Clinical Registered Nurse II (Centra Specialty, LTAC, FT, 7p-7a)

Centra Health is a regional, nonprofit healthcare system in Central Virginia, comprising hospitals, medical centers, and a network of specialty and primary care practices. This 26-bed Long Term Care Hospital specializes in medically complex patients requiring extended hospitalization and advanced clinical care, including respiratory support, complex wound care, intravenous therapies, cardiac monitoring, dialysis, and comprehensive rehabilitation. The unit utilizes the LEAF system for wearable patient monitoring and TABLO dialysis machines for bedside treatments, enhancing patient comfort and continuity of care. Centra has earned its fifth Magnet® designation, reflecting a commitment to nursing excellence and exceptional patient care.

About the role

The Clinical Registered Nurse (RN) II manages individualized patient care by promoting and restoring patients' health in accordance with medical and nursing plans of care. The RN II collaborates with physicians and multidisciplinary team members to develop, execute, and evaluate the multidisciplinary plan of care, assuming full responsibility for a patient assignment.

Responsibilities

• Assessment:
  • Conducts individualized patient assessments, prioritizing data collection based on the patient’s immediate condition.
  • Performs ongoing assessments as determined by patient condition and reprioritizes care accordingly.
  • Integrates nursing interventions into the multidisciplinary plan of care, incorporating standards of care and patient outcomes.
• Planning:
  • Develops, modifies, and integrates an individualized care plan incorporating medical plans, interdisciplinary input, and standards of care.
  • Establishes measurable patient goals in consultation with the patient, family, and healthcare team.
• Intervention:
  • Performs treatments as ordered by providers accurately and timely.
  • Delivers therapeutic nursing interventions as established by the individualized plan of care.
  • Recognizes and responds to urgent or emergent patient risks, initiating resuscitative measures as needed.
  • Manages care for a specialty patient population with accountability and cultural sensitivity, preserving patient autonomy, dignity, and rights.
  • Collaborates with interdisciplinary teams to ensure appropriate patient care interventions.
• Evaluation:
  • Evaluates patient responses to care and adjusts the interdisciplinary care plan based on effectiveness.
  • Problem-solves with the specialty team to improve patient outcomes.
  • Documents patient assessment findings, responses to interventions, and progress toward problem resolution.
• Patient Education:
  • Identifies learning needs of patients and families, adapting teaching to their abilities.
  • Ensures patients and families demonstrate understanding of care plans.
  • Communicates with patients and families to include them in care planning and supports their treatment decisions.
• Self and Peer Learning:
  • Assesses and meets own learning and professional development needs.
  • Maintains current competency in nursing specialty and department requirements.
  • Attends educational programs, reviews professional publications, and may participate in professional societies.
  • Seeks additional educational opportunities for clinical development and is prepared to learn or currently functions in a charge nurse role.
• Collaboration:
  • Makes sound judgments in coordinating complex patient care demands.
  • Supervises delegated care based on personnel abilities and patient acuity.
  • Reports changes in patient condition to appropriate personnel.
• Service Recovery:
  • Participates in service recovery and uses resources during complex situations.
  • Handles conflict resolution appropriately and consistently.
• Resource Utilization and Stewardship:
  • Supports organizational efforts for appropriate resource utilization (e.g., flexing during low census).
  • Serves as a preceptor/mentor, orienting new employees to the department.
  • May assist in orienting, instructing, and evaluating students assigned to the unit.
  • Is trainable for or currently functions in a charge nurse role.
• Improvement Activities:
  • Participates in data collection for quality assurance activities if assigned.
  • Identifies and communicates recurring practice concerns in specialty areas.
  • Engages in initiatives driven by nurse-sensitive, quality, and unit-based metrics.
  • Demonstrates utilization of Centra’s safety behaviors (e.g., Speak Up for Safety).
• Research/Evidence-Based Practice/Quality Improvement:
  • May participate in research or evidence-based practice projects.
  • Communicates research and quality improvement data/findings to peers.
  • Interprets quality improvement data relevant to the clinical specialty and shares it with peers.
  • Contributes to developing or implementing methods to improve quality care in identified deficient areas.
• Ethics:
  • Maintains confidentiality as outlined in Centra policies.
  • Delivers care that protects patient autonomy, dignity, and rights.
  • Serves as a patient advocate and maintains professional role boundaries.
• Performs other duties as assigned.

Requirements

• 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.
• AHA BLS Provider certification.
• Additional specialty certifications as required:
  • Advanced Cardiac Life Support (ACLS) for Cath Lab, Electrophysiology, Operating Room, Critical Care, Endoscopy, PACU, Interventional Radiology, Birth Center, Centra Specialty Hospital, Outpatient Ambulatory Surgery, and Plastic Surgery.
  • Pediatric Advanced Life Support (PALS) for Pediatrics.
  • Both ACLS and PALS for Emergency Department.
• One year of nursing (RN) experience.

Pay

$32.92 - $51.02 per hour.