Clinical Registered Nurse II-B51 Neuro IMU-LGH-FT/7p-7a

Responsibilities

• Conducts an individualized patient assessment, prioritizing data collection based on the patient’s immediate condition or needs within specified timeframe.
• Conducts ongoing assessments as needed and reprioritizes care based on patient's condition and policies, procedures, or protocols.
• Integrates nursing interventions into the multidisciplinary plan of care, incorporating appropriate standards of care and practice and patient outcomes.
• Develops, modifies, and integrates an individualized care plan which incorporates the medical plan of care, key elements from the plans of other disciplines, and standards of care and practice.
• Establishes individualized, measurable patient goals in consultation with the patient, family, and health care team.
• Performs appropriate treatments and therapeutic nursing interventions as established by individualized plan of care for the patient and his/her family.
• Recognizes potential problems and responds to general information/data indicating urgent and/or emergent risk to the patient. Initiates emergency resuscitative measures as appropriate.
• Assumes responsibility and accountability for effectively managing the care of a specialty patient population. Provides care in a non-judgmental, non-discriminatory manner that is culturally sensitive to the patient and family, preserving their autonomy, dignity, and rights.
• Collaborates with interdisciplinary team members to ensure patient care interventions are appropriate.
• Evaluates patient’s responses to care based on effectiveness of nursing interventions/actions in relationship to established goals. Initiates changes in the interdisciplinary care plan based on this evaluation.
• Problem solves with the specialty team to improve patient outcomes. Documents patient assessment findings, physical/psychosocial responses to nursing intervention and progress towards problem resolution.
• Patient education: Identifies learning needs of patients/families and teaches by adapting standard information based on needs. Ensures that the patient/family demonstrates knowledge, within the abilities of the patient.
• Communicates with patients and family to identify their needs and include them in the plan of care. Acknowledges and supports determinations by the patient and/or family concerning treatment.
• Maintains current competency in nursing specialty and requirements for department; attends required educational programs and may attend additional educational workshops; reviews nursing professional publications; establishes personal networks; may participate in professional societies.
• Seeks additional educational opportunities for clinical development and is either ready to learn the charge nurse role or currently functioning in a charge nurse role.
• Collaboration: Makes sound judgments in the decisions involved in coordinating multiple, increasingly complex patient care demands. Supervises delegated care based on abilities of personnel and patient acuity. Reports changes in patient condition to appropriate personnel.
• Service recovery: Participates in service recovery and uses appropriate resources during complex situations. Handles conflict resolution in an appropriate, timely and consistent manner.
• Resource utilization and stewardship: Supports organizational efforts regarding appropriate resource utilization (i.e. flexing during low census).
• Improvement activities: Participates in data collection for quality assurance activities if assigned by department leader. Identifies and communicates recurring practice concerns in specialty areas and their impact on care. Participates in initiatives resulting from nurse-sensitive, quality, and other specialty indicators and/or unit-based quality metrics.
• Research/Evidence Based Practice/Quality Improvement Projects: May participate in Research or Evidence Based Practice projects. Communicates research and quality improvement data/findings to peers. Contributes to development or implementation of methods to improve quality care in areas identified as deficient by quality improvement data studies.
• Ethics: Maintains confidentiality in matters as outlined in Centra policies. Delivers care in a manner that protects patient autonomy, dignity, and rights. Serves as a patient advocate. Maintains patient-nurse relationships with professional role boundaries.

Qualifications

• Diploma or Associate Degree in Nursing
• Registration as a registered nurse in the Commonwealth of Virginia and/or holds a compact license to practice in Virginia.
• Basic Life Support certification
• Advanced Cardiac Life Support certification
• Additional Specialty Requirements vary depending on the specialty area (e.g. Advanced Cardiac Life Support, Cath Lab/Electrophysiology Operating Room, Critical Care, etc.)
• One Year of Nursing (RN) Experience