Per Diem Clinical Nurse - 117th Street Dialysis - Mount Sinai Hospital - Flex Shift
Mount Sinai Health System•New York, NY
About The Position
The per diem 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 applies nursing theory, research, evidence-based practice, and approved organizational standards within Mount Sinai’s Relationship Centered Care model. The nurse assesses and manages patient care needs, collaborates with the interdisciplinary team, educates patients and caregivers, supports a positive patient experience, and contributes to quality, safety, and operational practices. The role also promotes professional development, shared decision-making, clinical scholarship, and nursing practice improvement.
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 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 New York State registered nurse license and registration.
- Basic Life Saver (BLS) certification issued by the American Heart Association.
Responsibilities
- Deliver patient care using the professional practice model of Relationship Centered Care and the nursing process, guided by theory, research, evidence-based practice, and organizational standards.
- Assess and evaluate patient care needs and apply critical thinking, 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 plans of care, transitions of care, health promotion, and disease prevention.
- 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 use 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 physician/nurse unit collaboration.
- Establish therapeutic relationships with patients and families and demonstrate caring, respect, compassion, empathy, and active listening.
- Use evidence-based practices to understand patients’ perceptions of care and support staff in doing so.
- Initiate service recovery when patients or family members have concerns and escalate issues when needed.
- Conduct purposeful hourly rounding for assigned patients, addressing the four Ps.
- Provide safe, efficient, patient-centered care; identify and escalate barriers, opportunities for improvement, hazards, and gaps from best practice.
- Apply clinical skills and knowledge, process-improvement strategies, high-reliability principles, and required quality and safety practices.
- Participate in peer and institutional reviews, quality-improvement projects, evidence-based practice activities, and nursing research studies.
- Use institutional information technology to document nursing practice and support quality and performance improvement.
- Perform charge nurse duties when assigned.
- Coordinate with nursing leadership to ensure appropriate supply use and adequate inventory, and escalate material or staffing resource deficits.
- Use equipment, staffing, supplies, and other resources in a patient-focused and cost-effective manner.
- Document accurately and thoroughly in accordance with hospital, regulatory, and legal requirements and standards of care.
- Support the care environment for clinical colleagues, patients, families, and healthcare team members.
- Develop clinical competence and knowledge relevant to the role, patient population, specialty, and community health needs.
- Communicate professionally, incorporate ethical principles into decisions, and encourage scholarship, inquiry, lifelong learning, and innovation.
- 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 through charge responsibilities, patient throughput facilitation, and serving as a unit or clinical service area resource.
- Promote the value and application of research and evidence-based practice and participate in professional nursing organizations.
