About The Position

The (Per Diem) Clinical Nurse is a Registered Professional Nurse who provides safe, competent, quality care based on nursing theory and research to a designated group of patients and significant others. The role delivers patient-centered nursing care using the nursing process, evidence-based practice, and organizational standards, and collaborates with interdisciplinary teams to plan, implement, and evaluate care. The nurse supports patients and families through education, care transitions, therapeutic communication, and purposeful rounding, while promoting quality, safety, effective resource use, and professional development. The position is in the 117th Street Dialysis unit at Mount Sinai Hospital and is designated as a flex shift.

Requirements

  • Graduation from an accredited nursing program.
  • Bachelor of Science in Nursing (BSN), or an Associate Degree in Nursing (ADN) RN matriculated in a BSN program with an expected graduation date within one year.
  • An ADN RN with nursing experience requires approval 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 licensure and registration in New York State.
  • Basic Life Support (BLS) certification issued by the American Heart Association.
  • Additional certifications are required in specified departments: Neonatal Resuscitation Program (NRP) for Labor and Delivery or NICU; Advanced Cardiovascular Life Support (ACLS) for designated emergency, perioperative, critical care, telemetry, step-down, interventional, labor and delivery, endoscopy, and adult oncology areas; and Pediatric Advanced Life Support (PALS) for designated emergency, perioperative, interventional, pediatric intensive care, and pediatric oncology areas.

Responsibilities

  • Deliver patient care using Relationship Centered Care principles, the nursing process, current research, evidence-based practice, and approved nursing 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 the plan of care, transitions, health promotion, and disease prevention while anticipating learning needs and readiness.
  • Communicate professionally and effectively with patients, families, and members of the interdisciplinary 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, HELP, AM/PM care, five-minute sit-downs, purposeful hourly rounding, medication review, discharge wrap-up, and MD/RN collaboration.
  • Establish therapeutic relationships with patients and families and use evidence-based practices to understand patients’ perceptions of care.
  • Initiate service recovery when patients or families raise concerns and escalate issues to nursing leadership or Patient Relations as needed.
  • Demonstrate caring, respect, compassion, empathy, active listening, and appropriate professional communication.
  • Conduct purposeful hourly rounding for assigned patients, addressing the four Ps.
  • Provide safe, efficient, patient-centered care; identify and escalate barriers, improvement opportunities, hazards, and gaps from best practice.
  • Apply clinical skills and knowledge relevant to the patient population and contribute to quality improvement, evidence-based practice, research, compliance, and high-reliability safety practices.
  • Document nursing practice using institutional information technology and comply with hospital, regulatory, legal, and care-standard requirements.
  • Perform charge nurse duties when assigned.
  • Coordinate with nursing leadership to ensure appropriate supply use and sufficient inventory, and escalate material or staffing deficits.
  • Use equipment, staffing, supplies, and other resources in a patient-focused and cost-effective manner.
  • Support colleagues, patients, families, and the healthcare team; advance clinical competence and maintain a professional image.
  • Apply ethical principles, pursue lifelong learning and scholarship, and acquire knowledge and skills relevant to the role, specialty, patient population, and community needs.
  • Participate in shared decision-making through practice councils, nursing committees, and unit initiatives.
  • Serve as a professional role model and preceptor for new staff and students, and advance as a clinical leader through charge, patient-throughput facilitator, and unit resource roles.
  • Explain the value and application of research and evidence-based practice and contribute to nursing through professional organizations.
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