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

About the role

Located in the heart of Central Virginia, Centra Health is a regional, nonprofit healthcare system comprising hospitals, medical centers, and a network of specialty and primary‑care practices throughout the Blue Ridge region. The unit is a 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. The Clinical Registered Nurse (RN) II manages individualized patient care, collaborates with physicians and multidisciplinary team members, and assumes a full patient assignment, planning, analyzing, intervening, and setting goals for patient care.

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 consultation with patients, families, and the health‑care team.
• Intervention: Perform ordered treatments accurately and timely, deliver therapeutic nursing interventions per the individualized plan, 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, and problem‑solve with the specialty team to improve outcomes.
• Patient Education: Identify learning needs, adapt education to patient/family needs, ensure understanding, and involve patients/families in the care plan.
• Self and Peer Learning: Assess and meet personal learning and professional development needs, maintain competency, attend required and optional 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, utilize appropriate resources during complex situations, and handle conflict resolution promptly and consistently.
• Resource Utilization and Stewardship: Support appropriate resource utilization (e.g., flexing during low census), serve as a preceptor/mentor, assist with orientation and evaluation of 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: Participate in research or evidence‑based practice projects, communicate findings to peers, interpret quality‑improvement data, and contribute to methods that improve quality of care.
• 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/Certification: Registered Nurse license in the Commonwealth of Virginia (or compact license), AHA BLS Provider.
• Specialty Requirements (optional/desired): Advanced Cardiac Life Support, Pediatric Advanced Life Support, and experience in areas such as Cath Lab/Electrophysiology, Operating Room, Critical Care, Endoscopy, PACU, Interventional Radiology, Birth Center, Centra Specialty Hospital, Outpatient Ambulatory Surgery, Plastic Surgery, and Emergency Department.
• Experience: Minimum of one year of RN experience.

Pay

Salary range: $32.92 – $51.02 per hour.