Registered Nurse II, 4 North - MTC

University of Maryland Medical System•Baltimore, MD
•Onsite

About The Position

The Registered Nurse II (CN-II) provides nursing care to patients on 4 North, a 9-bed unit caring for mixed medical cases and telemetry patients, including post-operative PACU patients who may stay for 24–48 hours after surgery. The nurse follows the nursing process from admission through discharge, exercises sound clinical judgment, and coordinates care with physicians and other members of the health care team. The role includes functioning as a charge nurse and/or preceptor, delegating and supervising personnel, and supporting teamwork and continuity of care. The CN-II integrates technical competencies with the biopsychosocial aspects of patient care, applies critical thinking to the care of groups of patients, and maintains current nursing practice knowledge. The nurse demonstrates, documents, and teaches unit practices related to core measures, restraints, falls, wounds, pain, customer service, National Patient Safety Goals, critical values, patient education, and suicide assessment. The role also includes supporting quality and safety goals, participating in shared governance and committees, and advancing professional practice through continuing education and clinical ladder participation.

Requirements

  • Current licensure as a Registered Nurse in Maryland, or eligibility to practice through a Compact state agreement recognized by the Maryland Board of Nursing.
  • At least one year of nursing experience.
  • Solid nursing knowledge and clinical skills.
  • Current CPR certification.
  • Maintain 10 contact hours of education every two years.
  • Membership in a professional organization.
  • Recent applicable clinical experience in a comparable setting.
  • Up-to-date status on all mandatory training and classes.
  • Ability to demonstrate charge nurse and/or preceptor capabilities.
  • Ability to delegate to and supervise personnel.
  • Ability to integrate technical competencies with the biopsychosocial aspects of patient care and use critical thinking to care for groups of patients.
  • Ability to recognize professional strengths and development needs and consult others for assistance.
  • Ability to comply with the Maryland Practice Act.
  • Ability to meet the physical demands of considerable walking, long periods of standing, and frequently fluctuating activity.
  • Ability to work with exposure to illnesses, agitated or aggressive patients, environmental hazards, potentially infectious body fluids, equipment-related injury risks, and strains or injury from moving patients.

Nice To Haves

  • Bachelor of Science in Nursing (BSN) preferred.
  • ACLS provider completion within one year of employment for PACU and other listed departments.
  • PALS completion within one year of employment for PACU and Emergency Department.

Responsibilities

  • Understand and follow policies and protocols, and help others use these resources effectively.
  • Address patient needs related to quality measures, National Patient Safety Goals, and patient education.
  • Function as charge nurse and/or preceptor and work with the supervisor to resolve unit-level issues.
  • Perform patient assessments and reassessments, gathering data to assist with nursing diagnoses.
  • Develop and document individualized Plans of Care with realistic, measurable goals in collaboration with patients.
  • Coordinate and direct resources and personnel in developing and following Plans of Care.
  • Administer ordered medications and treatments and carry out nursing interventions according to the Plan of Care.
  • Evaluate patient responses to treatments and interventions, reassess, and revise the Plan of Care as needed.
  • Document assessments, changes to the Plan of Care, treatments, interventions, and medication administration accurately, thoroughly, and on time.
  • Assess patient teaching needs, provide patient and family education, assess understanding, and document accordingly.
  • Communicate and collaborate with the health care team to coordinate care and report changes in patient condition.
  • Facilitate safe and timely patient throughput, including admission, transfer, discharge, diagnostics, and therapeutics.
  • Comply with hospital policies and professional practices, as well as Joint Commission and CMS standards.
  • Assist with the annual PCT core competency program.
  • Attend and actively participate in unit staff meetings and shared governance committees or task forces.
  • Support Shared Governance and the mission, vision, values, philosophy, goals, objectives, and policies of UMMC Midtown Campus.
  • Meet continuing education and participation requirements of the clinical ladder.
  • Demonstrate, document, and teach unit practices related to core measures, restraints, falls, wounds, pain, customer service, National Patient Safety Goals, critical values, patient teaching, and suicide assessment.
  • Participate in service-wide committees, task forces, or planning committees to support nursing service and organizational goals.
  • Anticipate patient needs and role-model and promote outstanding customer service.
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