Registered Nurse NICU - Full Time Day Shift

Frederick Health•Frederick, MD

About The Position

Frederick Health is seeking an experienced Registered Nurse to work in its full-service Level III NICU, a 30-bed unit caring for infants with a range of acuity, including extremely low birth weight babies and infants as young as 24 weeks gestation and weighing 500 grams. The average daily census is approximately 10 babies. The RN independently provides patient care using the nursing process and performs leadership and teaching duties that support effective patient care. The nurse supports and participates in continuous quality improvement and works within applicable licensing, regulatory, and hospital policy requirements. This position is scheduled for day shift, 7:00 a.m. to 7:30 p.m., 72 hours biweekly, typically three 12-hour shifts per week, with weekend and holiday rotation. The RN assesses patients and develops, implements, evaluates, and revises individualized plans of care. The role includes recognizing changes in patient condition, coordinating with patients, families, and the interdisciplinary care team, educating patients and families, supporting less experienced staff, and demonstrating leadership, delegation, precepting, mentoring, and accountability. The nurse may float to other hospital nursing units as requested. The pay range is $36.07–$55.17. Pay is based on experience, skills, and education; the range may vary based on specialty. Applicable non-exempt positions may receive shift differential and/or overtime pay.

Requirements

Eligible for or currently licensed as a Registered Nurse in Maryland or a compact state.
Associate degree in Nursing required.
BLS certification required.
NRP certification required upon hire or within 90 days of employment.
STABLE certification required.
Able to meet the stated medium-heavy physical demands: infrequent lifting up to 100 pounds, carrying up to 50 pounds while walking, and pushing or pulling loads as described.

Nice To Haves

Bachelor of Science in Nursing preferred, or willingness to obtain it within five years of employment.
Experience as a Registered Nurse.

Responsibilities

Assess patients’ biophysical, psychosocial, environmental, self-care, educational, and discharge-planning needs according to nursing standards.
Identify and prioritize patient needs, recognize and document changes in condition, anticipate potential changes, and respond appropriately.
Complete and document initial assessments and reassessments according to organizational and department standards and policy.
Develop individualized plans of care using nursing diagnoses and available resources, including family, caregivers, other disciplines, and community agencies.
Organize and prioritize care, seeking assistance when necessary to meet patients’ needs.
Participate in developing standards of care consistent with departmental, organizational, professional, and regulatory standards.
Implement and document nursing interventions and patient responses in accordance with hospital and nursing policies and applicable standards.
Communicate pertinent information to patients, families, and the healthcare team in a timely, concise, interdisciplinary manner, and keep families informed about patient status and changes to care plans.
Give and receive patient assignments flexibly based on staff skill mix and patient-care demands.
Evaluate nursing care, related tools and equipment, interventions, policies, procedures, and programs; document effectiveness and recommend or make modifications to care plans as needed.
Collaborate with patients, families, and the healthcare team to revise treatment plans and recommend responses to variances from expected outcomes.
Assess patient and family knowledge, learning barriers, readiness, willingness, ability, and cultural, religious, financial, and preference-related learning considerations.
Identify learning needs, establish teaching goals, provide direct and interactive education using appropriate materials, evaluate its effectiveness, communicate progress and follow-up needs, integrate discharge planning and referrals, and document teaching.
Support less experienced staff with patient and family teaching.
Incorporate self-development and performance feedback into daily practice and meet clinical ladder requirements.
Contribute to staff retention and employee morale efforts and use supplies, equipment, and technology to support quality care.
Float to other hospital nursing units as requested.
Demonstrate leadership and accountability, promote constructive professional communication, encourage professional interactions with ancillary staff and physicians, and delegate effectively.
Precept and mentor RNs and ancillary staff, follow program policies, and participate in department orientation.
Review quality assurance reports and data for accuracy and completeness and contribute to evaluation or auditing of CNAs, technicians, and peers.
Complete hospital-wide and department-specific competencies.