Clinical Registered Nurse II - Specialty B (LGH Operating Room, FT, 4/10s)

Centra Health•Lynchburg, VA

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 position assumes a full patient assignment and plans, analyzes, intervenes, and sets patient care goals. The RN provides nursing services 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 RN assesses patients, develops and updates individualized care plans, delivers ordered treatments and nursing interventions, responds to urgent or emergent risks, and evaluates patient responses and progress. The role includes patient and family education, collaboration with the care team, supervision of delegated care, reporting changes in patient condition, service recovery, and appropriate resource utilization. The RN also supports staff orientation and mentoring, quality improvement and safety initiatives, and may participate in research or evidence-based practice projects. The RN maintains confidentiality, protects patient autonomy and rights, and serves as a patient advocate.

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 listed specialties, the applicable additional certification is required: Advanced Cardiac Life Support for Cath Lab/Electrophysiology, Operating Room, Critical Care (all), Endoscopy, PACU, Interventional Radiology, Birth Center, Centra Specialty Hospital, Outpatient Ambulatory Surgery, and Plastic Surgery; Pediatric Advanced Life Support for Pediatrics; Advanced Cardiac Life Support and Pediatric Advanced Life Support for Emergency Department.

Responsibilities

Conduct individualized and ongoing patient assessments, prioritizing data collection and reprioritizing care as the patient's condition requires.
Integrate nursing interventions into the multidisciplinary plan of care using appropriate standards of care and practice.
Develop, modify, and integrate individualized care plans with the medical plan and plans from other disciplines.
Establish measurable patient goals in consultation with patients, families, and the health care team.
Perform ordered treatments accurately and promptly, and provide therapeutic nursing interventions according to the individualized plan of care.
Recognize and respond to potential urgent or emergent risks, initiating emergency resuscitative measures as appropriate.
Manage care for a specialty patient population and collaborate with interdisciplinary team members to ensure interventions are appropriate.
Provide culturally sensitive, nonjudgmental, nondiscriminatory care that preserves patient autonomy, dignity, and rights.
Evaluate patient responses to care, initiate changes to the interdisciplinary plan when 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, adapt standard information, and assess understanding within the patient's abilities.
Communicate with patients and families about their needs, involve them in the plan of care, and support their treatment decisions.
Maintain nursing specialty competency and meet professional development and departmental education requirements.
Make sound decisions while coordinating multiple complex patient care demands, supervise delegated care based on personnel 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.
Serve as a preceptor or mentor and support employee orientation; may assist with the instruction and evaluation of students.
Be prepared for or perform the charge nurse role.
Participate in assigned quality assurance data collection, identify recurring specialty practice concerns, and contribute to quality and safety initiatives.
Use Centra safety behaviors, including Speak Up for Safety.
May participate in research or evidence-based practice projects, communicate findings and quality improvement data to peers, and contribute to methods for improving care.
Maintain confidentiality, protect patient rights, serve as a patient advocate, and maintain professional boundaries in patient-nurse relationships.
Perform other duties as assigned.