Clinical Registered Nurse II-LGH B41 Oncology Unit-PT-7p-7a

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.

Clinical - Assessment

• 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. 

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 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. 

Clinical - Evaluation

• 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. 

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 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.  

Self and Peer Learning 

• 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. 

Collaboration 

• 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.   

Service Recovery 

• Participates in service recovery and uses appropriate resources during complex situations.  
• Handles conflict resolution in an appropriate, timely and consistent manner.  

Resource Utilization and Stewardship 

• Supports organizational efforts regarding appropriate resource utilization (i.e. flexing during low census). 
• 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. 

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 (i.e. Speak Up for Safety).   

Research/Evidence Based Practice/Quality Improvement Projects 

• 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. 

Ethics 

• 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. 

Other duties as assigned.