Registered Nurse (RN) - Emergency Department - Rotating

VCU Health•New Kent, VA
•$34 - $55

About The Position

The Registered Nurse provides direct, age-specific patient care based on medical orders and an integrated, multidisciplinary plan of care, and accurately documents that care. The nurse supports prevention of illness and injury, wellness, and patient comfort; provides direction and education; and safely administers prescribed medications while identifying incompatibilities or interactions. The role also includes coordinating care with the health care team, responding to changes in patient situations, and mobilizing resources to meet individualized patient and family needs. The level of clinical expertise and leadership responsibility varies by Clinical Nurse level: Clinical Nurse I develops unit-level leadership skills, Clinical Nurse II demonstrates mastery of clinical skills and assumes unit-level leadership responsibilities, and Clinical Nurse III anticipates changes in patient situations and serves as a clinical role model. The position follows documented orders from physicians or licensed independent providers, Virginia nursing regulations, the ANA Code of Ethics, national nursing practice standards, and VCUHS policies and procedures. Nurses organize work and may delegate and supervise assignments performed by RNs, LPNs, care partners, unit secretaries, and others. Clinicians work all three shifts, including weekends and holidays; individual rotations and schedules are established with the Nurse Manager or Practice Manager and may be adjusted to meet unit requirements. The role serves patient age groups as appropriate to the unit assignment. Compensation ranges are $34.00–$49.50 for Clinical Nurse I, $34.65–$51.97 for Clinical Nurse II, and $36.38–$54.58 for Clinical Nurse III. Actual offers depend on relevant work experience, credentials, and qualifications.

Requirements

  • Current RN licensure in Virginia or an eligible or compact state at hire.
  • Current RN licensure in Virginia and AHA BLS HCP Certification or equivalent for continued employment.
  • Diploma or associate degree from a professional nursing program recognized or approved by the corresponding state Board of Nursing.
  • Clinical Nurse II: 12 to 24 months of RN experience.
  • Clinical Nurse III: 3 years of clinical experience.
  • 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.
  • Work all three shifts, weekends, and holidays; schedules and shift rotations may be adjusted to meet unit requirements.
  • Physical capability to lift 20–50 lbs.
  • Ability to perform prolonged standing and sitting; frequent bending; walking distances; climbing steps, ladders, or other structures; and overhead, extensive, or repetitive reaching.
  • Ability to handle exposure to potentially hazardous and infectious substances.
  • Strong recall, reasoning, problem-solving, hearing, clear speech, legible writing, reading, and logical thinking.
  • Ability to work in fast- and steady-paced, noisy environments, handle multiple priorities, and manage frequent and intense customer interactions.

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 according to medical orders and an integrated, multidisciplinary plan of care.
  • Assist the health care team with illness and injury prevention, wellness maintenance, and provision of comfort.
  • Safely administer prescribed medications and identify incompatibilities or interactions.
  • Recognize or anticipate changes in patient situations and intervene appropriately, according to clinical level.
  • Provide direction and education to patients, families, and the health care team.
  • Mobilize resources to meet individualized patient and family needs.
  • Organize work and delegate and supervise assignments carried out by RNs, LPNs, care partners, unit secretaries, and others.
  • Follow documented provider orders, Virginia nursing regulations, the ANA Code of Ethics, national nursing practice standards, and VCUHS policies and procedures.
  • Work rotating shifts, including weekends and holidays, according to unit scheduling requirements.
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