Clinical Registered Nurse II-SCH Med/Surg-PT/7p-7a

Responsibilities

• Clinical - Assessment
• Conducts an individualized patient assessment, prioritizing data collection based on patient's immediate condition or needs.
• Conducts ongoing assessments as determined by patient’s condition and/or policies, procedures or protocols and reprioritizes care accordingly.
• Integrates nursing interventions into the multidisciplinary plan of care, incorporating appropriate standards of care and practice and patient outcomes.
• Clinical - Planning
• 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 health care team.
• Clinical - Intervention
• Performs appropriate treatments as ordered by provider in an accurate and timely manner.
• Performs therapeutic nursing interventions as established by individualized plan of care for the patient and his/her family.
• Recognizes potential problems and responds to general information/data indicating urgent and/or emergent risk to the patient.
• 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 manner that is culturally sensitive to the patient and family, preserving their autonomy, dignity and rights.
• Collaborates with interdisciplinary team members to ensure patient care interventions are appropriate.
• Clinical - Evaluation
• 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.
• Problem solves with the specialty team to improve patient outcomes.
• Clinical - Patient Education
• Identifies learning needs of patients/families and teaches by adapting standard information based on needs.
• Sets up a system to ensure that the patient/family demonstrates knowledge, within the abilities of the patient.
• Communicates with patients and family to identify their needs and include them in the plan of care.
• Acknowledges and supports determinations by the patient and/or family concerning treatment.
• Self and Peer Learning
• Assumes 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.
• Able to be trained for a charge nurse role or is currently functioning in a charge nurse role.
• Clinical Leadership
• 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.
• 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 (i.e. flexing during low census).
• Serves as a preceptor/mentor and works directly with employees to fulfill planned orientation to the department.
• Absorbs responsibility for assisting 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 the utilization of Centra’s safety behaviors (i.e. 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 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.
• Qualifications
• Education: Minimum Diploma or Associate Degree in Nursing; Preferred Bachelor of Science – Nursing (BSN).
• Work Experience: Minimum One Year of Nursing (RN) Experience.
• Licenses & Certifications: Minimum Registration as a registered nurse in the Commonwealth of Virginia and/or holds a compact license to practice in Virginia; Basic Life Support.
• Additional Specialty Requirements After Hire Date According to Department Standards – Advanced Cardiac Life Support (ACLS); Additional Specialty Requirements After Hire Date According to Unit Standards– Pediatric Advanced Life Support (PALS); Additional Specialty Requirements After Hire Date According to Unit Standards – Advanced and Pediatric Advanced Life Support (ACLS and PALS).

Qualifications

• Education: Minimum Diploma or Associate Degree in Nursing; Preferred Bachelor of Science – Nursing (BSN).
• Work Experience: Minimum One Year of Nursing (RN) Experience.
• Licenses & Certifications: Minimum Registration as a registered nurse in the Commonwealth of Virginia and/or holds a compact license to practice in Virginia; Basic Life Support.
• Additional Specialty Requirements After Hire Date According to Department Standards – Advanced Cardiac Life Support (ACLS); Additional Specialty Requirements After Hire Date According to Unit Standards– Pediatric Advanced Life Support (PALS); Additional Specialty Requirements After Hire Date According to Unit Standards – Advanced and Pediatric Advanced Life Support (ACLS and PALS).