Clinical Registered Nurse II-VBH Med/Surg Intermediate Unit-PRN/7p-7a

About the Role

The Clinical Registered Nurse (RN) II manages individualized patient care by promoting and restoring patients' health in accordance with medical and nursing plans of care and established policies and procedures. This role collaborates with physicians and multidisciplinary team members to develop, execute, and evaluate the multidisciplinary plan of care. The RN II assumes a full patient assignment, planning, analyzing, intervening, and setting goals for patient care while maintaining a safe care environment.

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 medical plans, interdisciplinary input, and standards of care.
  • 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 needed.
  • Manages care for a specialty patient population with accountability and responsibility.
  • Provides culturally sensitive, non-judgmental care, preserving patient autonomy, dignity, and rights.
  • Collaborates with interdisciplinary teams to ensure appropriate patient care interventions.
• Evaluation
  • Evaluates patient responses to care and adjusts the interdisciplinary care plan based on effectiveness.
  • Problem-solves with the specialty team to improve patient outcomes.
  • Documents assessment findings, responses to interventions, and progress toward problem resolution.
• Patient Education
  • Identifies and addresses learning needs of patients and families, adapting teaching to their abilities.
  • Ensures patients and families demonstrate understanding of care plans.
  • Communicates with patients and families to include them in care planning and decision-making.
• Self and Peer Learning
  • Assesses and meets own learning and professional development needs.
  • Maintains current competency in nursing specialty and department requirements.
  • Attends educational programs, reviews professional publications, and may participate in 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 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 resources during complex situations.
  • Handles conflict resolution appropriately and consistently.
• Resource Utilization and Stewardship
  • Supports organizational efforts for appropriate resource utilization (e.g., flexing during low census).
  • Serves as a preceptor/mentor for new employees and assists in orientation, instruction, and evaluation of students.
  • Is trainable for or currently functions in a charge nurse role.
• Improvement Activities
  • Participates in data collection for quality assurance activities if assigned.
  • Identifies and communicates recurring practice concerns in specialty areas.
  • Engages in initiatives driven by nurse-sensitive, quality, and unit-based metrics.
  • Demonstrates utilization of 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 findings to peers.
  • Interprets and communicates quality improvement data relevant to the clinical specialty.
  • Contributes to developing or implementing methods to improve care in areas identified as deficient.
• Ethics
  • Maintains confidentiality as outlined in organizational policies.
  • Delivers care that protects patient autonomy, dignity, and rights.
  • Serves as a patient advocate and maintains professional role boundaries.
• Other Duties
  • Performs additional duties as assigned.

Requirements

• Education
  • Minimum: Diploma or Associate Degree in Nursing.
  • Preferred: Bachelor of Science in Nursing (BSN).
• Work Experience
  • Minimum: At least 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 (BLS) certification.
  • Additional certifications after hire (varies by department):
    • Advanced Cardiac Life Support (ACLS) – waived for 100% remote employees.
    • Departments requiring ACLS: Cath Lab, Electrophysiology, Operating Room, Critical Care, Endoscopy, PACU, Interventional Radiology, Birth Center, Centra Specialty Hospital, Outpatient Ambulatory Surgery, Plastic Surgery.
    • Pediatric Advanced Life Support (PALS) – Pediatrics.
    • ACLS and PALS – Emergency Department.

Pay

$31.05 - $48.13 per hour.