Clinical Nurse (FLEX)- Emergency Room - Mount Sinai Hospital - Full-Time Nights; EOW

Mount Sinai Health System•New York, NY

3d•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. The role is based on nursing theory, research, evidence-based practice, and approved organizational nursing standards, and follows Mount Sinai’s Relationship Centered Care professional practice model and Modified Primary Nursing care delivery model. The nurse assesses and evaluates patient needs, applies critical thinking and relevant clinical skills, collaborates with the interdisciplinary healthcare team, and prioritizes patient care, education, rounding, coaching, discharge planning, and delegation. The nurse also supports a positive patient experience, promotes quality and safety, contributes to unit operations and patient throughput, and advances professional development and nursing practice.

Requirements

Graduation from an accredited nursing program.
Bachelor’s degree in Nursing (BSN), or an Associate’s degree in Nursing (ADN) with RN matriculation in a BSN program and an expected graduation date within one year.
An ADN-prepared RN with nursing experience requires approval by the CNO.
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 Support (BCLS) certification from the American Heart Association.
ACLS certification for the listed areas, including Emergency Department, PACU/ASU, ICUs, Telemetry, SDU, IR, Interventional Cardiology, Labor and Delivery, Endoscopy, and Adult Oncology APN.
PALS certification for the listed areas, including Emergency Department, PACU, Endoscopy, IR, Pediatric ICU, and Pediatric Oncology APNs.

Responsibilities

Deliver patient care using Relationship Centered Care principles, the nursing process, evidence-based practice, and organizational nursing 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, teaching, rounding, coaching, discharge planning, and appropriate delegation.
Educate patients and caregivers about plans and transitions of care, health promotion, and disease prevention, while considering readiness to learn.
Communicate effectively and 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 welcome, bedside shift report, HELP, AM/PM care, 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 patients’ perceptions of care and initiate service recovery, escalating concerns when needed.
Demonstrate caring, respect, compassion, empathy, and active listening; conduct purposeful hourly rounding addressing the 4 Ps.
Provide safe, efficient, patient-centered care; identify and escalate barriers, improvement opportunities, safety hazards, and gaps from best practice.
Collaborate on quality improvement projects, evidence-based practice activities, and nursing research studies, and contribute to compliance measures and review processes.
Use institutional information technology to document nursing practice and support quality and performance improvement initiatives.
Perform charge nurse duties as assigned and coordinate supply use and inventory with clinical leadership.
Escalate material or staffing resource deficits and use equipment, staff, supplies, and other resources in a patient-focused and cost-effective manner.
Document accurately and thoroughly in compliance with hospital, regulatory, and legal requirements and standards of care.
Facilitate patient throughput during the shift.
Support the care environment for clinical colleagues, patients, families, and the healthcare team, and continue to advance clinical competence.
Apply ethical principles in decision-making and promote scholarship, inquiry, lifelong learning, and innovation.
Acquire knowledge and skills relevant to the role, patient population, clinical specialty, and community needs.
Participate in shared decision-making through practice councils, nursing department committees, and unit initiatives.
Serve as a professional role model and preceptor for new staff and students, and act as a charge nurse, patient throughput facilitator, and unit resource person as appropriate.
Explain the value of research and evidence-based practice and contribute to the nursing profession through participation in professional organizations.