Clinical Registered Nurse II - Specialty A (LGH PACU, PT, Variable Hours)

Manages individualized patient care by promoting and restoring patients' health in accordance with medical and nursing plans of care and established policies and procedures. 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 can plan, analyze, intervene, and set goals for patient care accordingly.

Responsibilities

• Assessment
  • Conducts an individualized patient assessment, prioritizing data collection based on the patient’s immediate condition or needs within timeframes specified by policies, procedures, or protocols.
  • Conducts ongoing assessments as determined by the 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.
• Planning
  • Develops, modifies, and integrates an individualized care plan incorporating the medical plan of care, key elements from other disciplines’ plans, and standards of care and practice.
  • Establishes individualized, measurable patient goals in consultation with the patient, family, and healthcare team.
• Intervention
  • Performs appropriate treatments as ordered by the provider in an accurate and timely manner.
  • Performs therapeutic nursing interventions as established by the individualized plan of care for the patient and their 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.
• Evaluation
  • Evaluates patient’s responses to care based on the effectiveness of nursing interventions/actions in relation to established goals.
  • Initiates changes in the interdisciplinary care plan based on this 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 teaches by adapting standard information based on those needs.
  • Ensures that the patient/family demonstrates knowledge, within the abilities of the patient.
  • Communicates with patients and family to identify their needs and includes 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 the department; attends required educational programs and may attend additional workshops.
  • Reviews nursing professional publications; establishes personal networks; may participate in professional societies.
  • Seeks additional educational opportunities for clinical development and is either ready to learn the charge nurse role 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 the 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 (e.g., flexing during low census).
  • 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 the 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 (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 this data to peers.
  • Contributes to the 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.
• Performs other duties as assigned.

Requirements

• Education: Diploma or Associate Degree in Nursing.
• Experience/Skills: One year of nursing (RN) experience.
• Certifications and Licensures:
  • Registration as a registered nurse in the Commonwealth of Virginia and/or holds a compact license to practice in Virginia.
  • AHA BLS Provider.

Additional Specialty Requirements

• Advanced Cardiac Life Support (ACLS):
  • Cath Lab/Electrophysiology
  • Operating Room
  • Critical Care (All)
  • Endoscopy
  • PACU
  • Interventional Radiology
  • Birth Center
  • Centra Specialty Hospital
  • Outpatient Ambulatory Surgery
  • Plastic Surgery
• Pediatric Advanced Life Support (PALS):
  • Pediatrics
• Advanced and Pediatric Advanced Life Support (ACLS & PALS):
  • Emergency Department

Pay

$34.89 - $54.08 per hour