RN Progressive Care Unit 7p-7:30a

Frederick Health•Frederick, MD

1d•Onsite

About The Position

Frederick Health is hiring a Registered Nurse for its 47-bed Telemetry and Progressive Care Unit, which provides care to adult and geriatric patients with acute and complex medical needs. The unit specializes in continuous cardiac monitoring and enhanced clinical observation, serving patients with conditions including heart failure, stroke, pulmonary disorders, diabetes, multisystem illnesses, and post-surgical needs. The schedule is full-time, night shift, 7:00 p.m. to 7:30 a.m., with weekend and holiday rotation. Experienced nurses may be eligible for a $30,000 sign-on bonus for night-shift positions. The RN independently provides patient care using the nursing process and performs leadership and teaching duties that support effective patient care. The role supports Frederick Health’s mission, vision, core values, and customer service philosophy; follows its Compliance Program and Standards of Behavior; functions within applicable licensing, regulatory, and hospital requirements; and participates in continuous quality improvement. The nurse assesses, plans, implements, and evaluates individualized care; monitors and communicates changes in patient condition; educates patients and families; coordinates with the interdisciplinary care team; and supports less experienced staff through delegation, precepting, and mentoring. The role may float to other nursing units as requested and includes department and hospital-wide competency requirements. Patient populations served may include neonates, infants, children, adolescents, adults, and geriatric patients, based on departmental designation. The position involves a medium-heavy physical workload, including infrequent lifting up to 100 pounds, carrying up to 50 pounds while walking, and pushing or pulling heavy loads. Work includes exposure to blood or body fluids, infectious diseases, hazardous materials, and technical and heavy equipment. The hourly pay range is $36.07 to $55.17, based on experience, skills, and education. Frederick Health offers eligible employees health, dental, and vision insurance; employer-paid life insurance and disability coverage; paid time off; a 403(b) retirement plan with eligible employer match; financial planning sessions; educational assistance; and an employer-paid Employee Assistance Program.

Requirements

Eligible for or currently licensed as a Registered Nurse in Maryland or a compact state.
Associate degree in Nursing required.
CPR certification required.
BLS certification required within 90 days of hire for all nurses.
For 4G telemetry, ACLS certification must be completed within one year of hire.
Clinical competency in the department’s area of practice.
Ability to use technology and equipment to perform job duties and meet patient-care needs.
Effective interpersonal and communication skills.
Ability to use proper body mechanics when handling patients, supplies, and equipment, and to work in a physically demanding environment.
Ability to perform all job duties for the age-specific patient population served by the department.
Ability to meet Frederick Health Clinical Ladder requirements annually.
Ability to maintain confidentiality of patient and employee information.
Must maintain current knowledge and skills for appropriate care of the patient age groups designated for the department.
Ability to meet the position’s physical demands, including infrequent lifting up to 100 pounds, carrying up to 50 pounds while walking, and pushing or pulling heavy loads.

Nice To Haves

Bachelor of Science in Nursing, or willingness to obtain it within five years of employment.
Experienced nurses may be eligible for a $30,000 sign-on bonus for night-shift positions.

Responsibilities

Assess patients’ biophysical, psychosocial, environmental, self-care, educational, and discharge-planning needs according to nursing standards.
Identify patient needs, prioritize treatment, recognize and document subtle changes in condition, and communicate those changes accurately.
Complete and document initial assessments and reassessments according to organizational and department standards.
Anticipate changes in patient condition and needs, and respond appropriately based on assessment findings and the planned procedure or course of care.
Develop and initiate individualized plans of care using nursing diagnoses and available resources, including families, caregivers, other disciplines, and community agencies.
Organize and prioritize care efficiently, seeking assistance when needed to meet individual patient needs.
Participate in developing standards of care according to departmental, organizational, professional, and regulatory standards.
Implement and document nursing interventions and patient responses in compliance with hospital and nursing policies and applicable standards.
Communicate pertinent information to patients and the healthcare team in a timely, concise, interdisciplinary manner, and keep patients and families updated about status and changes to care.
Adapt to patient assignments across the department and hospital based on staff skills and patient-care demands.
Evaluate nursing care, patient-care equipment, interventions, policies, procedures, and programs; document effectiveness and modify care plans as needed.
Collaborate with patients, families, and the healthcare team to revise treatment plans, identify variances from expected outcomes, and recommend appropriate changes.
Assess patient and family learning needs, current knowledge, barriers, readiness, and relevant cultural, religious, financial, and personal preferences.
Set teaching goals, provide direct and interactive education using appropriate materials, evaluate its effectiveness, communicate progress and follow-up needs, integrate discharge planning, and document teaching.
Support less experienced staff in patient and family teaching.
Incorporate development and performance suggestions into daily practice, meet clinical ladder requirements, and contribute to staff retention and morale.
Use supplies, equipment, and technology to support quality patient care; float to other nursing units as requested.
Demonstrate leadership and accountability, promote positive professional communication, encourage appropriate interactions among healthcare team members, 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, contribute to evaluation and auditing processes for CNAs, technicians, and peers, and complete hospital-wide and department-specific competencies.
Maintain patient and employee confidentiality and provide appropriate care to the age-specific patient population served.