Clinical Registered Nurse II (LGH D37 General Med Surg, FT, 7p-7a)

About the role

BONUS ELIGIBLE – Earn up to $20k for Experienced Registered Nurses and up to $10k for New Graduates.

About this unit

• 33-bed General Medical Surgical Unit
• Adult patient population with a wide range of medical conditions, including chronic illnesses experiencing acute exacerbation and newly diagnosed conditions requiring treatment and ongoing management
• Opportunity to develop and maintain a broad range of clinical skills while caring for a diverse patient population
• Hands-on experience with advanced procedures and technologies:
  • IV insertion and management
  • Urinary catheterization insertion and management
  • Continuous Ambulatory Peritoneal Dialysis (CAPD)
  • Blood product administration
  • Chest tube management
  • Central line care
  • Enteral feeding tubes
  • Telemetry monitoring
  • Restraints
  • Rectal tube management
  • Enemas

Responsibilities

• Assessment
  • Conducts individualized patient assessment, prioritizing data collection based on patient’s immediate condition or needs within specified timeframe
  • Performs ongoing assessments as determined by patient’s condition and reprioritizes care accordingly
  • Integrates nursing interventions into the multidisciplinary plan of care, incorporating standards of care and practice and patient outcomes
• Planning
  • Develops, modifies, and integrates an individualized care plan incorporating the medical plan of care, key elements from 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 treatments as ordered by provider in an accurate and timely manner
  • Performs therapeutic nursing interventions as established by individualized plan of care
  • Recognizes potential problems and responds to urgent and/or emergent patient risks
  • Initiates emergency resuscitative measures as appropriate
  • Assumes responsibility and accountability for effectively managing the care of a specialty patient population
  • Provides care in a non-judgmental, non-discriminatory, culturally sensitive manner that preserves patient autonomy, dignity, and rights
  • Collaborates with interdisciplinary team members to ensure appropriate patient care interventions
• Evaluation
  • Evaluates patient’s responses to care based on effectiveness of nursing interventions in relationship to established goals
  • Initiates changes in the interdisciplinary care plan based on evaluation
  • Problem-solves with the specialty team to improve patient outcomes
  • Documents patient assessment findings, physical/psychosocial responses to nursing intervention, and progress toward problem resolution
• Patient Education
  • Identifies learning needs of patients/families and adapts standard information accordingly
  • Ensures patient/family demonstrates knowledge within the patient’s abilities
  • Communicates with patients and family to identify needs and include them in the plan of care
  • Acknowledges and supports patient and/or family determinations concerning treatment
• Self and Peer Learning
  • Assesses and meets own learning and professional development needs
  • Maintains current competency in nursing specialty and department requirements; attends required educational programs and additional workshops
  • Reviews nursing professional publications and participates in professional networks
  • Seeks additional educational opportunities for clinical development and is ready to learn or currently functioning in a charge nurse role
• Collaboration
  • Makes sound judgments 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
• Service Recovery
  • Participates in service recovery and uses appropriate resources during complex situations
  • Handles conflict resolution in an appropriate, timely, and consistent manner
• Resource Utilization and Stewardship
  • Supports organizational efforts regarding appropriate resource utilization
  • 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
• Improvement Activities
  • 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 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
  • Able to communicate research and quality improvement data/findings to peers
  • Able to interpret quality improvement data relevant to the clinical specialty and communicate findings to peers
  • Contributes to development or implementation of methods to improve quality care in areas identified as deficient by quality improvement data studies
• Ethics
  • 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
  • Maintains patient-nurse relationships with professional role boundaries
• Other duties as assigned

Qualifications

• Required Education: Diploma or Associate Degree in Nursing
• Required Certification and Licensures:
  • Registered Nurse license in the Commonwealth of Virginia or compact license to practice in Virginia
  • AHA BLS Provider
• 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

$32.92 – $51.02 per hour