REGISTERED NURSE PER DIEM

Montefiore Health System•North Charleston, SC
•Onsite

About The Position

The RN participates in performance improvement/research activities; maintains professional practice standards and clinical expertise; and demonstrates leadership skills. The RN demonstrates core and unit specific competencies based on the patient population served.

Requirements

  • BS/ BSN in Nursing Required
  • NYS License for Registered Professional Nurse and current registration or valid permit to practice in NYS as an RN Required
  • NYS Mandated Infection Control and Child Abuse Reporter Training Required
  • Basic Life Support (BLS) Training Required
  • Certification in specialty Upon Hire Required
  • NYS Infection Control Certification
  • Pediatric Advanced Life Support (PALS) Training Upon Hire
  • Ability to use basic data entry and retrieval systems
  • Effective English communication skills, both written and oral

Nice To Haves

  • At least 1 year Hospital or Clinic setting experience Preferred

Responsibilities

  • Demonstrates leadership skills in the coordination and delivery of patient care.
  • Coordinates an interdisciplinary plan of care.
  • Assures 100% assigned patients have a documented plan of care.
  • Ensures completion of patient care assignment 100% of time.
  • Interdisciplinary plan of care is congruent with accepted LOS parameters for all assigned patients.
  • Delegates aspects of care of the patient to team members consistent with capabilities and responsibilities of caregiver.
  • Ensures that delegated aspects of care are completed in accordance with established standards of practice.
  • Negotiates with team member if unable to fulfill role responsibilities; escalates as per MMC policy and procedure.
  • Establishes a therapeutic relationship with patient/family.
  • Assumes charge nurse assignment.
  • Participates in the orienting and development of associates by mentorship and assigned preceptorship.
  • Patient/family wishes related to care decisions are assessed and documented.
  • Systematically assesses the health care of patients/families and responses to care rendered.
  • Completes 100% of admission assessment within 8 hours.
  • Completes documentation reflecting interdisciplinary team approach as per policy.
  • Documentation reflects systematic and continuous collection of data.
  • Documents teaching/learning needs of patients and families prior to discharge.
  • Assesses, evaluates and documents patient's response to nursing and interdisciplinary team interventions, including patient/family teaching.
  • Initiates a teaching and discharge plan for 100% of assigned patients within 24 hours of admission.
  • Modifies plan of care through prioritization of patient/family needs and interdisciplinary orders
  • Demonstrates critical thinking skills to problem solve and initiate clinical decision making.
  • Takes action to optimize achievement of patient outcomes.
  • Participates in identification, Investigation and resolution of actual and/or potential risk management/quality care/ethical issues.
  • Incorporates effective problem solving/conflict resolution/consensus building into daily practice.
  • Evaluates patient progress toward health goals and modifies critical path or plan of care accordingly.
  • Identifies variances to plan of care.
  • Initiates appropriate interventions to amend identified variances from plan of care.
  • Documents patient and family response to interventions and modifies plan of care as needed.
  • Reviews plan of care daily and/or updates it to reflect current status of patient.
  • Consistently participates and communicates in daily IDT rounds to provide concise direction to all care givers.
  • Develops, coordinates and provides direct care for specific patient assignment.
  • Provides patient focused care.
  • Incorporates standards of practice, critical pathways, age-specific guidelines and patient care guidelines into plan of care.
  • Assess potential and actual changes in level of care require
  • Develops plan of care within 24 hours of admission to the extent possible.
  • Includes patient/family in care planning.
  • Provides a safe environment for patients/families.
  • Orients patient/family to environment assuring comprehension of information presented.
  • Administers medication according to the medication administration policy.
  • Responds appropriately to urgent/emergent situations.
  • Utilizes and documents use of restraints according to hospital patient care guidelines.
  • Uses equipment in accordance with MMC policies and procedures.
  • Provides comprehensive direct patient care to assigned patients.
  • Utilizes knowledge of nursing, research and evidenced based practice in the application of care and clinical judgment.
  • Administers care consistent with standards of care for MM
  • Nursing interventions demonstrate consideration of patient's bio psychosocial and spiritual needs.
  • Communicates effectively with patient/family and members of the health care team.
  • Defends and preserves the rights of patients relative to all aspects of care, information, knowledge and privacy.
  • Demonstrates respect of cultures and respect for cultural diversity with co-workers and other health care team members, patients, families and co-workers.
  • Incorporates the principles of patient focused care in daily practice.
  • Recognizes the family as defined by the patient.
  • Communicates interdisciplinary plan of care to 100% of assigned patients and families within 24 hours of admission and daily.
  • Identifies patient satisfaction/dissatisfaction with plan of care.
  • If patient expresses dissatisfaction, implements conflict resolution skills, and escalates issues with plan of care.
  • Assesses and documents patient advanced care directives for 100% of assigned patients.
  • Establishes collaborative and collegial relationships with health care team members.
  • Documents legibly.
  • Demonstrates responsibility for maintaining competencies and participates in activities contributing to the growth and development of self, colleagues and the nursing profession.
  • Provides two examples of ongoing professional development.
  • Contributes to growth and development of staff and students through participation in peer review, mentor relationships, formal and informal education.
  • Recognizes that professional responsibility extends beyond one's own patient population; assists and supports team members.
  • Attends at least one hospital committee meeting or in-service annually and shares information with coworkers.
  • Demonstrates active participation in unit-based performance improvement initiatives.
  • Is responsible and accountable for own practice.
  • Ensure compliance with written policies, procedures and standards of practice/care as defined in the R.N. position summary.
  • Critical thinking/problem solving skills are incorporated into nursing practice.
  • Contributes to problem identification and problem solving in the work environment, participating on task forces and groups as necessary.
  • Supports the mission, vision, values and balanced scorecard performance measures for Montefiore Medical Center and standards of nursing practice.
  • Attends an educational program at least annually and provides feedback to co-workers about educational content.
  • Attends unit-based in-services as schedule
  • Conforms with MMC dress code.
  • Conforms with MMC attendance and punctuality policy.
  • Maintains licensure and current registration.
  • Maintains mandatory certification, and competency including but not limited to annual review, BLS, etc.
  • Integrates the standards of excellence into daily clinical practice.
  • Respect: Honors and values each person.
  • Effective Communication: Effectively listens, conveys, and receives ideas, information, and direction.
  • Sensitivity: Demonstrates willingness and ability to listen and understand others' feelings, needs and circumstances.
  • Professionalism: Demonstrates confidence, competence and pride in work and appearance.
  • Exceeding Expectations: Assists others without being asked
  • Courtesy: Treats everyone with kindness and care.
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