RN Clinical Nurse II - Med/Surg
Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve.
Provides competent clinical nursing care consistent with professional standards. Reporting and accountable to the Nurse Manager/Director, the Clinical Nurse is responsible for coordinating and delivering patient care utilizing the nursing process in a hospital setting.
1. Education - Participates in identifying and meeting learning needs of self. Attends education programs based on identified learning needs. With assistance, uses patient education materials relevant to patient population. Assesses readiness to learn of the patient/family/caregivers. Assesses developmental level of patient and factors affecting ability to learn.
2. Evaluation of Care - Identifies expected patient outcomes. Seeks guidance as needed in revision of plan of care. Participates in discussion with members of the interdisciplinary team in evaluation of patient care. Communicates relevant information to promote continuity of care.
3. Implementation - Demonstrates competence in care of patients with complex problems, including population-appropriate physical, psychosocial, educational and safety aspects of care. Performs bedside point of care testing as required for patient care plan. Utilizes healthcare organization and nursing standards, policies and procedures in delivery of care. Organizes and prioritizes care according to patient/family needs. Consults with appropriate resources in a timely fashion regarding patients with complex care issues, unusual teaching needs and/or those at high risk for discharge planning.
4. Leadership - With assistance, develops goals to promote professional growth or minimize limitations. Achieves goals and objectives within identified time frame or renegotiates with supervisor. Is knowledgeable about activities which facilitate intra/interdepartmental collaboration. Participates in development and achievement of unit goals and performance improvement activities. Effectively uses communication systems. Participates in promoting cost-effective care. Gives feedback to co-workers. Is aware of public policy and regulatory guidelines affecting the health care environment. Promotes a safe, clean and secure hospital environment for all.
5. Patient Assessment - Recognizes data from complex situations to determine priorities for care. Includes appropriate physical, psychosocial, education and safety needs. Synthesizes assessment data into meaningful whole prior to communication to others. Assesses and anticipates discharge needs of individual patients and families. Develops relationships with families that promote their ability to advocate for the patient and their own needs.
6. Planning - Collaborates with patient/family to prepare or update the plan of care. Makes use of available multidisciplinary resources in planning care. Begins to use full range of communication as a means to convey planning. Identifies and addresses cultural and ethnic issues in planning patient care. Demonstrates ability to prioritize tasks for patients with complex problems.
7. Research - Reads journals that contain studies or articles that may be applicable to practice. Brings ideas and questions to the staff at large for assessment of applicability.
● Graduation from a school of professional nursing.
● Licensed to practice as a Registered Nurse in the state of North Carolina.
● Basic Life Support (BLS) for Healthcare Provider certification
Professional Experience Requirements:
● One (1) year of nursing experience.
Knowledge/Skills/and Abilities Requirements:
3rd Floor Smithfield has 33 beds: Medical, Surgical and the potential for pediatric patients. The pediatric patient may be an overnight observation after surgery. We do not have a pediatric group as our Hospitalists are adult only. We are primarily medical patients, and the designated Covid unit if the patient does not require PCU or ICU level care. We see patients with Pneumonia, Congested Heart Failure, Abdominal Pain, Altered Mental Status, Chronic Obstructive Pulmonary Disease, Hypertension, Hypotension, Diabetes, Shortness of Breath, and so much more. We also provide after care for patients that have gone down for a Heart Catheterization. Many of our patients are on hemodialysis which is done in another unit in the hospital – we take them to their HD and bring them back. We take care of patients that have wounds and wound vacs. We do tube feedings and tracheostomies. We really have the full spectrum of medical diagnosis on our unit.
We work 12 hour shifts: 0645-1915 and 1845-0715. Full time is considered three 12 hour shifts per week. We ask that everyone makes themselves available every other weekend although there are times when we can pull teammates off the weekend to staff during the week, and we rotate this to be fair. We have a Holiday schedule that is assigned when a teammate starts. We alternate Holiday’s to be fair.
We have a designated charge nurse on each shift. Depending on acuity assignments for RN staff may be 1:5-1:6. We have NA teammates with a 1:8-1:10 ratio to assist with care.
We are active in our Nurse Council. It is critical to get feedback from the teammates doing the work at the bedside to provide insight and feedback on how we can improve our processes. We also have the mantra that “It Takes a Village” and we are “ONE GREAT TEAM”. We need to be able to work independently although we MUST work together as a TEAM to provide the high level of care with excellence that our patients deserve. We have a very strong TEAM on 3rd Smithfield.
Legal Employer: NCHEALTH
Entity: Johnston Health
Organization Unit: 3rd Floor
Work Type: Full Time
Standard Hours Per Week: 36.00
Work Schedule: Day Job
Location of Job: US:NC:Smithfield
Exempt From Overtime: Exempt: No
This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Heath Care System. This is not a State employed position.