Clinical Registered Nurse II (LGH D27 Med Surg, FT, 7p-7a)

About the Unit

33‑bed Medical‑Surgical Unit caring for adult patients with a broad range of acute medical and surgical conditions. Typical cases include congestive heart failure, chronic obstructive pulmonary disease, pneumonia, sepsis, diabetes, acute and chronic kidney disease, electrolyte imbalances, liver disease, hypo/hypertension, gastrointestinal disorders, cellulitis, stroke recovery, appendectomy, cholecystectomy, and general medical deconditioning. Clinical skills required on the unit include heparin infusions, Lasix and Bumex drips, IV fluid management, electrolyte replacement therapy, patient monitoring, complex discharge planning, and comprehensive patient education.

Responsibilities

• Assessment: Conduct individualized patient assessments, prioritize data collection based on immediate condition, perform ongoing assessments, and integrate nursing interventions into the multidisciplinary plan of care.
• Planning: Develop, modify, and integrate individualized care plans that incorporate medical and interdisciplinary plans, establish measurable patient goals in collaboration with patients, families, and the health‑care team.
• Intervention: Perform ordered treatments accurately and timely, deliver therapeutic nursing interventions, recognize and respond to urgent or emergent risks, initiate emergency resuscitative measures, and provide culturally sensitive, non‑discriminatory care.
• Evaluation: Evaluate patient responses to care, adjust the interdisciplinary care plan as needed, document assessments, interventions, and progress toward problem resolution.
• Patient Education: Identify learning needs, adapt education to patient/family needs, ensure understanding, and support patient‑driven treatment decisions.
• Self and Peer Learning: Assess and meet personal learning and professional development needs, maintain competency, attend educational programs, review professional publications, and participate in professional societies.
• Collaboration: Make sound judgments coordinating complex patient care demands, supervise delegated care, and report changes in patient condition to appropriate personnel.
• Service Recovery: Participate in service recovery, use appropriate resources during complex situations, and handle conflict resolution promptly and consistently.
• Resource Utilization and Stewardship: Support appropriate resource utilization, serve as a preceptor/mentor, assist with orientation of new staff and students, and be prepared for a charge nurse role.
• Improvement Activities: Collect data for quality‑assurance activities, identify recurring practice concerns, participate in nurse‑sensitive quality initiatives, and demonstrate safety behaviors such as “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 data, and contribute to methods that improve care quality.
• Ethics: Maintain confidentiality, protect patient autonomy, dignity, and rights, serve as a patient advocate, and uphold professional role boundaries.
• Other Duties: Perform additional tasks as assigned.

Qualifications

• Education: Diploma or Associate Degree in Nursing.
• Licensure & Certifications: Registered Nurse in the Commonwealth of Virginia (or compact license), AHA BLS Provider. Additional specialty certifications may include Advanced Cardiac Life Support, Pediatric Advanced Life Support, and others relevant to specific unit areas (e.g., Cath Lab, Operating Room, Critical Care, Endoscopy, PACU, Interventional Radiology, Birth Center, Outpatient Ambulatory Surgery, Plastic Surgery, Emergency Department).
• Experience: Minimum of one year of RN experience.

Compensation

Salary range: $32.92 – $51.02 per hour.

Bonus eligible: Earn up to $20,000 for experienced Registered Nurses and up to $10,000 for new graduates.