Clinical Registered Nurse II - LGH - D26 - Intermediate Unit (Full Time, Days, 7A - 7P)

Beds: 21-bed Intermediate Unit specializing in adult patients requiring advanced monitoring and clinical support. The unit cares for a diverse patient population including cardiac, respiratory, renal, sepsis, and other complex medical conditions.

D26 Intermediate Unit is an excellent environment for nurses seeking to develop advanced assessment skills, strengthen critical thinking, and gain experience managing complex patients in a fast-paced setting. Team members build expertise in telemetry, hemodynamic monitoring, medication management, and early recognition of patient deterioration while preparing for future opportunities in critical care, emergency medicine, or other specialty areas.

Centra Health is a regional, nonprofit healthcare system in Central Virginia, comprising hospitals, medical centers, and a network of specialty and primary care practices. Centra has earned its fifth Magnet® designation, reflecting a commitment to nursing excellence, professional development, and exceptional patient care.

Responsibilities

• Assessment
  • Conducts individualized patient assessments, prioritizing data collection based on the patient’s immediate condition within specified timeframes.
  • 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 the medical plan of care, interdisciplinary input, and standards of practice.
  • 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 for outcomes.
  • Provides culturally sensitive, non-judgmental care, preserving patient autonomy, dignity, and rights.
  • Collaborates with interdisciplinary team members to ensure appropriate patient care interventions.
• Evaluation
  • Evaluates patient responses to care and adjusts the interdisciplinary plan based on effectiveness.
  • Problem-solves with the specialty team to improve patient outcomes.
  • Documents assessment findings, patient responses, and progress toward problem resolution.
• Patient Education
  • Identifies and addresses learning needs of patients and families, adapting standard information to their abilities.
  • Ensures patients and families demonstrate understanding of care plans within their capabilities.
  • Communicates with patients and families to identify their needs and include them in the plan of care.
  • Supports patient and family determinations regarding treatment.
• 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 and reviews professional publications.
  • 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 increasingly 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 appropriate resources during complex situations.
  • Handles conflict resolution in a timely and consistent manner.
• 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 the orientation, instruction, and evaluation of 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 and their impact on care.
  • Engages in initiatives resulting from nurse-sensitive, quality, and other specialty indicators or 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 areas identified as deficient.
• Ethics
  • Maintains confidentiality as outlined in Centra policies.
  • Delivers care in a manner that protects patient autonomy, dignity, and rights.
  • Serves as a patient advocate.
  • Maintains professional role boundaries in patient-nurse relationships.
• 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.
• Basic Life Support (BLS) 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.
  • ACLS and PALS for Emergency Department.
• One year of nursing (RN) experience.

Pay

$31.05 - $48.13 per hour.