Clinical Registered Nurse II-LGH B51 Neuro Intermediate-PRN

Overview

Clinical Registered Nurse II-LGH B51 Neuro Intermediate-PRN-Variable Hours at Centra Health

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 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 and delivers quality care.

• Clinical - Assessment: Conducts an individualized patient assessment, prioritizing 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 policies and re-prioritizes care accordingly.
• Integrates nursing interventions into the multidisciplinary plan of care, incorporating appropriate standards of care, practice and patient outcomes.

• Clinical - Planning: Develops, modifies, and integrates an individualized care plan which incorporates the medical plan of care, key elements from 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, non-discriminatory manner that is culturally sensitive, preserving autonomy, dignity and rights.
• Collaborates with interdisciplinary team members to ensure appropriate patient care interventions.

• Clinical - Evaluation: Evaluates patient responses to care based on effectiveness of nursing interventions/actions in relation to established goals.
• Initiates changes in the interdisciplinary care plan based on evaluation and problem-solves with the specialty team to improve outcomes.
• Documents patient assessment findings 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 appropriate to their abilities.
• Communicates with patients and families to identify needs and include them in the plan of care.
• Respects patient/family decisions regarding treatment.

• Self and Peer Learning: Maintains current competency in nursing specialty; pursues required education; seeks opportunities for clinical development; may participate in professional organizations.
• May be prepared to assume or currently function in a charge nurse role.

• Collaboration: Makes sound judgments in coordinating complex patient care demands; supervises delegated care and communicates changes in patient condition as needed.

• Service Recovery: Participates in service recovery and uses appropriate resources during complex situations; handles conflicts in a timely and consistent manner.

• Resource Utilization and Stewardship: Supports appropriate resource use; serves as a preceptor/mentor and supports orientation and training of staff and students; may train for a charge nurse role.

• Improvement
  
  Activities:
  
  Participates in quality assurance data collection; communicates practice concerns; engages in nurse-sensitive quality initiatives; applies Centra safety behaviors (e.g., Speak Up for Safety).

• Research/Evidence-Based Practice/Quality Improvement: May…