Clinical Nurse-Med-Surge-GI-Stepdown-10E-Mount Sinai Hospital-FT/Days

Mount Sinai Health System•New York, NY
•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, using nursing theory, research, evidence-based practice, and approved organizational standards. The role delivers care through Mount Sinai’s Relationship Centered Care practice model and the nursing process, and collaborates with interdisciplinary teams to assess needs, plan and evaluate care, educate patients and caregivers, and support transitions from hospital care. The nurse supports a safe, respectful, patient-centered experience by maintaining therapeutic relationships, conducting purposeful hourly rounding, responding to patient and family concerns, and applying evidence-based practices. The position also contributes to quality improvement, safety and compliance efforts, effective use of resources, accurate documentation, patient throughput, and professional development. Charge nurse duties may be performed as assigned, and the nurse may serve as a preceptor and unit resource person.

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 a graduation date within one year. An ADN 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 AHA.

Nice To Haves

  • NRP certification for Labor and Delivery or NICU departments.
  • ACLS certification for applicable departments, including ED, PACU/ASU, ICUs, telemetry, SDU, IR, interventional cardiology, L&D, Endoscopy, and Adult Oncology APNs.
  • PALS certification for applicable departments, including ED, PACU, Endoscopy, IR, Pediatric ICU, and Pediatric Oncology APNs.

Responsibilities

  • Deliver patient care using the nursing process, Relationship Centered Care, nursing theory, 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 delegation as appropriate.
  • Educate patients and caregivers about the plan of care, care transitions, health promotion, and disease prevention.
  • 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.
  • Role-model Mount Sinai Relationship Centered Care practices, including admission welcome, bedside shift report, purposeful hourly rounding, medication review, discharge wrap-up, and unit collaboration.
  • Consider patients’ values, preferences, expressed needs, and knowledge in all aspects of care, and establish therapeutic relationships with patients and families.
  • Initiate service recovery when patients or families raise concerns and escalate issues to the appropriate nursing leader or Patient Relations as needed.
  • Conduct Purposeful Hourly Rounding on assigned patients, addressing the 4 Ps.
  • Provide safe, efficient, patient-centered care; identify and escalate barriers, safety hazards, and opportunities for improvement.
  • Implement process improvement strategies and contribute to quality and safety practices, compliance measures, peer review, evidence-based practice activities, and nursing research.
  • Use institutional information technology to document nursing practice and support quality and performance improvement initiatives.
  • Perform charge nurse duties as assigned.
  • Coordinate supply utilization and inventory needs with nursing leadership, and escalate material or staffing resource deficits.
  • Document accurately and thoroughly in compliance with hospital, regulatory, legal, and standards-of-care requirements.
  • Facilitate patient throughput on a shift basis and use equipment, staffing, supplies, and other resources in a patient-focused and cost-effective manner.
  • Contribute to a supportive environment of care and advance clinical competence, scholarship, lifelong learning, innovation, and professional practice.
  • 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, and contribute to the nursing profession through professional organizations.
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