New Graduate Registered Nurse (RN) - Clinical Decision Unit - Rotating

Full job description
**$10,000 Sign On Bonus for offers accepted by August 31, 2025. Terms and Conditions apply**

Our Clinical Decision Unit is a 16-bed Observation ED in the Main Hospital. The RN will provide care and support to ED patients with a wide range of traumatic injuries, offering the opportunity to build a diverse skill set. Our unit is a great place to gain ED nursing skills and collaborate with a team of approachable doctors.

Staff in the Adult Emergency Department at VCU Medical Center are ready 24 hours a day, 7 days a week to provide comprehensive, specialized care for severely injured patients. VCU Medical Center is the only comprehensive Level I trauma center in the region verified in adult, pediatric and burn trauma care. We are one of only two adult Level I trauma centers in Virginia verified by the American College of Surgeons. As a Level I trauma center, VCU Medical Center offers 24-hour, on-site surgical staff, dedicated operating room space and round-the-clock access to laboratory services and subspecialties including burn, cardiac surgery, neurosurgery, plastic surgery, anesthesiology and radiology. Additionally, VCU Medical Center serves as a referral site for the state and a coordinating facility for the Richmond metropolitan area during disasters. We provide care across the continuum from arrival into the Emergency Department to rehabilitation, home health and follow-up services. We are responsible for emergency care of more than 80,000 patients annually. State-of-the-art care is available for cardiac, trauma, pediatric, obstetric and gynecologic emergencies. From orthopedic surgeons to neurologists, poison control to cardiologists, our specialists are available 24 hours a day, 7 days a week, to providing exceptional emergency care for all types of medical conditions. Treatment for patients with severe burns is managed through the Evans-Haynes Burn Center.

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.

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

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