Perform provider-ordered treatments accurately and promptly, and deliver therapeutic nursing interventions according to the patient’s individualized plan of care.
  • Recognize potential problems and urgent or emergent patient risks, initiate appropriate resuscitative measures, and manage care for a specialty patient population.
  • Provide culturally sensitive, non-judgmental, non-discriminatory care that preserves patient and family autonomy, dignity, and rights.
  • Collaborate with interdisciplinary team members to ensure appropriate patient care interventions.
  • Evaluate patient responses to care, update interdisciplinary care plans based on outcomes, problem-solve with the specialty team, and document assessments, responses, and progress.
  • Identify patient and family learning needs, adapt standard teaching to those needs, assess demonstrated understanding within the patient’s abilities, and include patients and families in the plan of care and treatment decisions.
  • Maintain nursing specialty competency and meet professional development needs; attend required education and may participate in additional workshops, professional publications, networks, or societies.
  • Make sound decisions coordinating multiple and increasingly complex care demands, supervise delegated care according to staff abilities and patient acuity, and report patient condition changes to appropriate personnel.
  • Participate in service recovery and use appropriate resources during complex situations; handle conflict resolution appropriately, promptly, and consistently.
  • Support appropriate resource utilization, including flexing during low census; serve as a preceptor or mentor and support employee orientation; and assist with student orientation, instruction, direction, and evaluation as applicable.
  • Be ready to learn the charge nurse role, be trained for it, or function in that role.
  • Participate in assigned quality assurance data collection, communicate recurring specialty practice concerns, and participate in initiatives related to nurse-sensitive, quality, specialty, or unit-based 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 that improve care in identified deficient areas.
  • Maintain confidentiality in accordance with Centra policies, advocate for patients, and maintain professional patient-nurse boundaries.
  • Perform other duties as assigned.
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