Staff Nurse I/II

Montefiore Health System•New York, NY

8d•Onsite

About The Position

The Montefiore Registered Nurse maintains nursing practice standards defined by the American Nurses Association Code of Ethics, Nursing Scope and Standards of Practice, and Nursing’s Social Policy Statement. The RN supports Montefiore Medical Center’s vision, mission, values, and balanced scorecard performance measures. The role includes participating in performance improvement and research activities, maintaining professional practice standards and clinical expertise, demonstrating leadership, and meeting core and unit-specific competencies for the patient population served. The RN coordinates and delivers patient-centered care, develops and updates interdisciplinary plans of care, assesses and documents patient and family needs and responses, administers medications and other nursing interventions, and responds to urgent and emergent situations. The nurse communicates and collaborates with patients, families, and the health care team, protects patient rights and privacy, and contributes to the development of colleagues and the nursing profession. The position is in the Emergency Department at Montefiore Einstein in the Bronx, with a night schedule of 7:00 p.m.–7:30 a.m. and alternate weekends.

Requirements

Associate Degree in Nursing required.
Registered Professional Nurse license and current registration in New York State, or a valid permit to practice in New York State as an RN, required upon hire.
One year of acute-care RN experience required; exceptional recent graduates will be considered.
Ability to use basic data entry and retrieval systems at medium proficiency.
Effective written and oral English communication skills at medium proficiency.
Occupational Health Services fit test required.
Occupational Health Services annual assessment required.
Basic Life Support (BLS) training required upon hire.
Advanced Cardiovascular Life Support (ACLS) training required upon hire.
Pediatric Advanced Life Support (PALS) training required upon hire.
Infection Control and Barrier Precaution training required upon hire.
Maintain required licensure, current registration, mandatory certifications, and competencies, including annual review and BLS.

Nice To Haves

Bachelor of Science in Nursing preferred.
Two years of RN experience in Medical/Surgical, Telemetry, or Emergency Department preferred.
Certification in the specialty preferred upon hire.

Responsibilities

Demonstrate leadership in coordinating and delivering patient care, including coordinating interdisciplinary plans of care and ensuring assigned patients have documented plans and completed care assignments.
Delegate appropriate aspects of patient care to team members, verify delegated care is completed to established standards, and escalate unresolved role or care issues according to policy.
Establish therapeutic relationships with patients and families; assess and document their wishes concerning care decisions.
Assume charge nurse assignments and participate in associate orientation and development through mentorship and assigned preceptorship.
Systematically assess patients and families and their responses to care; complete admission assessments, document care, and assess and document responses to nursing and interdisciplinary interventions.
Document patient and family teaching and learning needs before discharge, and initiate teaching and discharge plans within 24 hours of admission.
Use critical thinking and clinical decision-making to solve problems, optimize patient outcomes, and participate in identifying and resolving risk management, quality-of-care, and ethical issues.
Evaluate patient progress toward health goals, identify variances from the plan of care, initiate appropriate interventions, document responses, and update the plan as needed.
Participate and communicate in daily interdisciplinary team rounds.
Develop, coordinate, and provide direct, patient-focused care for assigned patients, incorporating standards of practice, critical pathways, age-specific guidelines, and patient care guidelines.
Include patients and families in care planning and assess changes in the level of care required.
Provide a safe environment, orient patients and families to the environment, administer medication according to policy, respond to urgent and emergent situations, and use and document restraints according to guidelines.
Use equipment in accordance with Montefiore Medical Center policies and procedures.
Provide comprehensive direct care using nursing knowledge, research, evidence-based practice, clinical judgment, and consideration of patients’ biopsychosocial and spiritual needs.
Communicate effectively with patients, families, and health care team members; protect patient rights, information, and privacy; and demonstrate respect for cultural diversity.
Communicate the interdisciplinary plan of care to assigned patients and families within 24 hours of admission and daily; address dissatisfaction and escalate care-plan concerns as appropriate.
Assess and document advanced care directives for assigned patients and maintain collaborative relationships with health care team members.
Maintain competencies and participate in professional development, peer review, mentoring, education, and the growth of staff and students.
Support team members, participate in unit-based performance improvement initiatives, and attend at least one hospital committee meeting or in-service annually, sharing relevant information with coworkers.
Remain accountable for own practice and comply with policies, procedures, standards of care, attendance and punctuality requirements, dress code, licensure, registration, mandatory certifications, and competency requirements.
Attend an educational program at least annually, provide feedback to coworkers about educational content, and attend scheduled unit-based in-services.
Demonstrate respect, effective communication, sensitivity, professionalism, exceeding expectations, and courtesy in daily clinical practice.