Registered Nurse (RN) - Emergency Department - Rotating

VCU Health • New Kent, VA

1d • $34 - $55

About The Position

The Registered Nurse delivers direct, age-specific care to patients or groups of patients in the Emergency Department, following medical orders and an integrated, multidisciplinary plan of care. The role integrates clinical skills and theoretical knowledge to meet patient and family needs, support prevention of illness and injury, promote wellness, and provide comfort. The nurse accurately documents care and safely administers prescribed medications while identifying incompatibilities or interactions.

Responsibilities and clinical expectations vary by level. Clinical Nurse I applies technical skills and theoretical knowledge, provides direction and education, and begins developing unit-level leadership skills. Clinical Nurse II demonstrates mastery of clinical skills, begins applying expertise to a specific patient population, recognizes patient changes and intervenes appropriately, mobilizes resources for patients and families, and assumes unit-level leadership responsibilities. Clinical Nurse III demonstrates unit-level clinical knowledge, anticipates patient changes and intervenes appropriately, and serves as a clinical role model.

The nurse follows physician or licensed independent provider orders, practices within Virginia nursing regulations, and adheres to the ANA Code of Ethics, established national nursing practice standards, and VCUHS policies and procedures. The nurse organizes work and may delegate and supervise other staff, including RNs, LPNs, care partners, and unit secretaries.

Clinicians work rotating shifts, including all three shifts, weekends, and holidays. Individual schedules are established with the Nurse Manager or Practice Manager and may be adjusted to meet unit requirements. The role involves lifting 20–50 pounds, exposure to potentially hazardous and infectious substances, prolonged standing and sitting, frequent bending, walking, climbing, and reaching. The work may be fast-paced and noisy and can involve multiple priorities and frequent, intense customer interactions.

Requirements

• Current RN licensure in Virginia, or eligibility for Virginia licensure or licensure in a 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.
• 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.
• Clinical Nurse II: 12 to 24 months of RN experience.
• Clinical Nurse III: 3 years of clinical experience.

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.
• Clinical Nurse I, II, and III: 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 patient 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 preventing illness and injury, maintaining wellness, and providing comfort.
• Recognize or anticipate changes in patient situations and intervene appropriately, according to clinical level.
• Mobilize resources to meet individualized patient and family needs.
• Provide direction and education; assume unit-level leadership responsibilities or serve as a clinical role model, as applicable to clinical level.
• Follow provider orders, Virginia nursing regulations, the ANA Code of Ethics, national nursing practice standards, and VCUHS policies and procedures.
• Organize work and delegate and supervise assignments carried out by RNs, LPNs, care partners, unit secretaries, and other staff.
• Work rotating shifts, including all three shifts, weekends, and holidays; accommodate schedule adjustments as needed to meet unit requirements.

What This Job Offers

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