RN - Critical Care Float Pool, Days

Guthrie Enterprise•Cortland, NY

7d•$39 - $54•Onsite

About The Position

Earn a $25,000 Sign‑On Bonus and elevate your critical care career in Guthrie Cortland Medical Center’s dynamic Critical Care Float Pool! Join our Critical Care Float Pool and experience unmatched flexibility, professional growth, and the chance to make a difference across two of our most fast‑paced, high‑acuity units — the Emergency Department and the Intensive Care Unit. This is your moment to build a powerful clinical skillset, enjoy a supportive team culture, and thrive in a role that offers both variety and stability. Position Snapshot Schedule: Three 12‑hour shifts per week, floating between the ED and ICU based on the facility needs Shift: 7:00 AM – 7:00 PM Environment: High‑acuity, collaborative, and ideal for nurses who love challenge and flexibility Why Nurses Choose Guthrie 🌟 Up to $25,000 Sign‑On Bonus for experienced RNs 🩺 Medical & Dental Coverage starting the 1st of the month after hire 🌴 Generous PTO Accrual beginning Day 1 🚚 Relocation Assistance up to $12,000 🎓 Tuition Reimbursement up to $7,500 annually after 90 days 💰 Premium Float Pool Rates & Shift Differentials 🔒 403(b) Retirement Plan with Company Match ⚖️ Predictable Work & Holiday Rotations 🤝 Supportive, Diverse, Team‑Centered Culture 🅿️ Free On‑Site Parking Award‑Winning Workplace Modern Healthcare’s Best Places to Work 2025 Becker’s 150 Top Places to Work — 3 consecutive years Forbes Best Employers for Women 2025 Forbes Best Employers for Healthcare Professionals Forbes Best‑In‑State Employers (PA) About Guthrie Cortland Medical Center For more than 125 years, Guthrie Cortland Medical Center has been a trusted community hospital delivering exceptional care. As a 162‑bed acute care facility within the Guthrie system, we offer the perfect blend of community‑hospital warmth and system‑wide resources, innovation, and advancement. Our nurses benefit from: A culture built on teamwork, respect, and continuous learning Access to advanced technology and evidence‑based practice Strong leadership support and clear pathways for career growth At Guthrie, you’re not just joining a hospital — you’re joining a mission‑driven organization that invests in your success and empowers you to thrive. Job Summary: Responsible for delivery of patient care through the nursing process of assessment, planning, implementation, and evaluation. Directs and guides patient teaching and the activities of ancillary personnel while maintaining standards of professional nursing. Understands and adheres to GCMC’s Compliance Standards as they appear in GCMC’s Corporate Compliance Policy, Code of Conduct and Conflict of Interest Policy. Keeps abreast of all pertinent federal, state and GCMC regulations, laws, and policies as they presently exist and as they change or are modified.

Requirements

Entry level-graduate per Education requirements
Specialty Units-At least 1 year of medical-surgical nursing preferred. (i.e. ICU, Maternity, Psych)
See core competencies and unit specific competencies
Current NYS license to perform as a registered professional nurse
Current BLS-CPR certification required (or within first 30 days of employment)
Specialty Unit - Maternity – Neonatal Resuscitation Certification within 6 months of employment
Specialty Unit –ICU- ACLS within 6 months of hire

Responsibilities

Performs patient assessment and documents accurately in a timely manner per nursing and department policy.
Performs nursing admission assessment thoroughly and within timeframe.
Documents the admission assessment accurately and completely.
Performs skin risk assessment accurately and reassessment per policy and protocol.
Performs pain assessment and reassessment per policy and utilizes hospital approved pain scale and documents appropriately.
Monitors patient as appropriate for condition, status and safety according to nursing department policy.
Monitors patient’s vital signs and systems per protocol and documents on appropriate forms.
Recognizes change in patient’s condition or status and reports to charge nurse or physician as appropriate.
Calls CAT team for patients who meet criteria.
Works to ensure patient safety is maintained in all aspects of patient care, by following all policies related to National Patient Safety Goals, etc.
Raises concern about patient care and utilizes the Chain of Command as needed to prevent patient harm.
Performs safe administration and complete documentation of medications, IV fluids, and blood products in accordance with nursing policy.
Follows medication administration policy using e-Mar, bar coding and scanning of medications and has at least an 85% scan rate.
Insertion of IVs under aseptic technique and follows IV policy by changing site, tubing and dressing and documents accordingly.
Always follows hospital policy when administering blood products.
Maintains security of electronic signature with Omnicell and accounts for all narcotics removed from automated dispensing system through proper waste/return administration documentation.
Assesses and addresses educational needs of patients and families to include disease state, care and treatment.
Documents educational needs.
Distributes appropriate teaching sheets.
Includes evaluation of learner’s understanding post-teaching.
Contributes to or initiates discharge plan upon day of admission and participates in interdisciplinary planning.
Completes all pre-discharge checklist items.
Always gives patient correct forms and discharge instructions by using 2 patient identifiers.
Provides patient a safe discharge and appropriate follow-up information and community resources are in place.
Assist providers in performing procedures and treatments per unit, department specific and hospital policy.
Assist physicians/providers with beside procedures and remains competent with unit-specific procedures.
Performs read back of critical values and telephone orders when interacting with physicians as warranted.
Uses SBAR when giving physicians report on change in patient condition.
Demonstrates knowledge and ability to use equipment safely and effectively.
Utilizes hospital equipment per policy (i.e., guardrails for IV pumps, alarm settings).
Uses patient lift equipment per policy at all times.
Demonstrates competency, knowledge, and ability to perform nursing treatments and procedures safely and effectively.
Conducts Hourly Rounds on patients using 4 “P’s” and documents on appropriate forms.
Regularly uses patient room white boards to communicate information to patients and families.
Aware of and actively participates in emergency preparedness procedures and operations.
Aware of and actively participates in Code Blue, Green, Pink, Orange, White, and Silver drills and actual events.
Documents on a regular, real time basis all patient care activities in accordance to hospital policy.
Actively sits on and attends at least 1 team or committee, or participates in unit PI activity or department team or projects
Attends at least 75% of all staff meetings.
Attends at least 1 clinical update and all mandatory in services.
Participates in unit specific or hospital wide PI/QI activity.
Wears appropriate PPE as warranted.
Follows hand hygiene protocol.
Follows all isolation procedures.
Initiates individualized patient plan of care for all admissions.
Edits Plan of Care on a regular basis per policy.
Document’s interventions every shift based on nursing diagnosis.
Participates in learning experiences for orientees, nursing and ancillary staff and students by serving as a preceptor.
Participates in Nursing Grand Rounds at least quarterly by either attending a session or assisting in preparing for unit topic.
Participates in interdisciplinary care/discharge planning.
Uses SBAR for patient handoffs.
Uses Ticket to Ride and communicates important information to other departments.