Clinical Registered Nurse Ii-Csh; Ltac-Vbh

Clinical Registered Nurse II-CSH(LTAC)-VBH-FT/7p-7a

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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.

• 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…