The Virtual Charge registered nurse (VCN) is a member of a collaborative care team who is responsible for leading day-to-day operations and providing virtual nursing care to a diverse population of adults across the care continuum. The VCN provides virtual nursing services to patients wherever they are. This can include acute and sub-acute care, emergency departments, critical care environments, skilled nursing facilities, in the field, or even in the patient home. The VCN provides remote supportive nursing care in partnership with clinical teams located at the originating sites (where patients are located). As an expert nurse on the patient care team, the VCN works with originating site nursing leaders to participate in patient care delivery, assists in the translation of evidence-based practice, provides patient and family education, and participates in supervision, coaching, and mentoring of fellow nurses. The VCN assists with care coordination across all disciplines, in collaboration originating site and other remote clinical team members.
The VCN will function within the full scope of licensure; implement the nursing process to include the following: to assess patient and family needs; develop a plan of care based on assessment; coordinate and direct patient care based on evidenced-based protocols in collaboration with the originating site and remote clinical care teams. The VCN will function to assure patient advocacy, proactive monitoring, prevention of complications, and provision of safe, timely, equitable, efficient, and effective patient-centered care. The VCN will delegate assignments and provide supervision for the support staff in accordance with their level of training and daily requirements to ensure quality patient care.
The VRN reports to the Chief Nursing Officer or designee.
The management teams will participate in the annual evaluations and ongoing guidance and work direction of the VCN as applicable.
Qualifications And Minimum Requirements
Ability to commute/relocate:
Brentwood, TN 37027: Reliably commute or planning to relocate before starting work (Required).
BLS Certification (Required).
Compact State Nurse License (Required).
ACLS Certification (Required).
Valid TN RN licensure
Associate or bachelor’s degree in nursing from an acceptable and recognized institution.
Bachelor’s degree preferred
Minimal of 5 years of current experience in acute or critical care.
Critical care experience is preferred.
Acute cardiac care experience is preferred.
Charge Nurse/Manager/ leader experience required.
Demonstrates acute and/or critical care level skills and knowledge.
Demonstrates critical thinking skills in diagnosing clinical problems and in defining interventions.
Demonstrates effective English written and verbal communication skills.
Demonstrates proficiency with windows-based computer operations.
Demonstrates working knowledge of computer documentation and navigation (Epic, Cerner, Meditech, etc).
Valid Basic Life support (BLS) for the health care provider.
Advanced certification in area of specialty preferred. Will be required within 18 months of hire if not present upon hire.
Completion of unit-specific orientation.
This position requires manual dexterity, repetitive motion including a computer keyboard and varied medical equipment, frequent reaching, frequent lifting, and frequent sitting.
Ability to meet the physical requirement necessary to perform and unit-specific functions of this position.
Ability to work in complex and emotionally/psychologically stressful environments.
This position has access to protected health information.
The protected health information this position can access is all medical record information. This position requires this patient’s health information to perform the functions outlined as part of this position description.
Collaborates with originating site and remote patient care team members, nurse managers/directors or designee, support services, patients, and families to
manage total care of the patient from admission to discharge to home.
Communicates effectively with other health care professionals to discuss and problem-solve patient care concerns. Guides daily operations and oversight of the virtual center and employees.
Provides input and guidance related to the assignment of staff utilizing acuity, skill mix, patient needs, and staff competencies.
Collaborates with peers and supervisors to assure proper patient placement.
Conducts patient rounds to evaluate/discuss patient's clinical status, care goals/problems, and plans with the team in setting priorities.
Communicates a concise, organized, and thorough report to oncoming caregivers to ensure continuity of care.
Assesses need for resources, support, and assistance.
Delegates to other care providers to facilitate meeting patient's needs in a timely manner and follow-up to assure the desired result.
Seeks other professional consultation and collaboration to discuss patient care issues.
Communicates effectively with patient, family, and appropriate members of the multidisciplinary team in planning patient discharge.
Assists in developing/revising policy and procedures
Assists with scheduling and care assignments
Functions as a resource/role model in unit-specific, departmental, organizational standards, policies, and procedures.
Demonstrates high-level emotional intelligence: self-awareness, self-regulation, motivation, empathy, and social skills.
Demonstrates adherence to Healthy Work Environment standards per American Association of Critical-Care Nurses Healthy work environments: https://www.aacn.org/nursing-excellence/healthy-work-environments
PATIENT CARE PROCESS:
Demonstrates understanding of pathophysiology and rationale of special needs and common problems associated with physiological, psychosocial, safety, learning, rehabilitative, spiritual/cultural, and self-care issues.
Proactively manages patient care to avoid complications and risk management issues.
Completes thorough assessments in a timely manner.
Accurately verifies, prioritizes, and implements applicable physician orders.
Accurately interprets assessment findings, reports abnormal data to clinical team members, and initiates appropriate interventions.
Plan of Care
Develops and implements an individual plan of care based on identified patient needs.
Evaluates patient's response to the plan of care. Reviews and reconciles variances.
Collaborates with the medical team to assure consistency with a medical plan.
Meets regularly with patient and family to update the plan of care.
Communicates plan of care to appropriate units/facilities/agencies to promote smooth discharge/transfer.
PATIENT AND FAMILY EDUCATION:
Identifies support systems / coping mechanisms/barriers to learning.
Thoroughly explains procedures, therapies, and treatments to patients and significant others. Confirms understanding of same.
Individualized teaching plan and provides information consistent with the standard of practice. Documents response and adjusts the plan as needed.
Utilizes appropriate resources to provide patient/family education (e.g., videos, closed circuit television, pamphlets, etc.) based on treatment and identified needs. Accommodates learning barriers (e.g., language, hearing, vision).
Demonstrates knowledge of patient care delivery guidelines/policy as evidenced in care delivery.
Help diagnose and treat clinical events: interpreting diagnostic tests such as ECGs, labs
Interact with the patients as well as their families pre- and post-treatment
Monitor the patient and their vitals, especially cardiovascular readings
Demonstrates knowledge of the performance standards of other nursing team members.
Demonstrates safety, proficiency, and knowledge of technical functions required in the accomplishment of regular patient care activities, including:
All types of patient care equipment including oxygen/respiratory delivery devices.
IV management, including administration of blood/blood products.
Specimen collection, including identification of the patient, confirmation of correct requisitions, the timing of collections, correct procedure for collection, and timely delivery to the lab.
Emergency responses, unit-based and hospital-wide.
Infection control issues, including sterile technique and universal precautions.
Computer skills, including patient classification.
Contributes to clean, safe, and orderly condition of all unit areas.
Demonstrates knowledge of patient care guidelines/policy as evidenced by the quality of documentation.
Documentation is accurate, timely, legible, and complete, e.g., admission and discharge, teaching lists, flow sheets, etc.).
Assessments and patient responses documented on appropriate forms.
Documents communications with other members of a multidisciplinary team.
Salary and Benefits:
Competitive Based on Experience
Paid time off.
Notice & Disclaimer: The above job description is meant to describe the general nature and level of work being performed. It is not intended to be construed as an exhaustive, all-inclusive list of all responsibilities, duties, and skills required for the position. Requirements are representative of the minimum levels of knowledge, skills, and/or abilities. To perform this job successfully, the employee must possess the abilities or aptitudes to perform each duty proficiently.
Location: In person in Brentwood, TN facility.
Shift: Full-time, Part-time Night Nurse x3 -12-hour Shifts