Registered Nurse I, Telemetry

University of Maryland Medical System•Baltimore, MD

About The Position

The Clinical Nurse I (CN I) role is designed for new graduate nurses or nurses with less than 12 months of clinical experience. The CN I is expected to successfully complete all requirements of the Member Organization’s Nurse Residency Program, if applicable, and departmental orientation. The nurse will achieve practice readiness, defined as the ability to assess and manage each patient’s diverse clinical needs while demonstrating the confidence and competence to safely perform and coordinate interventions needed to provide equitable, comprehensive, patient-centered care. The CN I provides direct patient care while collaborating with interdisciplinary team members and remains accountable for professional practice in alignment with UMMS Mission, Vision, and Values. The position conducts comprehensive assessments, develops and evaluates individualized care plans, delivers safe and organized care, implements provider orders, administers and monitors medications, educates patients, coordinates with the interdisciplinary team, and follows safety, infection prevention, documentation, and professional practice standards. The nurse also engages in ongoing learning and professional development and performs other related duties as assigned.

Requirements

  • Be licensed as a Registered Nurse in Maryland or eligible to practice under Compact state agreements recognized by the Maryland Board of Nursing.
  • Graduate from an accredited nursing program with an Associate Degree in Nursing, a Bachelor of Science in Nursing or higher, or be eligible to sit for the NCLEX; pass the NCLEX within 90 days of hire.
  • Hold current American Heart Association Basic Life Support certification; Red Cross BLS is accepted upon hire for new hires only.
  • Obtain specialty life support certification based on clinical area assignment within 6 months of hire or by completion of unit orientation, whichever is longer. Nurses not assigned to critical care areas are not required to obtain specialty life support certification.
  • Demonstrate competence in UMMS Nursing Competencies and successfully complete the Nurse Residency Program, if applicable, and member organization and departmental orientation requirements.
  • Maintain knowledge of nursing principles, practices, standards of care, anatomy, physiology, pathophysiology, pharmacology, and disease processes.
  • Maintain awareness of current evidence-based practice, patient safety guidelines, infection control standards, relevant policies, procedures, regulatory requirements such as HIPAA and Joint Commission, and documentation standards.
  • Obtain 10 continuing education credits within 12 months of hire.
  • Achieve and maintain individual competency requirements for nursing practice.
  • Demonstrate physical ability to meet job demands, including lifting, prolonged standing, and assisting with patient mobility.

Responsibilities

  • Conduct comprehensive nursing assessments, including vital signs, pain, and behavioral status, and recognize and report abnormal findings.
  • Develop, implement, and evaluate individualized care plans that incorporate patient and family preferences, cultural considerations, and developmental needs.
  • Provide safe, timely, and organized patient care through efficient workflow management and clinical reasoning.
  • Acknowledge and implement provider orders promptly and evaluate their relevance to the patient’s condition.
  • Collaborate with interdisciplinary team members using appropriate communication modalities and the chain of command.
  • Perform effective patient care handoffs and educate patients about treatments using therapeutic communication techniques.
  • Safely administer prescribed medications and monitor therapeutic effects and adverse reactions.
  • Follow institutional policies, procedures, and best practices for medication handling, administration, disposal, and documentation.
  • Maintain a safe, therapeutic care environment by following hospital safety protocols, infection prevention and control standards, and regulatory requirements.
  • Complete required documentation, including event reports and consent verification.
  • Demonstrate accountability for professional practice by adhering to regulatory standards, institutional policies, and the ANA Code of Ethics.
  • Engage in continuous learning and professional development to maintain clinical competence.
  • Complete other related duties as assigned.
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