Clinical Nurse-Med-Surge-Ortho-8E-Mount Sinai Hospital-FT/Nights

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 an assigned group of patients and their significant others, using nursing theory, research, evidence-based practice, and organizational nursing standards. The role delivers care within Mount Sinai’s Relationship Centered Care model and Modified Primary Nursing care delivery model, collaborating with interdisciplinary teams to assess needs, develop and evaluate care plans, educate patients and caregivers, and support transitions of care. The nurse promotes a positive patient experience through therapeutic relationships, purposeful rounding, attentive communication, and service recovery when concerns arise. The role also contributes to quality and safety initiatives, accurate documentation, efficient use of resources, and patient throughput. Professional expectations include ongoing development of clinical competence, participation in shared decision-making and improvement activities, and serving as a role model, preceptor, charge nurse, or unit resource as appropriate.

Requirements

  • Graduation from an accredited nursing program.
  • Bachelor’s degree in Nursing (BSN), or an Associate’s degree in Nursing (ADN) with matriculation in a BSN program and an expected graduation date within one year; an ADN-prepared RN with nursing experience requires CNO approval.
  • Relevant clinical competence in the assigned area of nursing practice; new graduates must have current knowledge of the nursing process and its application.
  • Current New York State registered nurse license and registration.
  • Basic Life Saver (BCLS) certification issued by the American Heart Association (AHA).
  • Certifications required for applicable departments: NRP for Labor and Delivery or NICU; ACLS for specified areas including ED, PACU/ASU, ICUs, telemetry, SDU, IR, Interventional Cardiology, L&D, Endoscopy, and Adult Oncology APNs; PALS for specified areas including ED, PACU, Endoscopy, IR, Pediatric ICU, and Pediatric Oncology APNs.

Responsibilities

  • Deliver patient care using Relationship Centered Care, the nursing process, research, evidence-based practice, and approved organizational standards.
  • Assess and evaluate patient care needs, apply critical thinking, and integrate relevant assessment and intervention skills.
  • Collaborate with the interdisciplinary healthcare team to develop, implement, and evaluate plans of care.
  • Prioritize patient care activities, including teaching, rounding, coaching, discharge planning, and appropriate delegation.
  • Educate patients and caregivers about care plans, care transitions, health promotion, and disease prevention.
  • Communicate professionally with patients, families, and members of the interdisciplinary care team.
  • Manage assignments within the Modified Primary Nursing care delivery model and use material resources effectively.
  • Model Mount Sinai Relationship Centered Care practices, including admission welcomes, bedside shift reports, medication reviews, purposeful hourly rounding, and discharge wrap-up.
  • Consider patients’ values, preferences, expressed needs, and knowledge in all aspects of care; establish 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 when patients or family members raise concerns and escalate issues as needed.
  • Conduct purposeful hourly rounding on assigned patients, addressing the 4 Ps.
  • Provide safe, efficient, patient-centered care and identify and escalate barriers, improvement opportunities, and safety hazards.
  • Apply clinical skills and knowledge relevant to the patient population and contribute to quality, safety, compliance, and process-improvement activities.
  • Collaborate on quality-improvement projects, evidence-based practice activities, and nursing research studies; participate in formal and informal review processes.
  • Use high-reliability principles to identify and avoid high-risk behaviors and follow institutional escalation protocols.
  • Document nursing practice accurately and thoroughly in institutional information technology systems and in compliance with hospital, regulatory, and legal requirements.
  • Perform charge nurse duties when assigned and coordinate with nursing leadership to maintain appropriate supplies and inventory.
  • Escalate material or staffing resource deficits and use equipment, staff, supplies, and other resources in a patient-focused, cost-effective manner.
  • Facilitate patient throughput during the shift.
  • Support the care environment for colleagues, patients, families, and healthcare team members.
  • Advance clinical competence and maintain knowledge and skills relevant to the role, patient population, specialty, and community needs.
  • Demonstrate professional, ethical, respectful, compassionate, and empathetic conduct.
  • Participate in shared decision-making through specialty practice councils, nursing committees, and unit initiatives.
  • Serve as a professional role model and preceptor for new staff and students, and act as a clinical leader, throughput facilitator, and unit resource as appropriate.
  • Promote scholarship, inquiry, lifelong learning, innovation, and the use of research and evidence-based practice.
  • Contribute to the nursing profession through participation in professional organizations.
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