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

divh2Clinical Registered Nurse (RN) II/h2pThe 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 Clinical RN II collaborates with physicians and multidisciplinary team members in the development, execution, and evaluation of the multidisciplinary plan of care. The RN assumes a full patient assignment and can plan, analyze, intervene and set goals for patient care accordingly. This nurse provides nursing services to patients and families in accordance with the scope of the RN as defined by the Virginia Board of Nursing. This RN maintains a safe care environment for their patients (clients) and delivers quality care./ph3Clinical - Assessment/h3ulliConducts an individualized patient assessment, prioritizing the data collection based on the patients immediate condition or needs within timeframe specified by policies, procedures or protocols./liliConducts ongoing assessments as determined by patients condition and/or the policies, procedures or protocols and reprioritizes care accordingly./liliIntegrates nursing interventions into the multidisciplinary plan of care, incorporating appropriate standards of care and practice and patient outcomes./li/ulh3Clinical - Planning/h3ulliDevelops, 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./liliEstablishes individualized, measurable patient goals in consultation with the patient, family, and health care team./li/ulh3Clinical - Intervention/h3ulliPerforms appropriate treatments as ordered by provider in an accurate and timely manner./liliPerforms therapeutic nursing interventions as established by individualized plan of care for the patient and his/her family./liliRecognizes potential problems and responds to general information/data indicating urgent and/or emergent risk to the patient./liliInitiates emergency resuscitative measures as appropriate./liliAssumes responsibility and accountability for effectively managing the care of a specialty patient population./liliProvides care in a non-judgmental, non-discriminatory manner that is culturally sensitive to the patient and family, preserving their autonomy, dignity and rights./liliCollaborates with interdisciplinary team members to ensure patient care interventions are appropriate./li/ulh3Clinical - Evaluation/h3ulliEvaluates patients responses to care based on effectiveness of nursing interventions/actions in relationship to established goals./liliInitiates changes in the interdisciplinary care plan based on this evaluation. Problem solves with the specialty team to improve patient outcomes./liliDocuments patient assessment findings, physical/psychosocial responses to nursing intervention and progress towards problem resolution./li/ulh3Clinical - Patient Education/h3ulliIdentifies learning needs of patients/families and teaches by adapting standard information based on needs./liliEnsures that the patient/family demonstrates knowledge, within the abilities of the patient./liliCommunicates with patients and family to identify their needs and include them in the plan of care./liliAcknowledges and supports determinations by the patient and/or family concerning treatment./li/ulh3Self and Peer Learning/h3ulliAssumes responsibility for assessing and meeting own learning and professional development needs./liliMaintains 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./liliSeeks additional educational opportunities for clinical development and is either ready to learn the charge nurse role or currently functioning in a charge nurse role./li/ulh3Collaboration/h3ulliMakes sound judgments in the decisions involved in coordinating multiple, increasingly complex patient care demands./liliSupervises delegated care based on abilities of personnel and patient acuity./liliReports changes in patient condition to appropriate personnel./li/ulh3Service Recovery/h3ulliParticipates in service recovery and uses appropriate resources during complex situations./liliHandles conflict resolution in an appropriate, timely and consistent manner./li/ulh3Resource Utilization and Stewardship/h3ulliSupports organizational efforts regarding appropriate resource utilization (i.e. flexing during low census)./liliServes as a preceptor/mentor and works directly with employees to fulfill planned orientation to the department. Assists in the orientation, instruction, direction, and evaluation of students assigned to the unit./liliAble to be trained for a charge nurse role or is currently functioning in a charge nurse role./li/ulh3Improvement Activities/h3ulliParticipates in data collection for quality assurance activities if assigned by department leader./liliIdentifies and communicates recurring practice concerns in specialty areas and their impact on care./liliParticipates in initiatives resulting from nurse-sensitive, quality, and other specialty indicators and/or unit-based quality metrics./liliDemonstrates the utilization of Centras safety behaviors (i.e. Speak Up for Safety)./li/ulh3Research/Evidence Based Practice/Quality Improvement Projects/h3ulliMay participate in Research or Evidence Based Practice projects./liliAble to communicate research and quality improvement data/findings to peers./liliAble to interpret quality improvement data relevant to the clinical specialty and communicate this data to peers./liliContributes to development or implementation of methods to improve quality care in areas identified as deficient by quality improvement data studies./li/ulh3Ethics/h3ulliMaintains confidentiality in matters as outlined in Centra policies./liliDelivers care in a manner that protects patient autonomy, dignity and rights./liliServes as a patient advocate./liliMaintains patient-nurse relationships with professional role boundaries./li/ulh3Qualifications/h3h3Education Minimum/h3pDiploma or Associate Degree in Nursing/ph3Education Preferred/h3pBachelor of Science Nursing (BSN)/ph3Work Experience Minimum/h3pAt least One Year of Nursing (RN) Experience/ph3Licenses Certifications Minimum/h3pRegistration 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/pulli*ACLS requirements may be (are) waived for 100% remote employees**/li/ulpCath Lab/Electrophysiology Operating Room Critical Care (All) Endoscopy PACU Interventional Radiology Birth Center Centra Specialty Hospital Outpatient Ambulatory Surgery Plastic Surgery Registered Nurse Outpatient Ambulatory Surgery Additional Specialty Requirements After Hire Date According to Unit Standards Pediatric Advanced Life Support Pediatrics Additional Specialty Requirements After Hire Date According to Unit Standards Advanced and Pediatric Advanced Life Support Emergency Dept./p/div