Clinical Registered Nurse II - Specialty A-LGH Emergency Room-FT/11a-11p

Job Description

The Clinical Registered Nurse (RN) II is responsible for managing individualized patient care by promoting and restoring patients' health in accordance with medical and nursing plans of care and established policies and procedures. The RN collaborates with physicians and multidisciplinary team members in the development, execution, and evaluation of the multidisciplinary plan of care, assumes a full patient assignment, and provides nursing services to patients and families within the scope defined by the Virginia Board of Nursing. The RN maintains a safe care environment and delivers quality care.

Responsibilities

• Assessment
  • Conduct individualized patient assessments, prioritizing data collection based on immediate condition or needs.
  • Perform ongoing assessments as dictated by patient condition, policies, procedures, or protocols and reprioritize care accordingly.
  • Integrate nursing interventions into the multidisciplinary plan of care, incorporating appropriate standards of care and patient outcomes.
• Planning
  • Develop, modify, and integrate an individualized care plan that incorporates the medical plan, key elements from other disciplines, and standards of care.
  • Establish measurable patient goals in consultation with the patient, family, and health‑care team.
• Intervention
  • Perform ordered treatments accurately and timely.
  • Provide therapeutic nursing interventions as established by the individualized plan of care.
  • Recognize potential problems and respond to urgent or emergent risk information.
  • Initiate emergency resuscitative measures as appropriate.
  • Assume responsibility for managing the care of a specialty patient population.
  • Deliver culturally sensitive, non‑judgmental care that preserves patient autonomy, dignity, and rights.
  • Collaborate with interdisciplinary team members to ensure appropriate patient care interventions.
• Evaluation
  • Evaluate patient responses to care based on effectiveness of nursing interventions relative to established goals.
  • Initiate changes in the interdisciplinary care plan based on evaluation findings.
  • Problem‑solve with the specialty team to improve patient outcomes.
  • Document assessment findings, responses to interventions, and progress toward problem resolution.
• Patient Education
  • Identify learning needs of patients/families and adapt standard information accordingly.
  • Ensure patients/families demonstrate knowledge within the patient’s abilities.
  • Communicate with patients and families to identify needs and include them in the plan of care.
  • Support patient and family determinations concerning treatment.
• Self and Peer Learning
  • Assess and meet personal learning and professional development needs.
  • Maintain competency in nursing specialty; attend required educational programs and optional workshops.
  • Review professional publications, establish personal networks, and participate in professional societies.
  • Seek additional educational opportunities for clinical development and readiness for a charge nurse role.
• Collaboration
  • Make sound judgments coordinating multiple, increasingly complex patient care demands.
  • Supervise delegated care based on personnel abilities and patient acuity.
  • Report changes in patient condition to appropriate personnel.
• Service Recovery
  • Participate in service recovery and utilize appropriate resources during complex situations.
  • Handle conflict resolution in a timely and consistent manner.
• Resource Utilization and Stewardship
  • Support organizational efforts for appropriate resource utilization (e.g., flexing during low census).
  • Serve as a preceptor/mentor and assist with orientation of new employees.
  • Assist in orientation, instruction, direction, and evaluation of students assigned to the unit.
  • Be trained for or function in a charge nurse role.
• Improvement Activities
  • Participate in data collection for quality assurance activities as assigned.
  • Identify and communicate recurring practice concerns and their impact on care.
  • Engage in initiatives related to nurse‑sensitive quality indicators and unit‑based metrics.
  • Demonstrate 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.
  • Communicate research and quality improvement findings to peers.
  • Interpret quality improvement data relevant to the clinical specialty and share insights.
  • Contribute to development or implementation of methods to improve quality of care based on identified deficiencies.
• Ethics
  • Maintain confidentiality per Centra policies.
  • Deliver care that protects patient autonomy, dignity, and rights.
  • Serve as a patient advocate while maintaining professional role boundaries.
• Other Duties
  • As assigned.

Qualifications

• Education: Diploma or Associate Degree in Nursing.
• Experience: Minimum of one year of nursing (RN) experience.
• Licensure & Certifications:
  • Registered Nurse license in the Commonwealth of Virginia (or compact license permitting practice in Virginia).
  • AHA Basic Life Support (BLS) Provider.
• Additional Specialty Requirements:
  • Advanced Cardiac Life Support (ACLS) – applicable to Cath Lab/Electrophysiology, Operating Room, Critical Care, Endoscopy, PACU, Interventional Radiology, Birth Center, Centra Specialty Hospital, Outpatient Ambulatory Surgery, Plastic Surgery, and Outpatient Ambulatory Surgery RN.
  • Pediatric Advanced Life Support (PALS) – applicable to Pediatrics.
  • Advanced and Pediatric Advanced Life Support – applicable to Emergency Department.

Pay

Salary range: $34.89 per hour – $54.08 per hour.