Registered Nurse Medical-Surgical

Mount Sinai Medical Center•Miami Beach, FL

11d•Onsite

About The Position

The Registered Nurse Medical-Surgical provides nursing care in the Telemetry, Med-Surg, Surgical, and Neuro/Ortho departments. The role includes assessing patients, developing and implementing interdisciplinary plans of care, administering treatments and medications, monitoring patient status, educating patients and families, and evaluating outcomes. The nurse also contributes to professional development, staff activities, charge nurse functions, precepting, and unit-based performance improvement.

Requirements

Current Florida Nursing License.
Current Basic Life Support certification.
Current Advanced Cardiac Life Support certification; ACLS training must be completed and current within 90 days of hire.
Level II: minimum of 1 year of RN experience.
If assigned to cost center NURSING- 6 DE HMT SOUTH, obtain a Non-Violent Crisis Intervention Certificate within 90 days of employment.

Responsibilities

Successfully challenge the EKG I test upon hire if previously trained, or complete the EKG I program within 90 days of hire.
Interpret life-threatening dysrhythmias and provide subsequent treatment; perform defibrillation safely and correctly; administer anti-dysrhythmic therapy as ordered.
Demonstrate understanding of the patient's daily status, including admission reason, procedures, diagnostic data, learning needs, and discharge plan.
Complete ACLS training and maintain current status within 90 days of hire.
Cooperate with assignment rotation and floating.
Provide safe and correct care for patients with internal cardiac devices.
Identify and report abnormal findings related to multi-system complications, implement nursing interventions, and monitor hemodynamically unstable patients, assessing, reporting, and intervening appropriately.
Perform initial vital signs and admission history, assess the chief complaint, and notify the physician within 15 minutes of arrival to the unit.
Complete and document a nursing admission assessment and develop an interdisciplinary plan of care within eight hours of admission.
Perform and document an accurate systems assessment at the beginning of each shift; respond to diagnostic data and initiate appropriate action or intervention.
Assess patient education needs on admission and daily, and assess psychosocial needs in relation to age, growth, and development.
Establish patient-care priorities and complete assigned duties during the shift.
Understand the patient's diagnosis and interdisciplinary care plan; safely initiate and document nursing interventions in 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 the scheduled time, document effectiveness, and recognize and immediately report adverse reactions.
Provide individualized instructions to the patient or significant other each shift regarding the plan of care.
Use unit-specific equipment safely and correctly and ensure patients' general hygiene needs are met daily.
Provide pre-operative and post-operative care and instruction for assigned surgical patients during the shift.
Follow standard precautions, including hand hygiene, at all times.
Document patient valuables on the designated form when received and immediately arrange appropriate storage.
Perform dressing changes using aseptic technique; collect and label specimens as ordered and according to policy; perform bedside glucose monitoring according to policy.
Administer internal feedings via NG, G, and/or J tube.
Immediately report abnormal findings to the physician and initiate wound and skin protocols when risk is identified.
Perform 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.
Transfer patients into and out of the unit efficiently, obtain complete and correct physician orders, complete transfer summaries, ensure referral forms accompany intra-facility transfers, and give or receive report.
Use restraints safely and correctly.
Document and report patient responses and outcomes resulting from nursing interventions, treatments, procedures, interactions, and patient/family education.
Evaluate and document progress toward established goals each shift; update or revise the 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, available resources, and support systems.
Complete mandatory hospital and unit-specific in-services annually before the evaluation date; plan, present, and document unit in-services as required by level; document clinical skills competency annually; and attend staff meetings as required.
Use established communication channels to resolve problems and interpersonal conflict.
Attend 75% of staff meetings.
Function as a Charge Nurse by maintaining clinical knowledge of unit patients and triaging and assigning beds to promote patient flow; attend a Charge Nurse course.
Serve as a preceptor or clinical resource and actively participate in unit-based performance improvement.