Virtual Registered Nurse (RN), On-Site, PRN, Days

Start the day excited to make a difference…end the day knowing you did. Come join our team.

Job Summary:

The Virtual Registered Nurse (VRN) is responsible for providing professional nursing care with collaboration from the bedside nurse through two-way audio/visual technology and performing assessments of vital signs and monitoring data through specialized software.

The VRN position provides professional direct patient nursing care to a diverse patient population. Besides conducting nursing assessments, assisting with exams and treatment and maintenance of medical records, this position assists in coaching and mentoring department staff in areas of clinical and professional practice. The VRN position offers high level contributions at the bedside, unit, service line, and across the healthcare system.

Responsibilities for this position may include but are not limited to leading unit and shared governance activities, serving as charge nurse, assessing unit needs related to practice and improvement opportunities, serving as a clinical resource for both unit and hospital staff, and coordinating unit and hospital-wide education in partnership with management.

The Level II Competent Registered Nurse is clinically able to care for patients. The Level II MWHC nurse demonstrates the ability to collaborate with the healthcare team to improve the quality of care in the designated clinical area by incorporating research and implementing evidenced-based knowledge into practice. The Level II Competent Registered Nurse assumes the accountability and responsibility as a professional nurse for providing total, comprehensive, continuous, and patient-centered care for an assigned group of patients. The RN is responsible for the delivery of patient care through the nursing process of assessment, diagnosing, planning, implementation, and evaluation.

Essential Functions & Responsibilities:

• Assess and care for patients by leveraging video conferencing to complete virtual nursing rounds.
• Provide patients with virtual health assessments, treatment solutions, and follow-up from the Virtual Command Center.
• Create, implement, and monitor care plans in collaboration with other care teams.
• Develop, update, and communicate plan of care, including discharge, in partnership with the patient, family and interprofessional health care team.
• Prioritize care based on the patient's needs, abilities, and preferences. Advocate on patient/family's behalf to identify and resolve clinical and ethical concerns.
• Collaborate with interprofessional health care team to facilitate patient throughput efficiently to meet organizational goals.
• Develop and implement effective patient teaching strategies based on learning needs; use appropriate resources, incorporating planning for care after discharge. Evaluate the patient's comprehension and adapt teaching methods accordingly.
• Anticipate/prevent and recognize/resolve early declines in patient condition and emergent situations.
• Recognize, determine a plan of action, and respond to situations, such as Rapid Response/CERTs, and emergency codes.
• Contribute to development of service line and hospital standards and guidelines.
• Contributes to staff development by coaching to support the growth of nursing staff in meeting identified goals.
• Provide oversight for student/new employee preceptorships.
• Foster identification and implementation of innovative solutions to improve patient care or unit operations such as reduction of hospital readmissions or other department-specific measures by leading and/or participating in unit projects and shared governance activities.
• Lead initiatives to improve quality and safety scores on the unit and hospital scorecards, through peer-to-peer accountability, reporting near misses and identifying solutions by collaborating with the interprofessional team.
• Serve as the clinical resource. Develop and disseminate, as appropriate, informational/educational resources and programs designed to improve quality and professional practice.
• Document in Electronic Medical Record each encounter with clinical staff.
• Ensure that reporting is in place to demonstrate program outcomes and support performance improvement activities.
• Other duties as assigned.

Practice Standards for a Level II Registered Nurse:

In the MWHC Practice Standards, a Level II Registered Nurse is outlined in the following areas of: 

• Exemplary Professional Practice Standards 
• Structural Empowerment Practice Standards 
• Transformational Leadership Practice Standards 
• New Knowledge, Innovations, and Improvement Practice Standards
• Essential Functions & Responsibilities: 
• Direct and coordinate nursing care, including oversight of licensed and unlicensed personnel in any assigned or delegated tasks using the nursing process and interdisciplinary teamwork to achieve desired patient outcomes.
• Coordinate involvement of the patient, family and health team members in patient care, including patient/family teaching and discharge planning.
• Communicate and coordinate the plan of care and other pertinent information to/from other health care team members.
• Assist Leadership to define standards of excellence for patient care; participate in improvement of patient care services.
• Participate in, contribute to and integrate performance improvement into care delivery and participate in quality improvement activities.
• Participate in orientation of new permanent and temporary staff members.
• Act as point of contact on hospital and departmental policies and procedures to nurses and other health team members.
• Participate in daily operational activities necessary for safe patient/staff environment.
• Provide input to the Nurse Manager regarding unit needs.
• Participate in unit, departmental and hospital committees for formulation of nursing and hospital policies and procedures.

Qualifications

Required

• Graduate of an accredited nursing program and has experience as a Registered Nurse.
• Valid RN License from Virginia or reciprocal compact state.
• BSN is preferred; all Registered Nurses with an Associate's Degree in Nursing will be required to obtain their BSN within five years of hire. (Effective March 2014)
• Three (3) years acute care nursing experience.
• AHA BLS Provider CPR.
• Computer skills and dexterity required for data entry and retrieval of information.
• Effective verbal and written communication skills and the ability to present information clearly and professionally
• Proficient with Windows-style applications, various software packages specific to role and keyboard

Preferred

• American Nursing Credentialing Center (ANCC)-recognized certification in applicable specialty area

As an EOE/AA employer, the organization will not discriminate in its employment practices due to an applicant's race, color, religion, sex, sexual orientation, gender identity, national origin, and veteran or disability status.

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Required

Physical Requirements: Constant (67-100% of workday) walking, standing, use of arms and hands; frequent (34-66% of workday) bending, stooping, kneeling, and squatting; ability to lift 35 lbs.; ability to push and pull 20 lbs.; auditory and visual skills to include color determination; ability to work in confined spaces; ability to reach above/overhead.

Mental Requirements: Possesses critical thinking and analytical skills. Ability to multi-task. Ability to communicate effectively and collaborate with a multi-disciplinary team. Capacity to cope with difficult situations. Ability to tolerate irregular hours including evenings, nights, and weekends.

Environmental Requirements and Exposure Hazards: Potential risk of exposure to radiation and toxic chemicals. Potential for exposure to bloodborne pathogens; must be able to wear appropriate personal protective equipment.

“It is the policy of Mary Washington Healthcare to provide reasonable accommodations to qualified individuals with a disability who are applicants for employment or Associates.”

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