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

Responsibilities

• Conducts an individualized patient assessment, prioritizing data collection based on the patient's immediate condition or needs within specified timeframes.
• 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 healthcare team.
• Performs appropriate treatments and therapeutic nursing interventions as established by the individualized plan of care for the patient and their family.
• Recognizes potential problems and responds to general information/data indicating urgent and/or emergent risks to the patient. Initiates emergency resuscitative measures as appropriate.
• Assumes responsibility and accountability for effectively managing the care of a specialty patient population.
• Maintains a safe care environment for their patients (clients) and delivers quality care.
• 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.
• Collaborates with interdisciplinary team members to ensure patient care interventions are appropriate.
• 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 includes them in the plan of care. Acknowledges and supports determinations by the patient and/or family concerning treatment.
• Affirms responsibility for assessing and meeting own learning and professional development needs. 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.
• 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.
• Participates in service recovery and uses appropriate resources during complex situations. Handles conflict resolution in an appropriate, timely and consistent manner.
• Supports organizational efforts regarding appropriate resource utilization (i.e. flexing during low census). Able to serve as a preceptor/mentor and works directly with employees to fulfill planned orientation to the department. May assist in the orientation, instruction, direction, and evaluation of students assigned to the unit.
• Able to be trained for a charge nurse role or is currently functioning in a charge nurse role.
• 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. Demonstrates the utilization of Centra’s safety behaviors (i.e. Speak Up for Safety).
• May participate in Research or Evidence Based Practice projects. Able to communicate research and quality improvement data/findings to peers. Able to interpret quality improvement data relevant to the clinical specialty and communicate this data to peers.
• Contributes to development or implementation of methods to improve quality care in areas identified as deficient by quality improvement data studies.
• 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.

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
• 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
• Pediatric Advanced Life Support certification
• Pediatric Advanced Life Support and Advanced Cardiac Life Support certifications
• Emergency Department
• One Year of Nursing (RN) Experience