About The Position

The Clinical Nurse I job integrates technical skills and theoretical knowledge to meet the needs of the patient and family. This job assists the health care team with the prevention of illness and injury, maintenance of wellness, and provision of comfort. This job provides direction, education, and begins to acquire leadership skills at the unit level. This job delivers and accurately documents direct, age-specific care to a patient or group of patients based on medical orders and an integrated, multidisciplinary plan of care. This job also safely administers prescribed medications, identifying incompatibilities and/or interactions. The Clinical Nurse II job demonstrates a mastery of clinical skills and begins to apply this knowledge to a specific patient population. This job assists the health care team with the prevention of illness and injury, maintenance of wellness, and provision of comfort. This job recognizes changes in patient situations and intervenes appropriately. This job mobilizes resources to meet the individualized needs of patient/families. This job provides direction, education, and assumes leadership responsibilities at the unit level. This job delivers and accurately documents direct, age-specific care to a patient or group of patients based on medical orders and an integrated, multidisciplinary plan of care. This job safely administers prescribed medications, identifying incompatibilities and/or interactions. The Clinical Nurse III job demonstrates clinical knowledge at the unit level and begins to apply this knowledge to a specific patient population. This job assists the health care team with the prevention of illness and injury, maintenance of wellness, and provision of comfort. This job anticipates changes in patient situations and intervenes appropriately. This job provides direction, education, and serves as a role model in a clinical setting. This job delivers and accurately documents direct, age-specific care to a patient or group of patients based on medical orders and an integrated, multidisciplinary plan of care. This job safely administers prescribed medications, identifying incompatibilities and/or interactions.

Requirements

  • Current RN licensure in Virginia or eligible or compact state
  • Current RN licensure in Virginia, AHA BLS HCP Certification or equivalent
  • N/A (for Clin I experience)
  • 12 to 24 months RN experience (for Clin II)
  • 3 years of clinical experience (for Clin III)
  • 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.
  • Organizes work and delegates and supervises others (RN's, LPN's, Care Partners, Unit Secretaries, etc.) in carrying out assignments.

Nice To Haves

  • Experience as an LPN, nursing assistant or care partner in either an acute care setting or as applicable to area of practice (for Clin I)
  • Academic Health Care Experience; Experience with similar patient population in either an acute care setting or as applicable to area of practice (for Clin II, Clin III)
  • Completion of a Bachelor’s Degree in Nursing (or higher) from an accredited program
  • Certification in specialty area (for Clin III)

Responsibilities

  • Performs assessment and identifies appropriate nursing diagnosis and/or patient care standard.
  • Develops, implements and evaluates plan of care on assigned patients.
  • Integrates the medical treatment plan into the nursing plan of care.
  • Utilizes resources and validates information to maintain standards of Clinical Practice.
  • Demonstrates the skill and judgment necessary to safely implement interventions and procedures as necessary for the care of the patient.
  • Recognizes the need to prioritize and organize patient care.
  • Focuses assessment to target areas most productive for a given patient population or situation.
  • Recognizes subtle changes in clinical situations; evaluates and appropriately alters the plan of care.
  • Consistently makes sound clinical decision.
  • Prioritizes and organizes patient care and ensures follow through with planned care.
  • Initiates discharge care planning in assigned patients and actively coordinates utilizing the multidisciplinary/interdisciplinary approach.
  • Synthesizes knowledge and experience to anticipate and plan to meet patient and family needs.
  • Takes a proactive role in implementing multidisciplinary care planning for specific patient population.
  • Recognizes the need for various communication styles.
  • Seeks assistance in utilizing the most appropriate strategy.
  • Identifies routine factors affecting patient’s physical and/or psychosocial comfort.
  • Attends to these needs per standards.
  • Seeks assistance to achieve patient outcomes.
  • Recognizes the need for patient and family to participate in care.
  • Seeks assistance, as appropriate, to assess patient and family readiness to participate.
  • Recognizes need for individualized, holistic and non-judgmental approach to care.
  • Seeks out resources to meet patient needs.
  • Demonstrates effective communication styles based on individual patient/family needs.
  • Identifies factors affecting patient’s physical and/or psychosocial comfort.
  • Individualizes approaches accordingly.
  • Seeks consultation if necessary to achieve patient outcome.
  • Assesses patient/family readiness to be involved in planning.
  • Involves them in planning and implementing care.
  • Incorporates an individualized, holistic and non-judgmental approach to care.
  • Mobilizes appropriate resources in response to situations that have the potential to negatively impact patient/family outcomes.
  • Adapts communication styles and techniques based on individual patient/family needs.
  • Anticipates variables affecting patient comfort.
  • Alters physical and/or psychosocial interventions accordingly, using a variety of modalities.
  • Assists patient/family to gain sense of control.
  • Facilitates patient/family’s participation in his/her recovery.
  • Consistently utilizes an individualized, holistic and non-judgmental approach to patient care.
  • Challenges situations and engages in activities to promote positive patient outcomes.
  • Begins to identify patient/family learning needs.
  • Initiates and evaluates teaching using patient teaching protocols, patient care standards and critical paths.
  • Seeks assistance as appropriate.
  • Identifies own learning needs.
  • Seeks resources to meet learning needs.
  • Accurately assesses patient/family readiness to learn, organize and execute individualized teaching plan.
  • Evaluates patient’s understanding and modifies approach as necessary.
  • Assists individual members of the health care team in developing their clinical skills.
  • Utilizes a variety of teaching strategies appropriate to the patient’s needs.
  • Seeks out challenging patient/family teaching opportunities.
  • Assumes responsibility for identifying staff learning needs.
  • Develops, implements and evaluates formal and informal patient and/or staff educational plans.
  • Contributes to effective operation of the unit.
  • Incorporates current unit-based practice goals and nursing care guidelines/policies and procedures.
  • Aware that nursing care guidelines/policies and procedures are evidence-base resources to identify nursing practice issues.
  • Seeks out and values collaborative relationships between nursing and other disciplines.
  • Identifies the need for effective communication, feedback, and conflict resolution skills.
  • Begins to demonstrate the use of effective communication, feedback, and conflict resolution skills.
  • Seeks out assistance as appropriate.
  • Sets professional practice goals with guidance.
  • Begins to explore opportunities and resources for professional growth.
  • Participates in unit activities which improve patient care or administrative systems.
  • Utilizes available resources to maintain current knowledge base relevant to practice.
  • Asks clinical questions related to nursing care of patients.
  • Demonstrates ability to locate and obtain evidence to answer clinical questions.
  • Seeks out and utilizes resources to identify nursing practice issues, including those that require evidence-based evaluation/research.
  • Shares findings of personal review of evidence (literature/QA/experts, etc.) with peers and generates dialogue.
  • May initiate steps toward problem resolution based on current best evidence.
  • Initiates referrals.
  • Coordinates the health care team to meet patient and family’s individualized needs.
  • Consistently utilizes effective communication, feedback and conflict resolution skills.
  • Demonstrates the ability to critique own nursing practice.
  • Identifies a plan for professional development.
  • Leads or participates in unit or division activities which improve patient care or administrative systems.
  • Maintains awareness of current practice in specialty area.
  • Assists others in translating and applying this knowledge to the practice setting.
  • Evaluates nursing practice based on current best evidence.
  • Initiates steps towards problem resolution based on current best evidence.
  • Questions clinical practice at the unit and/or department level, and incorporates the use of current best evidence, clinical judgment and patient values/preferences.
  • May implement solutions towards problem resolution based on current best evidence.
  • Shares current best evidence (e.g. critical pathways, practice guidelines, protocols, and standards) with peers and others.
  • Contributes to the revision and development of unit and/or department nursing care guidelines and/or policies and procedures based on current best evidence.
  • Promotes the development of collaborative relationships with other health professionals by focusing on patient outcomes.
  • Takes responsibility for problem-solving and conflict resolution.
  • Describes their professional practice goals and plans for achieving them on the individual and unit level.
  • Demonstrates how they have accomplished some of their professional practice goals in the last two years.
  • Performs other duties as assigned and/or participates in special projects in order to support the mission of VCUHS and department.
  • Contributes to the team objectives.
  • Adapts easily to alternate assignments, as required, gracefully.
  • Readily volunteers and/or participates in special projects in order to support the mission of VCUHS and department.
  • Provides assistance to team members.
  • Accepts alternate assignments, as required.
  • Initiates and/or delegates other duties as assigned and/or participates in special projects in order to support the mission of VCUHS and department.
  • Makes use of diverse talents of team members, promotes team dynamics.
  • Suggests and or supports/alternate assignments, displays emotional stability.

Benefits

  • Employee must complete 15 contact hours of Continuing Nursing Education during this evaluation cycle. Effective July 2012: CN-III must complete 20 contact hours; Failure to achieve the required number of contact hours will result in the employee being ineligible to receive an overall performance rating above "Fully Meets".
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