About The Position

The Clinical Registered Nurse (RN) II manages individualized patient care to promote and restore 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, carry out, and evaluate the multidisciplinary plan of care, and assumes a full patient assignment. The RN plans, analyzes, intervenes, and sets patient-care goals while providing nursing services to patients and families within the scope of practice defined by the Virginia Board of Nursing. The role maintains a safe care environment and delivers quality care to a specialty patient population. The RN assesses patients, prioritizes and reprioritizes care, develops individualized care plans and measurable goals, performs ordered treatments and therapeutic interventions, responds to urgent or emergent risks, and evaluates patient outcomes. The position includes patient and family education, collaboration with interdisciplinary team members, documentation, supervision of delegated care, service recovery, and participation in quality assurance and improvement activities. The RN maintains specialty competency, pursues professional development, and may serve as a preceptor or mentor or prepare for or function in a charge nurse role.

Requirements

  • Diploma or associate degree in nursing.
  • At least 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.

Responsibilities

  • Conduct individualized and ongoing patient assessments, prioritizing data collection and care according to patient needs, condition, and applicable policies, procedures, or protocols.
  • Integrate nursing interventions into multidisciplinary plans of care using appropriate standards and patient outcomes.
  • Develop and update individualized care plans and establish measurable patient goals 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 and respond to potential urgent or emergent risks, initiating emergency resuscitative measures when appropriate.
  • Manage care for a specialty patient population and provide culturally sensitive, nonjudgmental, nondiscriminatory care that protects patient autonomy, dignity, and rights.
  • Evaluate patient responses to care, initiate changes to the interdisciplinary plan when indicated, 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 education to those needs, and assess understanding within the patient's abilities.
  • Communicate with patients and families, include them in care planning, and support their treatment determinations.
  • Maintain nursing specialty competency and meet professional development and departmental education requirements.
  • Coordinate complex patient-care demands, supervise delegated care according to personnel abilities and patient acuity, and report changes in patient condition to appropriate personnel.
  • Participate in service recovery and resolve conflicts appropriately, consistently, and promptly.
  • Support appropriate resource utilization, including flexing during low census when applicable.
  • Serve as a preceptor or mentor and assist with employee orientation; may assist with instruction, direction, and evaluation of students.
  • Participate in assigned quality assurance data collection, communicate recurring practice concerns, and contribute to initiatives addressing quality indicators and unit metrics.
  • Use Centra safety behaviors, including Speak Up for Safety.
  • May participate in research or evidence-based practice projects, communicate findings to peers, interpret relevant quality-improvement data, and contribute to methods that improve care.
  • Maintain confidentiality, advocate for patients, and maintain professional nurse-patient boundaries.
  • Perform other duties as assigned.
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