Clinical Nurse-Med-Surge-GI-Stepdown-9E-Mount Sinai Hospital-FT/Days

Mount Sinai Health Systems•New York, NY
•$65 - $65•Onsite

About The Position

The Clinical Nurse is a Registered Professional Nurse who provides safe, competent, quality care to a designated group of patients and their significant others, drawing on nursing theory, research, evidence-based practice, and organizational nursing standards. The role serves the Med-Surge-GI-Stepdown 9E unit at Mount Sinai Hospital and follows the professional practice model of Relationship Centered Care and the Care Delivery Model of Modified Primary Nursing. The nurse assesses and manages patient care needs; collaborates with the interdisciplinary healthcare team on care planning and evaluation; prioritizes teaching, rounding, coaching, care transitions, and delegation; and communicates effectively with patients, families, and care team members. The position also supports patient experience, quality and safety, unit operations, professional development, and nursing scholarship. The position is full-time, days.

Requirements

  • Graduation from an accredited nursing program.
  • Bachelor of Science in Nursing (BSN), or an Associate Degree in Nursing (ADN) while matriculated in a BSN program with graduation expected within one year.
  • An ADN-prepared registered nurse with nursing experience must be approved by the Chief Nursing Officer.
  • Relevant clinical competence in the assigned area of nursing practice; new graduates must have current knowledge of the nursing process and its application.
  • Current registered nurse license and registration in New York State.
  • Basic Life Saver (BCLS) certification issued by the American Heart Association.
  • ACLS certification is required for the listed areas, including step-down units (SDU), among other specified departments.

Responsibilities

  • Deliver patient care according to Relationship Centered Care, the nursing process, research, evidence-based practice, and approved organizational standards.
  • Assess and evaluate patient care needs and apply critical thinking and relevant assessment and intervention skills.
  • Collaborate with the interdisciplinary healthcare team to develop, implement, and evaluate plans of care.
  • Prioritize patient care, including teaching, rounding, coaching, discharge planning, and appropriate delegation.
  • Educate patients and caregivers about the plan of care, transitions, health promotion, and disease prevention, anticipating their needs and readiness to learn.
  • Communicate effectively and professionally with patients, families, and members of the interdisciplinary patient care team.
  • Manage assignments within the Modified Primary Nursing Care Delivery Model and allocate material resources effectively.
  • Model Mount Sinai Relationship Centered Care practices, including admission welcome, bedside shift report, purposeful hourly rounding, medication review, discharge wrap-up, and MD/RN collaboration.
  • Consider patients' values, preferences, expressed needs, and knowledge in all aspects of care, and maintain therapeutic relationships with patients and families.
  • Use evidence-based practices to understand patient perceptions of care and support staff in doing so.
  • Initiate service recovery for patient or family concerns and escalate issues as needed.
  • Conduct purposeful hourly rounding on assigned patients, addressing the 4 Ps.
  • Provide safe, efficient, patient-centered care; identify and escalate barriers, improvement opportunities, and potential safety hazards.
  • Apply clinical skills and knowledge relevant to the patient population, comply with safety and quality measures, and implement process improvement strategies.
  • Participate in peer and institutional review and collaborate on quality improvement, evidence-based practice, and nursing research activities.
  • Apply high-reliability principles and document nursing practice using institutional information technology.
  • Perform charge nurse duties as assigned.
  • Coordinate supply use and inventory with clinical leadership, and escalate material or staffing resource deficits.
  • Use equipment, staffing, supplies, and other resources in a patient-focused and cost-effective manner.
  • Maintain accurate and thorough documentation in compliance with hospital, regulatory, and legal requirements and standards of care.
  • Facilitate patient throughput during the shift.
  • Contribute to a supportive environment of care for colleagues, patients, families, and healthcare team members.
  • Develop clinical competence, maintain a professional image, and incorporate ethical principles into decision-making.
  • Pursue lifelong learning, inquiry, innovation, and knowledge relevant to the role, patient population, specialty, and community health needs.
  • Participate in shared decision-making through specialty practice councils, nursing department committees, and unit initiatives.
  • Serve as a professional role model and preceptor for new staff and students.
  • Advance clinical leadership by acting in charge roles, facilitating patient throughput, and serving as a unit resource.
  • Articulate the value of research and evidence-based practice and contribute to nursing through participation in professional organizations.
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