Clinical Registered Nurse II-LGH D27 Med Surg -PT/7p-7a

Bonus Eligible

Earn up to $20k for Experienced Registered Nurses and up to $10k for New Graduates!

Job Description

Located in the heart of Central Virginia, Centra Health is a regional, nonprofit healthcare system comprised of hospitals, medical centers, and a network of specialty and primary care practices throughout the Blue Ridge region. Centra has earned its fifth Magnet® designation, a prestigious recognition that reflects our ongoing commitment to nursing excellence, professional development, and exceptional patient care. 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 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.

About This Unit

• Beds: 33-bed Medical‑Surgical Unit
• Patient Population: Adult patients with a broad range of acute medical and surgical conditions
• Typical Cases: Congestive heart failure, chronic obstructive pulmonary disease, pneumonia, sepsis, diabetes, acute and chronic kidney disease, electrolyte imbalances, liver disease, hypo/hypertension, gastrointestinal disorders, cellulitis, stroke recovery, appendectomy, cholecystectomy, and general medical deconditioning
• Clinical Skills: Heparin infusions, lasix and bumex drips, IV fluid management, electrolyte replacement therapy, patient monitoring, complex discharge planning, and comprehensive patient education

Responsibilities

Clinical - Assessment

• Conducts an individualized patient assessment, prioritizing the data collection based on the patient’s immediate condition or needs within the timeframe specified by policies, procedures or protocols.
• Conducts ongoing assessments as determined by patient’s condition and/or the 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.

Clinical - Planning

• Develops, modifies, and integrates an individualized care plan that incorporates the medical plan of care, key elements from the plans of other disciplines, and standards of care and practice.
• Establishes individualized, measurable patient goals in consultation with the patient, family, and health care team.

Clinical - Intervention

• Performs appropriate treatments as ordered by provider accurately and timely.
• Performs therapeutic nursing interventions as established by individualized plan of care for the patient and his/her family.
• Recognizes potential problems and responds to information 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.

Clinical - Evaluation

• Evaluates patient’s responses to care based on effectiveness of nursing interventions/actions in relation to established goals.
• Initiates changes in the interdisciplinary care plan based on this evaluation and works with the specialty team to improve patient outcomes.
• Documents patient assessment findings, physical/psychosocial responses to nursing intervention and progress toward problem resolution.

Clinical - Patient Education

• Identifies learning needs of patients/families and teaches by adapting standard information based on needs.
• Ensures that the patient/family demonstrates knowledge within the patient’s abilities.
• Communicates with patients and family to identify their needs and include 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 competency in nursing specialty and departmental requirements; attends required educational programs, additional workshops, and professional societies.
• Seeks additional educational opportunities for clinical development and is ready to learn the charge nurse role or currently functioning in that role.

Collaboration

• Makes sound judgments in coordinating multiple, increasingly complex patient care demands.
• Supervises delegated care based on 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 promptly and consistently.

Resource Utilization and Stewardship

• Supports organizational efforts regarding appropriate resource utilization, such as flexing during low census.
• Serves as a preceptor/mentor and works directly with employees to fulfill orientation plans to the department; assists in orientation, instruction, direction, and evaluation of students assigned to the unit.
• Is able to be trained for a charge nurse role or currently functions in that role.

Improvement Activities

• Participates in data collection for quality assurance activities if assigned by 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.
• Communicates research and quality improvement data/findings to peers.
• Interprets quality improvement data relevant to the clinical specialty and shares it with peers.
• Contributes to development or implementation of methods to improve quality care based on identified deficiencies.

Ethics

• Maintains confidentiality as outlined in Centra policies.
• Delivers care that protects patient autonomy, dignity and rights.
• Serves as a patient advocate.
• Maintains professional boundaries in patient‑nurse relationships.

Qualifications

Education Minimum

Diploma or Associate Degree in Nursing

Education Preferred

Bachelor of Science – 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
• Advanced Cardiac Life Support (after hire date, per department standards; ACLS requirements may be waived for 100% remote employees)
• Cath Lab/Electrophysiology
• Operating Room
• Critical Care (All)
• Endoscopy
• PACU
• Interventional Radiology
• Birth Center
• Centra Specialty Hospital
• Outpatient Ambulatory Surgery
• Plastic Surgery Registered Nurse
• 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.

Salary Range: $31.05 - $48.13 / Hour