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

Mount Sinai Health Systems•New York, NY

4d•$65 - $65

About The Position

The 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. This role is in the Emergency Room at Mount Sinai Hospital and is a full-time night position with every-other-weekend coverage. The nurse delivers patient-centered care using the nursing process, evidence-based practice, and approved organizational standards. The role includes assessing and managing patient care needs, collaborating with the interdisciplinary team, educating patients and caregivers, supporting a positive patient experience, and contributing to quality, safety, and operational activities. The Clinical Nurse also supports colleagues’ professional development and participates in shared decision-making, quality improvement, and nursing scholarship. Mount Sinai describes its workplace as committed to inclusion, collaboration, fairness, continuous learning, and professional growth. The Health System has more than 48,000 employees.

Requirements

Graduation from an accredited nursing program.
Bachelor’s degree in Nursing (BSN), or an Associate’s Degree in Nursing (ADN) RN matriculated in a BSN program with a graduation date within the 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 Support (BCLS) certification issued by the American Heart Association.
Required specialty certification depends on department: NRP for Labor and Delivery or NICU; ACLS for designated areas including ED, PACU/ASU, ICUs, telemetry, SDU, IR, interventional cardiology, L&D, endoscopy, and specified oncology roles; PALS for designated areas including ED, PACU, endoscopy, IR, Pediatric ICU, and specified pediatric oncology roles.

Responsibilities

Deliver patient care using the professional practice model of Relationship Centered Care, the nursing process, research, evidence-based practice, and organizational 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 care plans, transitions of care, health promotion, and disease prevention, while considering their needs and 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, medication review, purposeful hourly rounding, 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.
Use evidence-based practices to understand patients’ perceptions of care and initiate service recovery when concerns arise, escalating issues when needed.
Conduct Purposeful Hourly Rounding on assigned patients, addressing the 4 Ps.
Provide safe, efficient, patient-centered care; identify and escalate barriers, improvement opportunities, safety hazards, and gaps from best practice.
Apply clinical skills and knowledge relevant to quality and safety for the patient population served.
Implement process-improvement strategies and participate in peer and institutional review processes.
Collaborate on quality-improvement projects, evidence-based practice activities, and nursing research studies; contribute to required compliance measures.
Use high-reliability principles to identify and avoid high-risk behaviors and maintain a safe environment.
Document nursing practice using institutional information technology to support quality and performance improvement.
Perform charge nurse duties as assigned.
Coordinate supply use and inventory with clinical leaders, 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 compliance with hospital, regulatory, and legal requirements and standards of care.
Facilitate patient throughput during the shift.
Support colleagues, patients, families, and healthcare team members in the care environment.
Advance clinical competence and acquire knowledge and skills relevant to the role, patient population, specialty, and community needs.
Demonstrate professionalism, ethical decision-making, caring, respect, compassion, and empathy.
Promote scholarship, inquiry, lifelong learning, and innovation for self and others.
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 as a clinical leader by acting in charge roles, facilitating patient throughput, and serving as a resource person.
Articulate the value and application of research and evidence-based practice in nursing and the care environment.
Contribute to the nursing profession through participation in professional organizations.