Clinical Registered Nurse II - Specialty A-SCH Emergency Room-FT/7p-7a

This role manages individualized patient care by promoting and restoring patients' health in accordance with medical and nursing plans of care and established policies and procedures. The Clinical RN II collaborates with physicians and multidisciplinary team members in developing, executing, and evaluating the multidisciplinary plan of care, assuming a full patient assignment.

Responsibilities

• Assessment
  • Conducts individualized patient assessments, prioritizing data collection based on the patient’s immediate condition or needs within specified timeframes.
  • Performs ongoing assessments as determined by patient condition and reprioritizes care accordingly.
  • Integrates nursing interventions into the multidisciplinary plan of care, incorporating standards of care and patient outcomes.
• Planning
  • Develops, modifies, and integrates an individualized care plan incorporating the medical plan of care, interdisciplinary plans, and standards of practice.
  • Establishes measurable patient goals in consultation with the patient, family, and healthcare team.
• Intervention
  • Performs treatments as ordered by providers accurately and timely.
  • Delivers therapeutic nursing interventions as established by the individualized plan of care.
  • Recognizes and responds to urgent or emergent patient risks, initiating resuscitative measures as appropriate.
  • Manages care for a specialty patient population with responsibility and accountability.
  • Provides care in a non-judgmental, culturally sensitive manner, preserving patient autonomy, dignity, and rights.
  • Collaborates with interdisciplinary team members to ensure appropriate patient care interventions.
• Evaluation
  • Evaluates patient responses to care based on the effectiveness of nursing interventions relative to established goals.
  • Initiates changes in the interdisciplinary care plan based on evaluations.
  • Problem-solves with the specialty team to improve patient outcomes.
  • Documents patient assessment findings, responses to interventions, and progress toward problem resolution.
• Patient Education
  • Identifies learning needs of patients and families, adapting standard information to meet those needs.
  • Ensures patients and families demonstrate knowledge within their abilities.
  • Communicates with patients and families to identify their needs and include them in the plan of care.
  • Supports patient and family determinations regarding 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 may participate in additional workshops or professional societies.
  • Seeks additional educational opportunities for clinical development and is prepared to learn or currently functions in a charge nurse role.
• Collaboration
  • Makes sound judgments in coordinating increasingly complex patient care demands.
  • Supervises delegated care based on personnel abilities 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).
  • Serves as a preceptor/mentor and works directly with employees to fulfill planned orientation.
  • May assist in the orientation, instruction, direction, and evaluation of students assigned to the unit.
  • Is trainable for or currently functions in a charge nurse role.
• Improvement Activities
  • Participates in data collection for quality assurance activities if assigned by department leadership.
  • 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 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
  • May participate in research or evidence-based practice projects.
  • Communicates research and quality improvement data/findings to peers.
  • Interprets quality improvement data relevant to the clinical specialty and communicates this to peers.
  • Contributes to the development or implementation of methods to improve quality care in areas identified as deficient by data studies.
• Ethics
  • Maintains confidentiality as outlined in Centra policies.
  • Delivers care in a manner that protects patient autonomy, dignity, and rights.
  • Serves as a patient advocate.
  • Maintains professional role boundaries in patient-nurse relationships.
• 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: 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: Pediatrics.
    • Advanced and Pediatric Advanced Life Support: Emergency Department.

Pay

$34.89 - $54.08 per hour.