Clinical Registered Nurse II-LGH B51 Neuro Intermediate-FT/7p-7a
About the role
The Clinical Registered Nurse (RN) II is responsible for managing individualized patient care by promoting and restoring patients' health in accordance with medical and nursing plans of care and established policies and procedures. The Clinical RN II collaborates with physicians and multidisciplinary team members in the development, execution, and evaluation of the multidisciplinary plan of care. The RN assumes a full patient assignment and can plan, analyze, intervene and set goals for patient care accordingly. This nurse provides nursing services to patients and families in accordance with the scope of the RN as defined by the Virginia Board of Nursing. The RN maintains a safe care environment for their patients and delivers quality care.
Responsibilities
- Assessment: Conducts an individualized patient assessment, prioritizing data collection based on the patient’s immediate condition or needs within the timeframe specified by policies, procedures, or protocols. Performs ongoing assessments as determined by the patient’s condition and reprioritizes care accordingly. Integrates nursing interventions into the multidisciplinary plan of care, incorporating appropriate standards of care and practice and patient outcomes.
- Planning: 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.
- Intervention: Performs appropriate treatments as ordered by the provider in an accurate and timely manner. Delivers therapeutic nursing interventions as established by the individualized plan of care for the patient and family. Recognizes potential problems and responds to urgent or emergent risk to the patient, initiating emergency resuscitative measures as appropriate. Assumes responsibility for managing the care of a specialty patient population and provides culturally sensitive, non‑judgmental care.
- Evaluation: Evaluates patient responses to care based on the effectiveness of nursing interventions relative to established goals. Initiates changes in the interdisciplinary care plan based on this evaluation, problem‑solves with the specialty team to improve outcomes, and documents assessment findings, responses, and progress.
- Patient Education: Identifies learning needs of patients/families and teaches by adapting standard information to those needs. Ensures the patient/family demonstrates knowledge within the patient’s abilities, communicates with them to identify needs, and supports patient/family determinations concerning treatment.
- Self and Peer Learning: Assesses and meets own learning and professional development needs, maintains current competency in the nursing specialty, attends required educational programs, reviews professional publications, establishes personal networks, and may participate in professional societies. Seeks additional educational opportunities and is prepared for or currently functioning in a charge‑nurse role.
- Collaboration: Makes sound judgments coordinating multiple, increasingly complex patient‑care demands. Supervises delegated care based on personnel abilities and patient acuity, and reports changes in patient condition to appropriate personnel.
- Service Recovery: Participates in service recovery, utilizes appropriate resources during complex situations, and handles conflict resolution in a timely and consistent manner.
- Resource Utilization and Stewardship: Supports organizational efforts regarding appropriate resource utilization (e.g., flexing during low census). Serves as a preceptor/mentor, works directly with employees to fulfill orientation plans, and may assist in the orientation, instruction, direction, and evaluation of students assigned to the unit.
- Improvement Activities: Participates in data collection for quality‑assurance activities as assigned, identifies and communicates recurring practice concerns, and engages in initiatives related to nurse‑sensitive quality indicators and unit‑based metrics. Demonstrates utilization of Centra’s safety behaviors (e.g., “Speak Up for Safety”).
- Research/Evidence‑Based Practice/Quality Improvement Projects: May participate in research or evidence‑based practice projects, communicate findings to peers, interpret quality‑improvement data relevant to the clinical specialty, and contribute to methods that improve quality of care.
- Ethics: Maintains confidentiality per Centra policies, delivers care that protects patient autonomy, dignity, and rights, serves as a patient advocate, and maintains professional role boundaries.
- Other Duties: As assigned.
Qualifications
- Required Education: Diploma or Associate Degree in Nursing.
- Required Certification and Licensure: Registered Nurse licensure in the Commonwealth of Virginia (or a compact license to practice in Virginia) and AHA BLS Provider certification.
- Additional Specialty Requirements – Advanced Cardiac Life Support: Cath Lab/Electrophysiology, Operating Room, Critical Care (All), Endoscopy, PACU, Interventional Radiology, Birth Center, Centra Specialty Hospital, Outpatient Ambulatory Surgery, Plastic Surgery, Registered Nurse Outpatient Ambulatory Surgery.
- Additional Specialty Requirements – Pediatric Advanced Life Support: Pediatrics.
- Additional Specialty Requirements – Advanced and Pediatric Advanced Life Support: Emergency Department.
- Required Experience / Skills: One year of nursing (RN) experience.
Pay
Salary Range: $32.92 – $51.02 per hour