About The Position

The Clinical Nurse I integrates technical skills and theoretical knowledge to meet the needs of patients and families. The role supports prevention of illness and injury, wellness, and comfort; provides direction and education; and begins developing unit-level leadership skills. It delivers and accurately documents direct, age-specific care according to medical orders and an integrated multidisciplinary plan, and safely administers prescribed medications while identifying incompatibilities or interactions. The Clinical Nurse II demonstrates mastery of clinical skills and begins applying that knowledge to a specific patient population. The role supports prevention, wellness, and comfort; recognizes changes in patient situations and intervenes appropriately; mobilizes resources to meet individualized patient and family needs; and provides direction, education, and unit-level leadership. It delivers and accurately documents direct, age-specific care according to medical orders and an integrated multidisciplinary plan, and safely administers prescribed medications while identifying incompatibilities or interactions. The Clinical Nurse III demonstrates clinical knowledge at the unit level and begins applying it to a specific patient population. The role supports prevention, wellness, and comfort; anticipates changes in patient situations and intervenes appropriately; and provides direction, education, and clinical role modeling. It delivers and accurately documents direct, age-specific care according to medical orders and an integrated multidisciplinary plan, and safely administers prescribed medications while identifying incompatibilities or interactions. The role follows documented physician or licensed independent provider orders, practices within Virginia nursing regulations, and is guided by the ANA Code of Ethics, national nursing practice standards, and VCUHS policies and procedures. Clinicians organize work and delegate and supervise others, including RNs, LPNs, care partners, and unit secretaries. Clinicians work all three shifts, weekends, and holidays. Shift rotations and schedules are established with the Nurse Manager or Practice Manager and may be adjusted to meet unit requirements. The position is part-time at the Children’s Hospital of Richmond Pediatric Cath Lab.

Requirements

  • Current RN licensure in Virginia, or eligibility for Virginia licensure, or a compact-state license.
  • For continued employment, current Virginia RN licensure and AHA BLS HCP certification or equivalent.
  • Clinical Nurse II: 12 to 24 months of RN experience.
  • Clinical Nurse III: 3 years of clinical experience.
  • Diploma or associate degree from a professional nursing program recognized or approved by the corresponding state Board of Nursing.
  • Registered nurses without a Bachelor’s degree in Nursing or higher must enroll in an approved RN-to-BSN program within two years of their start date and complete it within five years, unless grandfathered under previous requirements.
  • Practice within Virginia nursing regulations and established nursing practice standards; follow VCUHS policies and procedures.
  • Physical capacity to lift 20–50 lbs.
  • Ability to perform prolonged standing and sitting, frequent bending, distance walking, climbing, and overhead, extensive, or repetitive reaching.
  • Ability to handle potentially hazardous and infectious substances.
  • Strong recall, reasoning, problem-solving, hearing, clear speaking, legible writing, reading, and logical thinking.
  • Ability to work in a fast- or steady-paced, noisy environment, manage multiple priorities, and handle frequent and intense customer interactions.
  • Schedules may include all three shifts, weekends, and holidays.

Nice To Haves

  • Clinical Nurse I: Experience as an LPN, nursing assistant, or care partner in an acute care setting or as applicable to the area of practice.
  • Clinical Nurse II and III: Academic health care experience.
  • Clinical Nurse II and III: Experience with a similar patient population in an acute care setting or as applicable to the area of practice.
  • Completion of a Bachelor’s degree in Nursing or higher from an accredited program.
  • Clinical Nurse III: Certification in a specialty area.

Responsibilities

  • Deliver and accurately document direct, age-specific care based on medical orders and an integrated multidisciplinary plan of care.
  • Safely administer prescribed medications and identify incompatibilities or interactions.
  • Assist the health care team with prevention of illness and injury, maintenance of wellness, and provision of comfort.
  • Recognize or anticipate changes in patient situations and intervene appropriately, as applicable to the clinical level.
  • Mobilize resources to meet individualized patient and family needs.
  • Provide direction and education, and assume leadership responsibilities or serve as a clinical role model according to clinical level.
  • Follow documented physician or licensed independent provider orders and practice within Virginia nursing regulations, nursing standards, and VCUHS policies and procedures.
  • Organize work and delegate and supervise others, including RNs, LPNs, care partners, and unit secretaries.
  • Work assigned shift rotations, including shifts, weekends, and holidays.
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