Registered Nurse (RN) - Float Pool - Acute Care/Progressive Care - Nights

VCU Health • Richmond, VA

2d • Onsite

About The Position

Registered Nurses in the Float Pool provide essential support to the VCU Health System (VCUHS) by floating to multiple inpatient units and procedural areas, including acute care, progressive care, Periop, and other specialties. This flexible pool operates 24/7, supporting both adult and pediatric patients. Reassignments can occur in 4-hour blocks, and there's an opportunity to float to other VCUHS facilities. The role involves delivering direct, age-specific care, administering medications safely, and documenting care accurately. Clinical Nurse II demonstrates mastery of clinical skills and begins applying knowledge to a specific patient population, while Clinical Nurse III demonstrates advanced clinical knowledge at the unit level and anticipates patient needs. Both roles are crucial in preventing illness, maintaining wellness, and providing comfort, while also taking on leadership and educational responsibilities at the unit level.

Requirements

• Current RN licensure in Virginia or eligible or compact state.
• Diploma or Associates Degree from a professional nursing program recognized and/or approved by the corresponding state’s Board of Nursing.
• All registered nurses without a Bachelor's degree in Nursing (or higher) will be required to enroll in an approved RN to BSN program within two years of their start date and to complete the program within five years of their start date unless grandfathered under previous requirements.
• 12 to 24 months RN experience (for Clinical Nurse II).
• 3 years of clinical experience (for Clinical Nurse III).
• Academic Health Care Experience.
• Experience with similar patient population in either an acute care setting or as applicable to area of practice.
• Follows documented physician/licensed independent provider orders.
• Practices within the boundaries of the regulations governing the practice of nursing in the Commonwealth of Virginia.
• Practice is guided by the ANA Code of Ethics for Nursing and established national nursing practice standards.
• All practice is guided by and follows the VCUHS policies and procedures and established practice.
• Clinicians work all shifts, weekends and holidays.
• Lifting 0-50 lbs.
• Exposure to potentially hazardous and infectious substances.
• Prolonged standing.
• Prolonged sitting.
• Frequent bending.
• Walking (distance).
• Climbing (steps, ladder, other).
• Reaching (overhead, extensive, repetitive).
• Strong recall.
• Reasoning.
• Problem solving.
• Hearing.
• Speak clearly.
• Write legibly.
• Reading.
• Logical thinking.
• Fast pace environment.
• Steady pace.
• Able to handle multiple priorities.
• Frequent and intense customer interactions.
• Noisy environment.

Nice To Haves

• Completion of a bachelor’s degree in Nursing (or higher) from an accredited program (preferred for Clin II, Clin III).
• Certification in specialty area (preferred for Clin III).

Responsibilities

• Provide support to the organization by floating to multiple units and/or areas within the VCU Health System.
• Work within inpatient areas to include adults and/or pediatrics.
• Provide support 24/7 to VCUHS inpatient units, procedural areas, Periop and other specialties within VCUHS.
• Deliver and accurately document direct, age-specific care to a patient or group of patients based on medical orders and an integrated, multidisciplinary plan of care.
• Safely administer prescribed medications, identifying incompatibilities and/or interactions.
• Focus assessment to target areas most productive for a given patient population or situation.
• Recognize subtle changes in clinical situations; evaluate and appropriately alter the plan of care.
• Consistently make sound clinical decisions.
• Prioritize and organize patient care and ensure follow-through with planned care.
• Initiate discharge care planning in assigned patients and actively coordinate utilizing the multidisciplinary/interdisciplinary approach.
• Synthesize knowledge and experience to anticipate and plan to meet patient and family needs.
• Take a proactive role in implementing multidisciplinary care planning for specific patient population.
• Develop and maintain a therapeutic nurse/patient relationship throughout the health care continuum.
• Adapt communication styles and techniques based on individual patient/family needs.
• Anticipate variables affecting patient comfort.
• Alter physical and/or psychosocial interventions accordingly, using a variety of modalities.
• Assist patient/family to gain a sense of control.
• Facilitate patient/family’s participation in his/her recovery.
• Accurately assess patient/family readiness to learn, organize and execute individualized teaching plan.
• Evaluate patient’s understanding and modify approach as necessary.
• Assist individual members of the health care team in developing their clinical skills.
• Utilize a variety of teaching strategies appropriate to the patient’s needs.
• Seek out challenging patient/family teaching opportunities.
• Assume responsibility for identifying staff learning needs.
• Develop, implement and evaluate formal and informal patient and/or staff educational plans.
• Participate in unit activities which improve patient care or administrative systems.
• Utilize available resources to maintain current knowledge base relevant to practice.
• Ask clinical questions related to nursing care of patients.
• Demonstrate ability to locate and obtain evidence to answer clinical questions.
• Seek out and utilize resources to identify nursing practice issues, including those that require evidence-based evaluation/research.
• Share findings of personal review of evidence (literature/QA/experts, etc.) with peers and generate dialogue.
• May initiate steps toward problem resolution based on current best evidence.
• Initiate referrals.
• Coordinate the health care team to meet patient and family’s individualized needs.
• Consistently utilize effective communication, feedback and conflict resolution skills.
• Demonstrate the ability to critique own nursing practice.
• Identify a plan for professional development.
• Lead or participate in unit or division activities which improve patient care or administrative systems.
• Maintain awareness of current practice in specialty area.
• Assist others in translating and applying this knowledge to the practice setting.
• Evaluate nursing practice based on current best evidence.
• Initiate steps towards problem resolution based on current best evidence.
• Question clinical practice at the unit and/or department level, and incorporate the use of current best evidence, clinical judgment and patient values/preferences.
• May implement solutions towards problem resolution based on current best evidence.
• Share current best evidence (e.g. critical pathways, practice guidelines, protocols, and standards) with peers and others.
• Contribute to the revision and development of unit and/or department nursing care guidelines and/or policies and procedures based on current best evidence.
• Promote the development of collaborative relationships with other health professionals by focusing on patient outcomes.
• Take responsibility for problem-solving and conflict resolution.
• Describe their professional practice goals and plans for achieving them on the individual and unit level.
• Demonstrate how they have accomplished some of their professional practice goals in the last two years.
• Readily volunteer and/or participate in special projects in order to support the mission of VCUHS and department.
• Provide assistance to team members.
• Accept alternate assignments, as required.
• Initiate and/or delegate other duties as assigned and/or participate in special projects in order to support the mission of VCUHS and department.
• Make use of diverse talents of team members, promote team dynamics.
• Suggest and/or support alternate assignments, display emotional stability.

Benefits

• $10,000 Sign On Bonus for offers accepted by May 31, 2026. Terms and Conditions apply
• Continuing Nursing Education (15 contact hours required for Clin II, 20 for Clin III).

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree