The Registered Nurse (RN) will utilize the nursing process to independently deliver nursing care to patients in order to achieve quality outcomes and communicates need for guidance/supervision based on self-assessment of strengths and limitations. The RN assesses, plans, implements, documents, organizes, prioritize, delegates, supervises, and coordinates the care of patients as prescribed within the parameters of the NC Nurse Practice Act and hospital complex. System Wide Float RNs are required to float to all Healthcare System Acute Care Facilities and scheduled in departments in which they have competencies. They can also be placed in a department other than their competency level with a modified assignment. Assignments to a specific department can be in the form of a contract (from 1-12 weeks duration) or on a shift by shift basis. The assigned work location will be based on patient care need and clinical competency. The goal of this position is to maximize the utilization of staff resources in order to promote optimal patient care. The job requires the employee to support patient care needs at every hospital campus. Employee must have transportation to travel to, from, and between these work locations.
Supervises other members of the team. Contributes to a supportive and healthy work environment. Holds self and others
accountable for complying with policies, procedures and standards. Participates in learning needs assessments. Provides
input into and supports the precepting and mentoring process. Delegates appropriate tasks to support staff, ensure
completion of delegated tasks and provides feedback as needed. Demonstrates team spirit and collegiality. Supervises
select personnel in performance/patient care.
Demonstrates effective conflict resolution/negotiation skills. Promotes positive, supportive, and professional work
environment free of disruptive behavior. Practices, in all professional relationships, with compassion and respect for the
inherent dignity, worth and uniqueness of every individual. Follows Chain of Command for assistance with issues related
to unresolved/problem-solving and/or conflict resolution. Provides, seeks and receives constructive feedback. Provides
peer to peer feedback and seeks mediation as necessary. Promotes effective conflict resolution.
Establishes a caring and therapeutic nurse/healthcare team/patient/significant other relationships. Recognizes
communication barriers, identifies resources and establishes plans to resolve barriers to communication. Demonstrates
respect for diversity and cultural differences in patient/significant others related to age, ethnicity, gender, religion,
socioeconomics, education, personality, or other unique variable. Formulate individualized plans to address individual
needs related to diversity, cultural difference or other unique variables. Advocates for the patient/significant other.
Demonstrates skillful responses to customer needs based on particular context of the situation.
Provides nursing care via the nursing process for the development, implementation and evaluation of nursing care.
Collects and analyzes patient/significant other data. Completes an admission database and ongoing assessment to
include collaboration with patients, significant others and other health care providers. Implements a plan of care for each
patient (utilizing clinical pathways where applicable) and individualizes to meet the age specific needs of
patients/significant others. Identifies variances and makes adjustments in the plan of care based on evaluation of the
plan and effectiveness of nursing interventions. Documents and updates the plan of care, nursing care, nursing
interventions and patient response to care, and keeps healthcare team, patients and significant other informed.
Contributes to the discharge plan by identifying homecare needs. Recognizes changes in patients' conditions and revises
the plan of care appropriately. Demonstrates advanced competencies and critical thinking skills in day to day practice.
Identifies and implements educational needs for patients/significant others.
Supports an environment of evidence based practice/research/quality improvement. Demonstrates knowledge of Shared
Governance accountabilities and principles, supports DSGC directly as a council member or indirectly by keeping informed
of council activities/supporting council decisions, brings forth issues to council. Demonstrates knowledge of how to
access reference documents containing policies, procedures, standards, and additional resources. Participates in QI/
Research activities based on role and major work activities as outlined in the research point system guidelines.
Demonstrates knowledge of department QI plan. Demonstrates understanding of resource management and implements
opportunities. Collects QI data and participates in analysis and action plan development, incorporates changes into
practice. Facilitates ongoing activities to meet and adhere to regulatory standards (TJC, DFS, OSHA).
Required: Associate Degree of Nursing from and Accredited Institution of Learning is required.
BSN required or with approval of the hiring manager, experienced RN's with an AD or Diploma with an active plan to obtain their BSN within four years from date of hire may be considered. Failure to obtain a BSN within 4 years of hire will result in separation of employment.
Preferred: Bachelor of Science in Nursing from and Accredited Institution of Learning is highly preferred on hire.
Required: Minimum of at least 2 years of clinical practice as a Registered Nurse in an acute care facility (not including orientation) with 2 years in a clinical specialty as defined by ANCC or national nursing organizations.
Licensure / Certification / Registry / Listing:
RN | Registered Nurse licensed in North Carolina or a Compact state.
BLS (CPR)-American Red Cross or AHA Healthcare Provider
*ACLS | Advanced Cardiovascular Life Support – REQUIRED for Critical Care/ICU/ED RNs
Must hold a Nursing Specialty Certification or be on track to hold a certification within 18 months from date of hire.
Valid Driver's License | Valid Driver's License
Preferred: ACLS | Advanced Cardiovascular Life Support – PREFERRED for MED/Surg/Telemetry/Progressive Care RNs