Registered Nurse - Telemetry - Full Time, Days

Guthrie Enterprise•Cortland, NY

About The Position

The Registered Nurse delivers patient care through assessment, planning, implementation, and evaluation. The nurse directs and guides patient teaching and ancillary personnel while maintaining professional nursing standards. The role requires adherence to GCMC’s compliance standards, policies, codes, and applicable federal and state regulations. Employees may also be asked to perform duties outside the specific functions listed. The nurse assesses and monitors patients, administers medications and other treatments safely, educates patients and families, contributes to discharge planning, assists providers with procedures, and documents care accurately and promptly. The position also involves using equipment safely, responding to emergencies, following infection-control procedures, participating in quality and professional-development activities, supporting clinical learning, and ensuring continuity of care through effective handoffs.

Requirements

  • Current New York State license to practice as a registered professional nurse.
  • Current BLS-CPR certification, or obtain it within the first 30 days of employment.
  • For specialty units, at least one year of medical-surgical nursing experience is preferred.
  • Meet core and unit-specific competencies.
  • Follow GCMC compliance standards, applicable regulations, laws, and policies.
  • Participate in at least one team or committee, or in a unit performance-improvement activity or department team or project.
  • Attend at least 75% of staff meetings, at least one clinical update, and all mandatory in-services.

Nice To Haves

  • At least one year of medical-surgical nursing experience is preferred for specialty units.

Responsibilities

  • Assess patients, complete admission assessments, evaluate skin and pain risks, and document findings accurately and promptly.
  • Monitor patients’ vital signs, condition, safety, and status; recognize and report changes, call the CAT team when criteria are met, and use the Chain of Command to raise patient-safety concerns.
  • Safely administer and document medications, IV fluids, and blood products; follow medication-scanning, IV, blood-product, and automated dispensing system policies.
  • Assess and address patient and family education needs, provide appropriate teaching materials, and evaluate understanding after teaching.
  • Initiate or contribute to discharge planning from the day of admission, participate in interdisciplinary planning, complete pre-discharge checklists, and provide correct discharge instructions and follow-up information.
  • Assist providers with procedures and treatments in accordance with unit and hospital policies; perform read-backs of critical values and telephone orders when warranted, and use SBAR to report changes in patient condition.
  • Use hospital equipment safely and effectively, including IV pump guardrails, alarms, and patient-lift equipment.
  • Perform nursing treatments and procedures safely and competently; conduct and document hourly rounds using the 4 P’s and use room whiteboards to communicate with patients and families.
  • Participate in emergency preparedness operations, drills, and events, including Code Blue, Green, Pink, Orange, White, and Silver.
  • Document patient care activities and responses completely, accurately, and in real time in accordance with policy.
  • Promote professional nursing by participating in quality-improvement activities, committees or teams, staff meetings, clinical updates, mandatory in-services, and continuing education.
  • Follow infection-control procedures, including appropriate PPE, hand hygiene, and isolation practices.
  • Use the nursing process to identify patient needs, implement interventions based on nursing diagnoses, develop and update individualized care plans, and provide appropriate discharge instructions.
  • Support clinical learning experiences for orientees, nursing and ancillary staff, and students, including serving as a preceptor; participate in Nursing Grand Rounds at least quarterly.
  • Ensure continuity of care through safe handoffs, interdisciplinary care and discharge planning, SBAR, and use of Ticket to Ride.
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