**$10,000 Sign On Bonus for offers accepted by February 28, 2026. Terms and Conditions apply.** Medical Intermediate and Intensive Care Unit (MIICU) Critical Care Hospital, 3rd Floor The MIICU is a progressively opening unit with flexible patient acuity ranging from Acute to Intensive Care. This unit proudly provides quality care to Internal Medicine patients of a variety of medical diagnosis including renal, gastrointestinal, pulmonary, hepatology, infectious disease, endocrine, and gerontology. The team building this unit has been recognized by AACN as a Beacon Gold Unit for Excellence. This achievement was obtained through a focus in collaborative practice, a commitment to maintaining a highly satisfied work force, and a healthy work environment which supports both novice and expert clinicians. This unit is open to new graduates who are seeking to gain experience in progressive and critical care. • 28 bed hybrid unit with progressive and intensive care beds focused on caring for a wide variety of adult medical patients across the full spectrum of their hospital admission • Some of the primary admission diagnoses include respiratory failure, sepsis, multisystem organ failure, GI bleeds, DKA, and significant compromise of kidney and liver failure • Provides new employees the unique opportunity to receive formal training and competencies in both progressive and critical care nursing The Clinical Nurse I job integrates technical skills and theoretical knowledge to meet the needs of the patient and family. This job assists the health care team with the prevention of illness and injury, maintenance of wellness, and provision of comfort. This job provides direction, education, and begins to acquire leadership skills at the unit level. This job delivers and accurately documents direct, age-specific care to a patient or group of patients based on medical orders and an integrated, multidisciplinary plan of care. This job also safely administers prescribed medications, identifying incompatibilities and/or interactions. The Clinical Nurse II job demonstrates a mastery of clinical skills and begins to apply this knowledge to a specific patient population. This job assists the health care team with the prevention of illness and injury, maintenance of wellness, and provision of comfort. This job recognizes changes in patient situations and intervenes appropriately. This job mobilizes resources to meet the individualized needs of patient/families. This job provides direction, education, and assumes leadership responsibilities at the unit level. This job delivers and accurately documents direct, age-specific care to a patient or group of patients based on medical orders and an integrated, multidisciplinary plan of care. This job safely administers prescribed medications, identifying incompatibilities and/or interactions. The Clinical Nurse III job demonstrates clinical knowledge at the unit level and begins to apply this knowledge to a specific patient population. This job assists the health care team with the prevention of illness and injury, maintenance of wellness, and provision of comfort. This job anticipates changes in patient situations and intervenes appropriately. This job provides direction, education, and serves as a role model in a clinical setting. This job delivers and accurately documents direct, age-specific care to a patient or group of patients based on medical orders and an integrated, multidisciplinary plan of care. This job safely administers prescribed medications, identifying incompatibilities and/or interactions. Licensure, Certification, or Registration Requirements for Hire: Clin I, Clin II, Clin III: Current RN licensure in Virginia or eligible or compact state Licensure, Certification, or Registration Requirements for continued employment: Clin I, Clin II, Clin III: Current RN licensure in Virginia, AHA BLS HCP Certification or equivalent Experience REQUIRED: Clin I: N/A Clin II: 12 to 24 months RN experience Clin III: 3 years of clinical experience Experience PREFERRED: Clin I: Experience as an LPN, nursing assistant or care partner in either an acute care setting or as applicable to area of practice Clin II, Clin III: Academic Health Care Experience; Experience with similar patient population in either an acute care setting or as applicable to area of practice Education/training REQUIRED: Clin I, Clin II, Clin III: Diploma or Associates Degree from a professional nursing program recognized and/or approved by the corresponding state’s Board of Nursing. All registered nurses without a Bachelor's degree in Nursing (or higher) will be required to enroll in an approved RN to BSN program within two years of their start date and to complete the program within five years of their start date unless grandfathered under previous requirements. Education/training PREFERRED: Clin I, Clin II, Clin III: Completion of a Bachelor’s Degree in Nursing (or higher) from an accredited program Clin III: Certification in specialty area Independent action(s) required: Follows documented physician/licensed independent provider orders. Practices within the boundaries of the regulations governing the practice of nursing in the Commonwealth of Virginia. Practice is guided by the ANA Code of Ethics for Nursing and established national nursing practice standards. All practice is guided by and follows the VCUHS policies and procedures and established practice. Supervisory responsibilities (if applicable): Clin I, Clin II, Clin III: Organizes work and delegates and supervises others (RN's, LPN's, Care Partners, Unit Secretaries, etc.) in carrying out assignments. Additional position requirements: Clin I, Clin II, Clin III: Clinicians work all three shifts, weekends and holidays. Individual shift rotation and schedules will be established with your specific Nurse Manager/Practice Manager. Schedules, including requirements of shift rotations and hours of work may be adjusted as necessary to meet unit requirements and/or as needed. Age Specific groups served: As appropriate based on unit assignment. Physical Requirements (includes use of assistance devices as appropriate): Physical: Lifting 20-50 lbs. Other: Exposure to potentially hazardous and infectious substances Activities: Prolonged standing, Prolonged sitting, Frequent bending, Walking (distance), Climbing (steps, ladder, other), Reaching (overhead, extensive, repetitive) Mental/Sensory: Strong recall, Reasoning, Problem solving, Hearing, Speak clearly, Write legibly, Reading, Logical thinking Emotional: Fast pace environment, Steady pace, Able to handle multiple priorities, Frequent and intense customer interactions, Noisy environment Rotating EEO Employer/Disabled/Protected Veteran/41 CFR 60-1.4.
The Cancer Survivorship Program seeks a full-time NP or PA to join their multidisciplinary team. A successful candidate would demonstrate a high level of expertise in the assessment, diagnosis, treatment, and coordination of a plan of care and exhibit independent clinical judgment. This position serves as a clinical resource to health care teams inside and outside of VCU Medical Center, providing care coordination, outreach, and education. Collaboration with other team members in clinical research is also a part of this role. The Advanced Practice Provider (APP- NP, PA) provides high-quality medical and/or surgical patient care. This position provides care to patients with acute and chronic complaints in collaboration with the Attending Physician. The Advanced Practice Provider provides diagnostic, therapeutic, and/or preventive healthcare service on a Collaborative APP/Physician team. The Advanced Practice Provider may perform any or all of the following: histories and physicals; order and interpret tests; make diagnosis; treat injuries/illness; assist with surgical procedures; counsel patient and/or prescribe medication and those invasive procedures defined by the Virginia Board of Medicine. The Advanced Practice Provider works collaboratively with the medical team to deliver organized, timely, cost effective and quality patient care. The Advanced Practice Provider will provide patient care under a defined departmental and state-approved scope of practice with the collaboration of an Attending Physician(s). Essential Job Statements Performance Expectation: Clinical & Patient Care Responsibilities Demonstrates mastery of treatment and patient care of specialty population served. Demonstrates expert knowledge to coordinate patient care across the continuum of services through the patient’s trajectory of illness. Assesses the health status of individuals through health histories, by performing physical examination, initiating screening, ordering or performing diagnostic tests, providing direct patient care, assisting with surgical procedure, therapeutic intervention, prescribing medication and/or counseling patients to a specified patient population. Initiates emergency procedures as needed. Practices safety, environmental and/or infection control methods. Makes rounds with the attending physicians as necessary. Supervises and/or coordinates the activities of patient care and support staff within assigned area. Documents all pertinent information and data in the patient’s medical record. Interpreting information obtained from history and physical and develops a treatment plan. Formulates and prioritizes appropriate short-term and long-term therapeutic plans when indicated. Incorporates in the plan of care the physical, spiritual, cultural and psychosocial aspects of patients and families to promote optimum levels of health. Explores strategies to decrease length of stay and resource consumption within specialty area. Establishes priorities to meet the health needs of the individual, family or community. Maintains effective communications about patient care with all members of the health care team to assure care is coordinated. Assists with the coordination of care between primary and specialty health care services when needed. Performance Expectation: Consultation Functions as a consultant to other health care professionals in the multi-disciplinary team regarding routine and unusual therapeutic interventions. Serves as a liaison, translator and negotiator for staff, patients and families. Collaborates in the development, implementation, communication and monitoring of the multi-disciplinary plan of care for complex patients. Shares responsibility for patient education which may include the patient, family members or other caregivers. May provide training to residents, fellows and other health care staff in area of specialty. Participates in the continual assessment and revision of practices and procedures in specialty area. Promotes teamwork through effective communication, feedback to team members. Recognizes team as integral to individual effectiveness and quality patient outcomes. Performance Expectation: Research Utilizes current research to develop, implement and evaluate critical paths and standards of care for identified patient population. Contributes to the profession through participation in research, publications, consultation and/or educational activities. Demonstrates knowledge and support for clinical trials within specialty area. Performance Expectation: Ethical Decision Making Skills Incorporates the use of clinical judgment in ethical decision making. Practices the principles of ethics in decision making for patients. Promotes the use of interdisciplinary collaborative processes to resolve ethical dilemmas. Demonstrates appropriate use of skills of negotiation, mediation, collaboration, compromise and accommodation to assist families struggling with ethical decisions. Displays the ability to examine patient’s values that impact treatment decision-making preferences. Recognizes patient rights as a foundation for ethical decisions. Performance Expectation: Professional Development Seeks out opportunities for professional growth through organizational affiliations. Functions in collaborative relationships with physicians, allied health professionals and administration. Assesses own learning needs and develops and implements a plan for professional growth. Enhances professional growth and development through participation in educational programs, current literature, in-service and workshops. Participates in teaching program as needed. Participates in continuing education activities to maintain competencies and to meet re-certification requirements. Maintain appropriate certification requirements to continue VCUHS privileges. Performance Expectation: Miscellaneous Responsibilities Performs other duties as assigned and/or participates in special projects in order to support the mission of VCU Health. Provides assistance to team members. Accepts alternate assignments, as required, graciously. Patient Population Age Specific groups served: As appropriate based on unit assignment. Employment Qualifications Required Education: Graduation from an accredited Nurse Practitioner, Nurse Midwife or Physician Assistant Program Preferred Education: Service-specific education Licensure/Certification Required: Current Virginia licensure from the appropriate Board as a Nurse Practitioner, Nurse Midwife, or Physician Assistant Current national certification as appropriate for the role Credentialing in accordance with medical staff by-laws for specific job titles Current CPR and Basic Life Support (BLS) certifications; Additional certifications, including Advanced Cardiac Life Support (ACLS) certifications, Pediatric Advanced Life Support (PALS) for Pediatric services, may be determined at the department level Licensure/Certification Preferred: Service-specific certification Minimum Qualifications Years and Type of Required Experience Previous clinical experience with the population served Other Knowledge, Skills and Abilities Required: Cultural Responsiveness Other Knowledge, Skills and Abilities Preferred: Three (3) years of previous clinical experience with the population served Previous experience in an academic healthcare system Working Conditions Physical Requirements Physical Demands: Lifting/ Carrying (0-50 lbs.), Lifting/ Carrying (50-100 lbs.), Lifting/ Carrying (100+ lbs.), Push/ Pull (0-50 lbs.), Push/ Pull (50-100 lbs.), Stoop, Kneel, Squat, Crawling, Climbing, Balance, Bending Work Position: Sitting, Walking, Standing Additional Physical Requirements/ Hazards Physical Requirements: Manual dexterity (eye/hand coordination), Perform Shift Work, Maneuver weight of patients, Hear alarms/telephone/tape recorder, Reach above shoulder, Repetitive arm/hand movements, Finger Dexterity, Color Vision, Acuity – near, Acuity – far Hazards: Depth perception, Use of Latex Gloves, Exposure to toxic/caustic/chemicals/detergents, Exposure to moving mechanical parts, Exposure to dust/fumes, Exposure to potential electrical shock, Exposure to x ray/electromagnetic energy, Exposure to high pitched noises, Gaseous risk exposure Mental/Sensory – Emotional Mental / Sensory: Strong Recall, Reasoning, Problem Solving, Hearing, Speak Clearly, Write Legibly, Reading, Logical Thinking Emotional: Fast pace environment, Steady Pace, Able to Handle Multiple Priorities, Frequent and Intense Customer Interactions, Noisy Environment, Able to Adapt to Frequent Change EEO Employer/Disabled/Protected Veteran/41 CFR 60-1.4.
The Chief Nursing Officer (CNO), Community Hospital is responsible for providing strategic and operational leadership for all aspects related to direct patient care/nursing activities including, but not limited to, the following: safety, service, clinical excellence, nursing practice, and nursing education and development and operational responsibilities for non-patient care areas if assigned, of the community hospital. The CNO is accountable to ensure patient care services and nursing practice maintains compliance with the Centers for Medicare and Medicaid and DNV/The Joint Commission requirements. The CNO collaborates with other CNOs and ACNOs within the VCU Health System to ensure that excellence in clinical care, education, research, and community outreach is promoted and achieved across the health system, and nursing practice remains within the boundaries of the governing regulations in the Commonwealth of Virginia. The CNO also ensures practice is guided by the ANA Code of Ethics for Nursing and established national nursing practice standards, as well as VCU Health System policies and procedures. The CNO coordinates activities and organizational initiatives that enable VCU Health System to be recognized within the healthcare community for excellence in nursing by either the American Nurses Credentialing Center (ANCC) Magnet Recognition Program or Pathway to Excellence Program. The CNO has the responsibility to ensure that patient care services, primarily related to nursing, delivered at community hospital are focused on enhancing the patient experience. This executive finds a balance in managing the day-to-day operations, while leading strategic development initiatives required for the hospital’s long-term success by creating an environment of collaboration and engaged providers. Additionally, this individual effectively manages the financial forecast for Nursing at the community hospital, while being a responsible steward of resources in alignment with the VCU Health System financial goals. This executive leader partners and collaborates with other VCU Health System leaders in the strategic development and operational execution of clinical service excellence and human capital strategy to safeguard the position of community hospital and VCU Health System as a regional leading provider of clinical services. The CNO interfaces effectively with VCU partners as needed to ensure safe, timely, and efficient care of patients across the care continuum. In addition, this individual fosters a collaborative relationship with VCU School of Nursing and other community nursing schools within the region to support the educational mission of the health system and a pipeline for growth of VCU Health System nursing services. Essential Job Statements Performance Expectation: Safety Commitment to be a collaborative leader in safety/quality, affordability and impact, and the desire to be the trusted and preferred provider for our community and beyond. Must consistently demonstrate the values and behaviors that enhance and align with the VCU Health System and reflect the commitments and philosophy of the organization. Demonstrate personal ownership and accountability for safety across the community hospital by role modeling daily key concepts of a high reliability organization as personal work habits. Promote safe behavior use by all; take actions to ensure all team members apply the safe behaviors to their everyday work and adopt as their personal work habits. Establish an environment in which it is both encouraged and expected that team members speak up for safety, quality, and service, and will support the team in speaking up. Proactively find problems and take actions to fix system causes based on root cause analysis. Encourage reporting of events and near misses. Facilitate timely evaluation of safety events involving department or team members and implements planned corrective actions. Responsible for overall workspace environment, to include compliance with evacuation plans, emergency preparedness plan, etc. Demonstrate alignment with Safety First, the core value underlying our safety net mission and dedication to be the safest hospital. On-going evaluation of care and services to improve outcomes and the patient experience and engage new business; and ensuring the health and safety of patients, visitors, faculty, learners, and care teams. Performance Expectation: Budget Manage the medical center nursing and patient care services financial forecast and other financial measures effectively in alignment with health system financial goals. Responsible for managing the monthly nursing and patient care services variance reporting or any other financial requirement for the overall fiscal stewardship at the medical center. Leverage data analytics to identify return on investment and other indicators for nursing and patient care services’ business efficiency and resource utilization. Performance Expectation: Operational Excellence Collaborate with other areas to maintain a contemporary knowledge of urban teaching hospital and community hospital approach, lean process improvement, safety and quality developments, cost of care and industry trends. Identify and articulate the vision and direction for nursing and patient care services and collaborate on the implementation of strategies to achieve them. Promote continuity, consistency, and standardization, to the extent possible, of nursing and patient care services care across the organization. Set the tone for partnerships across all departments to keep patients and families as the focal point for all decisions. Be innovative and collaborative in approaches to solutions across the business unit in fulfilment of the VCUHS mission. Recruit and retain top talent and partner in recruitment efforts to ensure a diverse, respectful, and inclusive culture. Demonstrate an understanding of VCUHS mission/vision/values and goals in all areas of responsibility, abide by and monitor team members or adherence to policies. Performance Expectation: Performance Expectation: Visibility (Strategy) Develop and provide key performance indicators (KPIs) to establish the appropriate framework for nursing and patient care services metrics to align with overall organizational strategy. Evaluate and advise on the impact of long-range planning of new nursing programs/strategies and regulatory action, as those items affect the community hospital (business unit) and consequently VCUHS. Work collaboratively with nursing leadership across business entities to ensure policies, procedures, strategy, and program are aligned. Performance Expectation: Performance Expectation: Performance Improvement/Benchmarking Routinely evaluate, modify, and recommend process improvement based on review and audit. Drive continuous improvement to ensure value-based initiatives are effectively designed, documented, implemented, and communicated to department and internal/external business partners. Consistently measure success through KPIs and business metrics. Continuously seek ways to streamline and improve performance, proactively identifying and initiating process improvement tasks. Contribute new ideas to the team to challenge the “status quo”. Serve as a change agent and champions change management activities for value-based functions with frequent communications to improve outcomes and course correct as needed Performance Expectation: Organizational Teamwork Plan, develop, organize, implement, direct, and evaluate the performance of the patient care teams to ensure alignment with VCUHS mission, values and vision. Collaborate with cross-functional teams and other leaders to provide tactics, ideas and reasoning for behavior changes, readiness, and team member/patient experience. Communicate effectively, demonstrate good interpersonal relationships, and display behavior that is consistently professional, caring, and courteous. Performance Expectation: Compliance Be aware of nursing regulatory and business impacts and partner with leaders on ways to proactively address challenges and potential operational issues. Enforce all rules and regulations in the conduct of routine business related to nursing. Provide general oversight of all community hospital nursing and patient care services activities, manage the day-to-day nursing and patient care services operations and assure a safe and efficient work environment. Ensure nursing practice remains within the boundaries of the governing regulations in the Commonwealth of Virginia and practice is guided by the American Nurses Association Code of Ethics for Nursing and established national nursing practice standards, as well as VCU Health System policies and procedures. Performance Expectation: External Effectiveness Develop, nurture, and maintain community relations, and participate actively and visibly in the community. Actively participate in relevant board and committee meetings. Keep abreast of trends, market issues and best practices in the nursing market. Establish collaborative relationships with the VCU School of Nursing and other nursing schools to develop programs and experiences to attract the highest quality student and graduate nurses to the organization as part of an assertive recruitment plan Performance Expectation: Miscellaneous Responsibilities Perform other duties as assigned and/or participates in special projects to support the mission of VCUHS. Responsible for leading select nursing initiatives across the VCUHS enterprise Support and coach team members. Patient Population Demonstrates the knowledge and skills necessary to provide equitable care appropriate to the age of the patients served on their assigned unit. Demonstrates knowledge and related competencies of the principles of growth and development of the life span and possesses the ability to assess data reflective of the patient's status and interprets the appropriate information needed to identify each patient's requirements relative to their age, specific needs and to provide the equitable care needed as described in departmental policies and procedures. Neonates (0-4 weeks) Infant (1-12 months) Pediatrics (1-12 years) Adolescents (13-17 years) Adults (18-64 years). Geriatrics (65 years and older) Employment Qualifications Education Qualifications Required Education: Bachelor’s degree in Nursing Master’s degree from an accredited college or university in Nursing, Health Care Administration, Business Administration, Public Health Administration, or related field. Preferred Education: DNP or PhD preferred Licensure/Certification Required: Current Registered Nurse licensure in Virginia or eligible AHA BLS Certification or equivalent Licensure/Certification Preferred: Specialty certification in Executive Nursing Practice or Healthcare Administration preferred Minimum Qualifications Years and Type of Required Experience 10 years of progressive nursing leadership experience Years and Type of Preferred Experience: 12 years of related nursing leadership experience including 5+ years in leadership role with significant business impact Other Knowledge, Skills and Abilities Required: Must be willing and able to work evenings, weekends and holidays as role necessitates including Administration Call Must be willing to commute to entities across VCUHS Working Conditions Periods of high stress and fluctuating workloads may occur. General office environment. May be exposed to physical altercations and verbal abuse. Required to car travel to off-site locations, occasionally in adverse weather conditions. Long-distance or air travel as needed- not to exceed 10% travel. May be exposed to limited hazardous substances or body fluids. * May be exposed to human blood and other potentially infectious materials. * May have periods of constant interruptions. * Individuals in this position are required to exercise universal precautions, use personal protective equipment and devices, and learn the policies concerning infection control. Physical Requirements Physical Demands: Lifting/ Carrying (0-50 lbs.), Lifting/ Carrying (50-100 lbs.), Lifting/ Carrying (100+ lbs.), Push/ Pull (0-50 lbs.), Push/ Pull (50-100 lbs.), Stoop, Kneel, Squat, Balance, Bending Work Position: Sitting, Walking, Standing Additional Physical Requirements/ Hazards Physical Requirements: Manual dexterity (eye/hand coordination), Perform Shift Work, Maneuver weight of patients, Hear alarms/telephone/tape recorder, Reach above shoulder, Repetitive arm/hand movements, Finger Dexterity, Color Vision, Acuity – near, Acuity – far Hazards: Depth perception, Use of Latex Gloves, Exposure to toxic/caustic/chemicals/detergents, Exposure to x ray/electromagnetic energy Mental/Sensory – Emotional Mental / Sensory: Strong Recall, Reasoning, Problem Solving, Hearing, Speak Clearly, Write Legibly, Reading, Logical Thinking Emotional: Fast-paced environment, Steady Pace, Able to Handle Multiple Priorities, Frequent and Intense Customer Interactions, Able to Adapt to Frequent Change EEO Employer/Disabled/Protected Veteran/41 CFR 60-1.4.
Tier 1 Supplemental Staffing RNs provide support to the organization by floating to multiple units and/ or areas within the VCU Health System (VCUHS). This flex pool includes Registered Nurses who work within inpatient areas to include adults and/ or pediatrics. The flex pool provides support 24/7 to VCUHS inpatient units, procedural areas, Periop and other specialties within VCUHS. Reassignment may occur in 4-hour blocks. This would also include an opportunity to float to other VCUHS facilities. The Clinical Nurse II job demonstrates a mastery of clinical skills and begins to apply this knowledge to a specific patient population. This job assists the health care team with the prevention of illness and injury, maintenance of wellness, and provision of comfort. This job recognizes changes in patient situations and intervenes appropriately. This job mobilizes resources to meet the individualized needs of patient/families. This job provides direction, education, and assumes leadership responsibilities at the unit level. This job delivers and accurately documents direct, age-specific care to a patient or group of patients based on medical orders and an integrated, multidisciplinary plan of care. This job safely administers prescribed medications, identifying incompatibilities and/or interactions. The Clinical Nurse III job demonstrates clinical knowledge at the unit level and begins to apply this knowledge to a specific patient population. This job assists the health care team with the prevention of illness and injury, maintenance of wellness, and provision of comfort. This job anticipates changes in patient situations and intervenes appropriately. This job provides direction, education, and serves as a role model in a clinical setting. This job delivers and accurately documents direct, age-specific care to a patient or group of patients based on medical orders and an integrated, multidisciplinary plan of care. This job safely administers prescribed medications, identifying incompatibilities and/or interactions The Clinical Nurse II job demonstrates a mastery of clinical skills and begins to apply this knowledge to a specific patient population. This job assists the health care team with the prevention of illness and injury, maintenance of wellness, and provision of comfort. This job recognizes changes in patient situations and intervenes appropriately. This job mobilizes resources to meet the individualized needs of patient/families. This job provides direction, education, and assumes leadership responsibilities at the unit level. This job delivers and accurately documents direct, age-specific care to a patient or group of patients based on medical orders and an integrated, multidisciplinary plan of care. This job safely administers prescribed medications, identifying incompatibilities and/or interactions. The Clinical Nurse III job demonstrates clinical knowledge at the unit level and begins to apply this knowledge to a specific patient population. This job assists the health care team with the prevention of illness and injury, maintenance of wellness, and provision of comfort. This job anticipates changes in patient situations and intervenes appropriately. This job provides direction, education, and serves as a role model in a clinical setting. This job delivers and accurately documents direct, age-specific care to a patient or group of patients based on medical orders and an integrated, multidisciplinary plan of care. This job safely administers prescribed medications, identifying incompatibilities and/or interactions. Performance Expectation: Pertains to staff in licensed Nursing positions ONLY Employee must complete 15 contact hours of Continuing Nursing Education during this evaluation cycle. Effective July 2012: CN-III must complete 20 contact hours; Failure to achieve the required number of contact hours will result in the employee being ineligible to receive an overall performance rating above "Fully Meets". Performance Expectation: Nursing Process The Clinical Nurse II demonstrates competent use of the nursing process as a problem-solving model in performance of job duties as evidenced by: Focuses assessment to target areas most productive for a given patient population or situation. Recognizes subtle changes in clinical situations; evaluates and appropriately alters the plan of care. Consistently makes sound clinical decision. Prioritizes and organizes patient care and ensures follow through with planned care. Initiates discharge care planning in assigned patients and actively coordinates utilizing the multidisciplinary/interdisciplinary approach. The Clinical Nurse III demonstrates competent use of the nursing process as a problem-solving model in performance of job duties as evidenced by: Synthesizes knowledge and experience to anticipate and plan to meet patient and family needs. Takes a proactive role in implementing multidisciplinary care planning for specific patient population. Performance Expectation: Nurse–Patient Relationship The Clinical Nurse II demonstrates ability to develop and maintain a therapeutic nurse/patient relationship throughout the health care continuum as evidenced by: Demonstrates effective communication styles based on individual patient/family needs. Identifies factors affecting patient’s physical and/or psychosocial comfort. Individualizes approaches accordingly. Seeks consultation if necessary to achieve patient outcome. Assesses patient/family readiness to be involved in planning. Involves them in planning and implementing care. Incorporates an individualized, holistic and non-judgmental approach to care. Mobilizes appropriate resources in response to situations that have the potential to negatively impact patient/family outcomes. The Clinical Nurse III develops and maintains a therapeutic nurse/patient relationship throughout the health care continuum. Respect for patients’ rights is an integral part of the nurse/patient relationship as reflected in our values statement as evidenced by: Adapts communication styles and techniques based on individual patient/family needs. Anticipates variables affecting patient comfort. Alters physical and/or psychosocial interventions accordingly, using a variety of modalities. Assists patient/family to gain sense of control. Facilitates patient/family’s participation in his/her recovery. Consistently utilizes an individualized, holistic and non-judgmental approach to patient care. Challenges situations and engages in activities to promote positive patient outcomes. Performance Expectation: Education The Clinical Nurse II demonstrates a commitment to meeting the learning needs of patients and families as evidenced by: Accurately assesses patient/family readiness to learn, organize and execute individualized teaching plan. Evaluates patient’s understanding and modifies approach as necessary. Assists individual members of the health care team in developing their clinical skills. The Clinical Nurse III demonstrates a commitment to meeting the learning needs of patients and families as evidenced by: Utilizes a variety of teaching strategies appropriate to the patient’s needs. Seeks out challenging patient/family teaching opportunities. Assumes responsibility for identifying staff learning needs. Develops, implements and evaluates formal and informal patient and/or staff educational plans. Performance Expectation: Leadership/Collaboration and Professional Development The Clinical Nurse II demonstrates respect and understanding for peers and other clinical disciplines and participates as an effective member of the patient care team to formulate an integrated approach based upon current evidence and on the mission of the department as evidenced by: Participates in unit activities which improve patient care or administrative systems. Utilizes available resources to maintain current knowledge base relevant to practice. Asks clinical questions related to nursing care of patients. Demonstrates ability to locate and obtain evidence to answer clinical questions. Seeks out and utilizes resources to identify nursing practice issues, including those that require evidence-based evaluation/research. Shares findings of personal review of evidence (literature/QA/experts, etc.) with peers and generates dialogue. May initiate steps toward problem resolution based on current best evidence. Initiates referrals. Coordinates the health care team to meet patient and family’s individualized needs. Consistently utilizes effective communication, feedback and conflict resolution skills. Demonstrates the ability to critique own nursing practice. Identifies a plan for professional development. The Clinical Nurse III demonstrates respect and understanding for peers and other clinical disciplines and participates as an effective member of the patient care team to formulate an integrated approach based upon current evidence and on the mission of the department as evidenced by: Leads or participates in unit or division activities which improve patient care or administrative systems. Maintains awareness of current practice in specialty area. Assists others in translating and applying this knowledge to the practice setting. Evaluates nursing practice based on current best evidence. Initiates steps towards problem resolution based on current best evidence. Questions clinical practice at the unit and/or department level, and incorporates the use of current best evidence, clinical judgment and patient values/preferences. May implement solutions towards problem resolution based on current best evidence. Shares current best evidence (e.g. critical pathways, practice guidelines, protocols, and standards) with peers and others. Contributes to the revision and development of unit and/or department nursing care guidelines and/or policies and procedures based on current best evidence. Promotes the development of collaborative relationships with other health professionals by focusing on patient outcomes. Takes responsibility for problem-solving and conflict resolution. Describes their professional practice goals and plans for achieving them on the individual and unit level. Demonstrates how they have accomplished some of their professional practice goals in the last two years. Performance Expectation: Performs other Duties and Participates in Special Projects The Clinical Nurse II: Readily volunteers and/or participates in special projects in order to support the mission of VCUHS and department. The Clinical Nurse III: Provides assistance to team members. Accepts alternate assignments, as required. Initiates and/or delegates other duties as assigned and/or participates in special projects in order to support the mission of VCUHS and department. Makes use of diverse talents of team members, promotes team dynamics. Suggests and or supports/alternate assignments, displays emotional stability. Education/training REQUIRED: Clin II, Clin III Diploma or Associates Degree from a professional nursing program recognized and/or approved by the corresponding state’s Board of Nursing. All registered nurses without a Bachelor's degree in Nursing (or higher) will be required to enroll in an approved RN to BSN program within two years of their start date and to complete the program within five years of their start date unless grandfathered under previous requirements. Education/training PREFERRED: Clin II, Clin III Completion of a bachelor’s degree in Nursing (or higher) from an accredited program Clin III: Certification in specialty area Licensure, Certification, or Registration Requirements for Hire: Clin II, Clin III: Current RN licensure in Virginia or eligible or compact state Experience REQUIRED: Clin II: 12 to 24 months RN experience Clin III: 3 years of clinical experience Clin II, Clin III Academic Health Care Experience; Experience with similar patient population in either an acute care setting or as applicable to area of practice Other Knowledge, Skills and Abilities Required: Follows documented physician/licensed independent provider orders. Practices within the boundaries of the regulations governing the practice of nursing in the Commonwealth of Virginia. Practice is guided by the ANA Code of Ethics for Nursing and established national nursing practice standards. All practice is guided by and follows the VCUHS policies and procedures and established practice. Clinicians work all shifts, weekends and holidays. Individual shift rotation and schedules will be established with your specific Nurse Manager/Practice Manager. Schedules, including requirements of shift rotations and hours of work may be adjusted as necessary to meet unit requirements and/or as needed Age Specific groups served: As appropriate based on unit assignment. Physical Requirements (includes use of assistance devices as appropriate): Physical: Lifting 0-50 lbs. Other: Exposure to potentially hazardous and infectious substances Activities: Prolonged standing, Prolonged sitting, Frequent bending, Walking (distance), Climbing (steps, ladder, other), Reaching (overhead, extensive, repetitive) Mental/Sensory: Strong recall, Reasoning, Problem solving, Hearing, Speak clearly, Write legibly, Reading, Logical thinking Emotional: Fast pace environment, Steady pace, Able to handle multiple priorities, Frequent and intense customer interactions, Noisy environment Rotating EEO Employer/Disabled/Protected Veteran/41 CFR 60-1.4.
The Advanced Practice Provider (APP- NP, PA, Midwife) provides high-quality medical and/or surgical patient care. This position provides care to patients with acute and chronic complaints in collaboration with the Attending Physician. The Advanced Practice Provider provides diagnostic, therapeutic, and/or preventive healthcare service on a Collaborative APP/Physician team. The Advanced Practice Provider may perform any or all of the following: histories and physicals; order and interpret tests; make diagnosis; treat injuries/illness; assist with surgical procedures; counsel patient and/or prescribe medication and those invasive procedures defined by the Virginia Board of Medicine. The Advanced Practice Provider works collaboratively with the medical team to deliver organized, timely, cost effective and quality patient care. The Advanced Practice Provider will provide patient care under a defined departmental and state-approved scope of practice with the collaboration of an Attending Physician(s). Essential Job Statements Performance Expectation: Clinical & Patient Care Responsibilities Demonstrates mastery of treatment and patient care of specialty population served. Demonstrates expert knowledge to coordinate patient care across the continuum of services through the patient’s trajectory of illness. Assesses the health status of individuals through health histories, by performing physical examination, initiating screening, ordering or performing diagnostic tests, providing direct patient care, assisting with surgical procedure, therapeutic intervention, prescribing medication and/or counseling patients to a specified patient population. Initiates emergency procedures as needed. Practices safety, environmental and/or infection control methods. Makes rounds with the attending physicians as necessary. Supervises and/or coordinates the activities of patient care and support staff within assigned area. Documents all pertinent information and data in the patient’s medical record. Interpreting information obtained from history and physical and develops a treatment plan. Formulates and prioritizes appropriate short-term and long-term therapeutic plans when indicated. Incorporates in the plan of care the physical, spiritual, cultural and psychosocial aspects of patients and families to promote optimum levels of health. Explores strategies to decrease length of stay and resource consumption within specialty area. Establishes priorities to meet the health needs of the individual, family or community. Maintains effective communications about patient care with all members of the health care team to assure care is coordinated. Assists with the coordination of care between primary and specialty health care services when needed. Performance Expectation: Consultation Functions as a consultant to other health care professionals in the multi-disciplinary team regarding routine and unusual therapeutic interventions. Serves as a liaison, translator and negotiator for staff, patients and families. Collaborates in the development, implementation, communication and monitoring of the multi-disciplinary plan of care for complex patients. Shares responsibility for patient education which may include the patient, family members or other caregivers. May provide training to residents, fellows and other health care staff in area of specialty. Participates in the continual assessment and revision of practices and procedures in specialty area. Promotes teamwork through effective communication, feedback to team members. Recognizes team as integral to individual effectiveness and quality patient outcomes. Performance Expectation: Research Utilizes current research to develop, implement and evaluate critical paths and standards of care for identified patient population. Contributes to the profession through participation in research, publications, consultation and/or educational activities. Demonstrates knowledge and support for clinical trials within specialty area. Performance Expectation: Ethical Decision Making Skills Incorporates the use of clinical judgment in ethical decision making. Practices the principles of ethics in decision making for patients. Promotes the use of interdisciplinary collaborative processes to resolve ethical dilemmas. Demonstrates appropriate use of skills of negotiation, mediation, collaboration, compromise and accommodation to assist families struggling with ethical decisions. Displays the ability to examine patient’s values that impact treatment decision-making preferences. Recognizes patient rights as a foundation for ethical decisions. Performance Expectation: Professional Development Seeks out opportunities for professional growth through organizational affiliations. Functions in collaborative relationships with physicians, allied health professionals and administration. Assesses own learning needs and develops and implements a plan for professional growth. Enhances professional growth and development through participation in educational programs, current literature, in-service and workshops. Participates in teaching program as needed. Participates in continuing education activities to maintain competencies and to meet re-certification requirements. Maintain appropriate certification requirements to continue VCUHS privileges. Performance Expectation: Miscellaneous Responsibilities Performs other duties as assigned and/or participates in special projects in order to support the mission of VCU Health. Provides assistance to team members. Accepts alternate assignments, as required, graciously. Patient Population Age Specific groups served: As appropriate based on unit assignment. Employment Qualifications Required Education: Graduation from an accredited Nurse Practitioner, Nurse Midwife or Physician Assistant Program Preferred Education: Service-specific education Licensure/Certification Required: Current Virginia licensure from the appropriate Board as a Nurse Practitioner, Nurse Midwife, or Physician Assistant Current national certification as appropriate for the role Credentialing in accordance with medical staff by-laws for specific job titles Current CPR and Basic Life Support (BLS) certifications; Additional certifications, including Advanced Cardiac Life Support (ACLS) certifications, Pediatric Advanced Life Support (PALS) for Pediatric services, may be determined at the department level Licensure/Certification Preferred: Service-specific certification Minimum Qualifications Years and Type of Required Experience Previous clinical experience with the population served Other Knowledge, Skills and Abilities Required: Cultural Responsiveness Other Knowledge, Skills and Abilities Preferred: Three (3) years of previous clinical experience with the population served Previous experience in an academic healthcare system Working Conditions Physical Requirements Physical Demands: Lifting/ Carrying (0-50 lbs.), Lifting/ Carrying (50-100 lbs.), Lifting/ Carrying (100+ lbs.), Push/ Pull (0-50 lbs.), Push/ Pull (50-100 lbs.), Stoop, Kneel, Squat, Crawling, Climbing, Balance, Bending Work Position: Sitting, Walking, Standing Additional Physical Requirements/ Hazards Physical Requirements: Manual dexterity (eye/hand coordination), Perform Shift Work, Maneuver weight of patients, Hear alarms/telephone/tape recorder, Reach above shoulder, Repetitive arm/hand movements, Finger Dexterity, Color Vision, Acuity – near, Acuity – far Hazards: Depth perception, Use of Latex Gloves, Exposure to toxic/caustic/chemicals/detergents, Exposure to moving mechanical parts, Exposure to dust/fumes, Exposure to potential electrical shock, Exposure to x ray/electromagnetic energy, Exposure to high pitched noises, Gaseous risk exposure Mental/Sensory – Emotional Mental / Sensory: Strong Recall, Reasoning, Problem Solving, Hearing, Speak Clearly, Write Legibly, Reading, Logical Thinking Emotional: Fast pace environment, Steady Pace, Able to Handle Multiple Priorities, Frequent and Intense Customer Interactions, Noisy Environment, Able to Adapt to Frequent Change EEO Employer/Disabled/Protected Veteran/41 CFR 60-1.4.
