Registered Nurse - LDRP - Per Diem

Guthrie Enterprise•Cortland, NY

About The Position

The Registered Nurse is responsible for delivering patient care through the nursing process of assessment, planning, implementation, and evaluation. The nurse directs and guides patient teaching and ancillary personnel activities while maintaining professional nursing standards. The role requires compliance with GCMC policies and applicable federal and state regulations, laws, and policies. The nurse provides safe, effective, and comprehensive care for patients and families, including assessment and monitoring, medication administration, education, discharge planning, assistance with provider procedures, use of equipment, clinical documentation, infection control, and coordination of care. The position also contributes to professional nursing activities, quality improvement, staff learning, and emergency preparedness. Employees may be asked to perform duties outside the listed functions.

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.
Entry-level graduates may qualify according to education requirements.
For specialty units, at least one year of medical-surgical nursing experience is preferred.
Demonstrate the unit-specific and core competencies required for the position.

Nice To Haves

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

Responsibilities

Assess patients, complete admission and skin-risk assessments, assess pain, and document findings accurately and promptly according to policy.
Monitor patients’ conditions, vital signs, systems, and safety; recognize and report changes, call the CAT team when criteria are met, and use the chain of command to address safety concerns.
Administer and document medications, IV fluids, and blood products safely and according to policy; insert IVs using aseptic technique and maintain IV sites, tubing, and dressings.
Assess and address patient and family education needs, provide appropriate teaching materials, and evaluate understanding after teaching.
Initiate and participate in discharge planning, complete pre-discharge checklist items, provide correct forms and instructions using two patient identifiers, and support safe discharge and follow-up.
Assist providers with procedures and treatments, maintain competency in unit-specific procedures, read back critical values and telephone orders as warranted, and use SBAR to report changes in patient condition.
Use hospital equipment safely and according to policy, including IV pump guardrails, alarms, and patient-lift equipment.
Perform nursing treatments and procedures safely and effectively; conduct and document hourly rounds using the 4 P’s and use room whiteboards to communicate with patients and families.
Participate in emergency preparedness activities, including Code Blue, Green, Pink, Orange, White, and Silver drills and events.
Document patient care and responses completely, accurately, and in real time according to department and hospital policy.
Promote professional nursing through quality improvement, customer satisfaction, community involvement, committee or team activities, and continuing education; attend required meetings, clinical updates, and in-services.
Follow infection-control policies, including appropriate PPE, hand hygiene, and isolation procedures.
Use the nursing process to identify patient needs, develop individualized care plans, implement interventions, provide discharge instructions, and update and document care plans according to policy.
Participate in clinical learning experiences for orientees, staff, and students, including serving as a preceptor; participate in Nursing Grand Rounds at least quarterly.
Support continuity of care through effective handoffs, interdisciplinary care and discharge planning, SBAR, and use of Ticket to Ride.
Perform other duties as assigned.