RN I - Comprehensive Medical Unit

Carilion Clinic•Roanoke, VA

4d•Onsite

About The Position

The RN I works in the Enhanced Monitoring Unit, a 27-bed specialty step-down environment focused on gastrointestinal and pulmonary care. The unit provides comprehensive monitoring and interventions for patients whose needs bridge intensive care and acute medical-surgical nursing. The registered nurse delivers patient-centered care with respect, dignity, kindness, and empathy, and is accountable for coordinating and providing individualized nursing care to patients of all ages. The RN uses delegation, critical thinking, and a collaborative, team-oriented approach to support quality care and patient outcomes. The role includes assessing, planning, implementing, and evaluating care; completing and documenting age-specific assessments; collaborating with patients, families, and the healthcare team on interdisciplinary plans; administering and documenting treatments and medications using electronic systems; and identifying and addressing patient and family education needs. The RN also supports performance improvement, advocates for patients, adapts to changing clinical circumstances, and contributes to quality care through clinical, leadership, or education pathways. Additional responsibilities include serving as a role model, managing resources and priorities, completing assigned projects, resolving patient and staff situations, supporting new employee orientation, providing staff feedback, participating in unit or system activities, and assisting with unit education.

Requirements

Graduate of an accredited school of professional nursing or an approved program and eligible to sit for the Virginia licensure exam.
Currently licensed as a Registered Nurse in Virginia or eligible to obtain Virginia RN licensure.
AHA BLS-HCP certification required.
Computer skills required for use of the EPIC electronic medical record.

Nice To Haves

May be required to obtain or maintain BLS, ACLS, PALS, or NRP certifications depending on the specific work unit.

Responsibilities

Assess, plan, implement, and evaluate patient care to achieve optimal outcomes for patients of all ages, as appropriate to the service area.
Complete and document age-specific admission and ongoing assessments and use them to develop plans of care.
Collaborate with healthcare team members, patients, and families to develop, implement, and evaluate age-specific interdisciplinary plans of care; revise plans as patient status changes.
Accurately administer and document treatments and medications using automated computer systems, including electronic medical records.
Identify patient and family or caregiver education needs, incorporate them into the plan of care, and implement and document education.
Contribute to Carilion Clinic performance improvement activities and support evidence-based, quality patient care.
Act as a patient advocate and protect patient rights while providing psychological, social, and cultural support.
Apply knowledge of growth and development to care for patients served.
Exhibit clinical expertise in rapidly changing circumstances and plan strategies to reduce length of stay, turnaround time, and resource consumption while improving outcomes.
Serve as a role model for clinical practice to coworkers, students, and physicians.
Manage resources, establish priorities, and modify the environment to meet patient care needs.
Complete manager- or director-assigned projects within specified time frames and guidelines.
Use problem-solving methods to resolve patient and personnel situations in the work area.
Take an active role in orienting new employees and provide staff feedback using appropriate communication and documentation.
Participate in unit, hospital, or system activities to provide input on practice, environment, and work issues and facilitate staff participation in decision-making.
Assist with education activities for the unit or department.