Clinical Registered Nurse II​/SCH Med​/Surg Unit

Overview

Clinical Registered Nurse II /SCH Med/Surg Unit (FT/7p-7a) at Centra Health. The Clinical Registered Nurse 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 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, 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 and maintains a safe care environment while delivering quality care.

• Clinical - Assessment – Conducts an individualized patient assessment, prioritizing data collection based on the patient  immediate condition or needs within the timeframe specified by policies, procedures or protocols.
• Conducts ongoing assessments as determined by patient condition and/or policies, procedures or protocols and reprioritizes care accordingly.
• Integrates nursing interventions into the multidisciplinary plan of care, incorporating appropriate standards of care and patient outcomes.

• Clinical - Planning – 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.

• Clinical - Intervention – Performs appropriate treatments as ordered by provider in an accurate and timely manner.
• Performs therapeutic nursing interventions as established by the individualized plan of care for the patient and 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 for effectively managing the care of a specialty patient population.
• Provides care in a non-judgmental, culturally sensitive manner that respects patient autonomy, dignity and rights.
• Collaborates with interdisciplinary team members to ensure patient care interventions are appropriate.

• Clinical - Evaluation – Evaluates patient responses to care based on the effectiveness of nursing interventions in relation to established goals.
• Initiates changes in the interdisciplinary care plan based on evaluation; problem solves with the specialty team to improve patient outcomes.
• Documents patient assessment findings, responses to nursing interventions, and progress toward problem resolution.

• Clinical - Patient Education – Identifies learning needs of patients/families and teaches by adapting standard information based on needs.
• Ensures patient/family demonstrates knowledge within their abilities and communicates with patients and families to include them in the plan of care.

• Self and Peer Learning – Assesses and meets own learning and professional development needs; maintains current competency and may participate in required educational programs and workshops.
• Seeks additional educational opportunities; may be ready to learn or currently functioning in a charge nurse role.

• Collaboration – Makes sound judgments in coordinating complex patient care demands; supervises delegated care and reports changes in patient condition.

• Service Recovery – Participates in service recovery and uses appropriate resources; handles conflict resolution in a timely and consistent manner.

• Resource Utilization and Stewardship – Supports appropriate resource utilization; serves as a preceptor/mentor and assists in orientation and development of staff and students; may be trained for a charge nurse role.

• Improvement Activities – Participates in quality assurance activities; identifies recurring practice concerns and contributes to initiatives driven by quality metrics.

• Research/Evidence Based Practice/Quality Improvement Projects – May participate in research or evidence-based projects and communicate…