Registered Nurse Rehab

Mount Sinai Medical Center•Miami Beach, FL

11d

About The Position

The Registered Nurse Rehab provides nursing care to rehabilitation patients, assesses and documents patients’ functional abilities and levels of assistance, and educates patients on rehabilitation equipment and safety precautions following hip surgery, knee surgery, back surgery, and CVA. The role includes admission and ongoing assessments, development and revision of interdisciplinary plans of care, implementation and documentation of nursing interventions, evaluation of patient progress, and transfer and discharge planning. The nurse also contributes to professional development, unit leadership, patient care conferences, and quality improvement activities.

Requirements

Current Florida nursing license.
Current Basic Life Support certification.
Current Advanced Cardiac Life Support certification.
At least one year of RN experience for Level II.
Successful completion of the FIM Training program.

Responsibilities

Successfully complete the FIM Training program and assess patients’ activities of daily living and functional levels.
Document patients’ functional status and the level of assistance required; educate patients on rehabilitation equipment and relevant safety precautions.
Perform admission vital signs and history, assess the chief complaint, and notify the physician within 15 minutes of arrival to the unit.
Complete and document nursing admission assessments, shift systems assessments, patient education needs, and psychosocial needs.
Respond to diagnostic data and initiate appropriate actions or interventions.
Initiate an interdisciplinary plan of care within eight hours of admission and establish priorities for patient care.
Understand the patient’s diagnosis and plan of care; safely initiate and document nursing interventions, including in emergency situations.
Perform a 24-hour chart check at the beginning of each shift.
Administer, observe, and document intravenous therapy and medications according to hospital policy; monitor effectiveness and report adverse reactions.
Provide individualized instructions to patients and significant others regarding the plan of care.
Use unit-specific equipment safely and correctly and ensure patients’ daily hygiene needs are met.
Provide pre-operative and post-operative care and instruction to assigned surgical patients.
Follow standard precautions and hand hygiene guidelines; document and arrange storage of patient valuables.
Perform aseptic dressing changes, collect and label ordered specimens, conduct bedside glucose monitoring, and administer oxygen therapy as ordered.
Administer enteral feedings through NG, G, and/or J tubes; perform ostomy care; insert urinary catheters using aseptic technique; and initiate wound and skin protocols when risks are identified.
Report abnormal findings promptly to the physician.
Coordinate patient transfers, obtain complete physician orders, complete transfer summaries, and ensure referral forms and handoff reports accompany transfers.
Use restraints safely and correctly.
Document and report patient responses and outcomes; evaluate and document progress toward goals each shift and update care problems and standards as needed.
Evaluate length of stay and transfer or discharge planning needs, considering anticipated problems, resources, and support systems.
Complete required annual hospital and unit in-services and clinical competency documentation; plan, present, and document unit in-services as required.
Attend staff meetings 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 at least 75% of staff meetings.
Function as a Charge Nurse, maintain clinical knowledge of unit patients, triage and assign beds to support patient flow, and attend a Charge Nurse course.
Serve as a preceptor or clinical resource and actively participate in unit-based performance improvement.