Registered Nurse Float

Mount Sinai Medical Center•Miami Beach, FL

10d•Onsite

About The Position

The Registered Nurse Float provides nursing care across assigned units, following the nursing process of assessment, planning, implementation, and evaluation. The role includes assessing patients’ physical, psychological, developmental, and educational needs; developing and updating individualized interdisciplinary plans of care; carrying out and documenting nursing interventions; and evaluating patient progress and outcomes. The nurse also contributes to professional development, staff education, unit quality improvement, and leadership activities, including charge nurse functions and precepting or serving as a clinical resource.

Requirements

Current license to practice in the State of Florida.
BLS certification.
ACLS certification.
At least 8 months of RN experience.

Responsibilities

Obtain initial vital signs and admission history, introduce the patient and family, assess the chief complaint, and notify the physician within 15 minutes of arrival to the unit.
Complete and document a nursing admission assessment, including physiological and psychological factors, and develop an interdisciplinary plan of care within eight hours of admission.
Perform and document an accurate system assessment at the beginning of each shift.
Respond to diagnostic data and initiate appropriate action or intervention.
Assess patient education needs upon admission and daily, and assess psychosocial needs based on age, growth, and development.
Establish patient-care priorities and complete assigned duties during the shift.
Understand the patient’s diagnosis and interdisciplinary plan of care.
Initiate and document nursing interventions safely and correctly during emergencies.
Perform a 24-hour chart check at the beginning of each shift.
Administer, observe, and document intravenous therapy according to hospital policy.
Administer medications within 30 minutes of their scheduled time, document effectiveness, and immediately recognize and report adverse reactions.
Provide individualized instructions to patients or significant others each shift regarding the plan of care.
Use unit-specific equipment safely and correctly and meet patients’ general hygiene needs daily.
Provide pre-operative and post-operative care and instruction to assigned surgical patients during the shift.
Follow standard precautions, including hand-hygiene guidelines.
Document patient valuables on the designated form and arrange appropriate storage.
Perform dressing changes using aseptic technique; collect and label ordered specimens according to policy; and perform bedside glucose monitoring according to policy.
Administer enteral feedings through nasogastric, gastrostomy, or jejunostomy tubes.
Immediately report abnormal findings to the physician.
Implement skin and wound protocols when risks are identified.
Provide ostomy care, including irrigation, appliance use, and reinforcement of teaching.
Insert intermittent or indwelling urinary catheters using aseptic technique and administer oxygen therapy according to physician orders.
Coordinate patient transfers into and out of the unit, obtain complete physician orders, complete transfer summaries, ensure referral forms accompany intra-facility transfers, and give or receive report.
Use restraints safely and correctly according to policy.
Document and report patient responses and outcomes from nursing interventions, treatments, procedures, interactions, and patient or family education.
Evaluate and document patient progress toward established goals each shift; update or revise the patient-care problem list and individualized care standards based on responses, progress, or changes in medical status.
Evaluate length of stay and transfer or discharge planning needs based on anticipated problems, resources, and support systems.
Complete all mandatory hospital and unit-specific in-services annually before the evaluation date; plan, present, and document unit in-services as required by level; and document clinical competency at least annually.
Attend staff meetings as required and use established communication channels to resolve problems and interpersonal conflict.
Present at least one in-service and participate in two patient-care conferences; attend 75% of staff meetings.
Function as a Charge Nurse, maintain clinical knowledge of all patients on the unit, and triage and assign beds to promote patient flow.
Attend a Charge Nurse course within the year and serve as a preceptor or clinical resource.
Actively participate in unit-based performance improvement.