Nurse Graduate 4G Progressive Care Unit 7p-7:30a

Frederick Health•Frederick, MD

2d•Onsite

About The Position

This position is for a Nurse Graduate in the 4G Progressive Care Unit, working the night shift from 7p-7:30a. The 4G unit is a 47-bed Telemetry and Progressive Care Unit focused on adult and geriatric patients with acute and complex medical needs, specializing in continuous cardiac monitoring and enhanced clinical observation. The unit cares for patients with heart failure, stroke, pulmonary disorders, diabetes, multisystem illnesses, and post-surgical needs. Frederick Health is a Magnet® nursing hospital and recognized as A Great Place to Work in Healthcare. The Nurse Residency program provides clinical and educational support to nurse graduates and newly licensed RNs entering the acute care setting, with a 1:1 RN preceptor during a 12-week orientation. The role supports the Frederick Health mission, vision, and core values, and functions within the limits of state and federal licensing, regulatory bodies, and hospital policies.

Requirements

Currently eligible to sit for the NCLEX.
Associates degree or Bachelor's degree in nursing required.
Certified in Cardiopulmonary Resuscitation (CPR).
BLS certification is required of ALL nurses within 90-days of hire.
Clinical competency in their departmental area of practice.
Ability to use technology and equipment to perform job duties.
Effective interpersonal and communication skills.
Effective use of proper body mechanics when handling patients, supplies and equipment.
Ability to handle a physically demanding environment.
Skills and abilities to perform all job description duties according to the age specific patient population served by their department.
Ability to meet the requirements annually of the FH Clinical Ladder.
Ability to keep patient and employee information confidential.
Competency in operating equipment required to meet patient care needs.

Nice To Haves

ACLS certification must be completed within 1 year of hire for Telemetry units (4B, 4A, 4G, 2G).

Responsibilities

Under the direct supervision of a licensed RN, provides patient care using the nursing process.
Performs leadership and teaching duties to support effective patient care.
Supports and participates in continuous quality improvement activities.
Assesses the biophysical, psychosocial, environmental, self-care, educational, and discharge planning needs of patients according to nursing standards.
Identifies patient needs and prioritizes treatment.
Documents and communicates subtle changes in patient assessment.
Performs initial assessment and reassessments according to organizational and department standards.
Anticipates potential changes in patient’s condition and responds appropriately.
Ensures an effective plan of care for assigned patients based on standards.
Initiates individualized plan of care using nursing diagnosis based on identified patient needs and includes all available resources.
Organizes and prioritizes patient care efficiently and seeks assistance when necessary.
Actively participates in the development of standards of care.
Implements plan of care in compliance with hospital and nursing policies.
Documents nursing interventions and patient response completely and accurately.
Communicates pertinent information to the patient and healthcare team concisely and timely using an interdisciplinary approach.
Assures patient/family are updated regarding patient status and changes in care plan.
Demonstrates flexibility in giving and receiving patient assignments based on skill mix and patient care demands.
Evaluates nursing care, including tools and equipment related to patient care.
Reviews, evaluates, and documents the effectiveness of interventions, making modifications as needed.
Evaluates new and existing equipment, policies, procedures, and programs.
Anticipates patient’s response to interventions and collaborates with patient/family and healthcare team to revise treatment plan.
Identifies variances from expected outcomes and makes appropriate recommendations.
Assesses patient/family knowledge, barriers to learning, readiness, willingness, and ability to learn, considering cultural, religious, financial, and preference implications.
Identifies learning needs and establishes goals using standardized or individualized teaching plans.
Implements the teaching plan through direct, interactive teaching with appropriate aids and materials.
Evaluates the effectiveness of teaching.
Communicates patient/family progress toward learning goals and need for follow-up to other nurses and health care disciplines.
Integrates discharge planning and referral into the teaching process.
Documents teaching per policy.
Independently offers support to less experienced staff to aid in patient/family teaching.
Incorporates suggestions for self-development and/or performance into daily practice.
Meets all requirements of clinical ladder level.
Actively engages in department efforts to promote retention of staff and provide for a high level of employee morale.
Utilizes supplies, equipment, and technology to ensure quality of patient care.
Floats to other nursing units in the hospital as requested.
Demonstrates leadership/accountability qualities.
Consistently utilizes communication style that sets department tone for positive professional behavior.
Promotes meaningful focused communication between all members of the healthcare team.
Encourages professional interactions between ancillary healthcare givers, including physicians.
Demonstrates effective delegation skills as they pertain to nursing staff in the delivery of safe nursing care and communication to peers.
Demonstrates effective precepting and mentoring skills for RN’s and ancillary staff.
Adheres to program policies and participates in effective department orientation.
Reviews Quality Assurance report/data for accuracy and completeness according to departmental standards.
Contributes to the evaluation/auditing process for CNA’s, Technicians, and peers.
Completes all Hospital wide and Department specific competencies.