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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.
Job Responsibility:
Conducts an individualized patient assessment, prioritizing the data collection based on the patient’s immediate condition or needs within 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
Develops, 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
Establishes individualized, measurable patient goals in consultation with the patient, family, and health care team
Performs appropriate treatments as ordered by provider in an accurate and timely manner
Performs therapeutic nursing interventions as established by individualized plan of care for the patient and his/her 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
Evaluates patient’s responses to care based on effectiveness of nursing interventions/actions in relationship 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 towards problem resolution
Identifies learning needs of patients/families and teaches by adapting standard information based on needs
Ensures that the patient/family demonstrates knowledge, within the abilities of the patient
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
Assumes responsibility for assessing and meeting own learning and professional development needs
Maintains 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
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
Makes sound judgments in the decisions involved 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
Participates in service recovery and uses appropriate resources during complex situations
Handles conflict resolution in an appropriate, timely and consistent manner
Serves 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
Able to be trained for a charge nurse role or is currently functioning in a charge nurse role
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 (i.e. Speak Up for Safety)
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 development or implementation of methods to improve quality care in areas identified as deficient by quality improvement data studies
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
Requirements:
Diploma or Associate Degree in Nursing
At least One Year of Nursing (RN) Experience
Registration 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