Virtual Registered Nurse (RN), On-Site, PRN, Days

Mary Washington Healthcare•Stafford, TX

11d•$40 - $51•Onsite

About The Position

The Virtual Registered Nurse (VRN) provides professional nursing care in collaboration with bedside nurses using two-way audio/visual technology and specialized software to assess vital signs and monitoring data. The role delivers direct virtual patient care to a diverse patient population, including nursing assessments, assistance with examinations and treatment, and maintenance of medical records. The VRN also supports clinical and professional development by coaching and mentoring department staff and contributes at the bedside, unit, service-line, and healthcare-system levels. The Level II Competent Registered Nurse provides total, comprehensive, continuous, patient-centered care for an assigned group of patients through the nursing process of assessment, diagnosis, planning, implementation, and evaluation. The nurse collaborates with the healthcare team to improve care quality by incorporating research and evidence-based knowledge into practice. Responsibilities may include unit and shared-governance leadership, serving as a clinical resource or charge nurse, identifying practice and improvement opportunities, and coordinating education with management. The position includes virtual rounds and assessments from the Virtual Command Center, care planning and coordination, patient and family education, monitoring for changes in condition, documentation in the Electronic Medical Record, and participation in quality, safety, staff-development, and operational activities. The role may also support orientation and preceptorships and contribute to hospital and departmental policies, standards, and improvement initiatives.

Requirements

Graduate of an accredited nursing program and experience as a Registered Nurse.
Valid RN license from Virginia or a reciprocal compact state.
Bachelor of Science in Nursing (BSN) required.
Three years of acute-care nursing experience.
AHA BLS Provider CPR.
Computer skills and dexterity for data entry and retrieval.
Effective verbal and written communication skills, with the ability to present information clearly and professionally.
Proficiency with Windows-style applications, software packages specific to the role, and keyboard use.
Critical-thinking and analytical skills; ability to multitask, communicate effectively, collaborate with a multidisciplinary team, and cope with difficult situations.
Ability to tolerate irregular hours, including evenings, nights, and weekends.
Physical ability to walk and stand constantly; use arms and hands constantly; bend, stoop, kneel, and squat frequently; lift 35 pounds; push and pull 20 pounds; reach above or overhead; and work in confined spaces.
Auditory and visual skills, including color determination.
Ability to wear appropriate personal protective equipment and work with potential exposure to radiation, toxic chemicals, and bloodborne pathogens.

Nice To Haves

American Nursing Credentialing Center (ANCC)-recognized certification in an applicable specialty area.

Responsibilities

Assess and care for patients by using video conferencing to complete virtual nursing rounds.
Provide virtual health assessments, treatment solutions, and follow-up from the Virtual Command Center.
Create, implement, and monitor care plans in collaboration with other care teams.
Develop, update, and communicate the plan of care, including discharge planning, with the patient, family, and interprofessional healthcare team.
Prioritize care according to patient needs, abilities, and preferences, and advocate to identify and resolve clinical and ethical concerns.
Collaborate with the interprofessional healthcare team to facilitate patient throughput and meet organizational goals.
Develop and use patient teaching strategies based on learning needs, plan for care after discharge, and evaluate patient comprehension.
Anticipate, prevent, recognize, and respond to declines in patient condition, emergencies, Rapid Response/CERTs, and emergency codes.
Contribute to service-line and hospital standards and guidelines.
Coach nursing staff and support their professional development; provide oversight for student and new-employee preceptorships.
Lead or participate in unit projects and shared-governance activities to improve patient care and unit operations.
Lead or participate in initiatives to improve quality and safety, report near misses, and identify solutions with the interprofessional team.
Serve as a clinical resource and develop or disseminate educational resources and programs to improve quality and professional practice.
Document each encounter with clinical staff in the Electronic Medical Record.
Ensure reporting demonstrates program outcomes and supports performance-improvement activities.
Direct and coordinate nursing care, including oversight of licensed and unlicensed personnel performing assigned or delegated tasks.
Coordinate the involvement of patients, families, and health team members in care, teaching, and discharge planning.
Communicate and coordinate the plan of care and pertinent information with other healthcare team members.
Assist leadership in defining standards of excellence for patient care and participate in improving patient care services.
Integrate performance improvement into care delivery and participate in quality-improvement activities.
Participate in orientation of new permanent and temporary staff members.
Serve as a point of contact regarding hospital and departmental policies and procedures.
Participate in daily operational activities necessary for a safe patient and staff environment.
Provide input to the Nurse Manager regarding unit needs.
Participate in unit, departmental, and hospital committees that formulate nursing and hospital policies and procedures.
Perform other duties as assigned.