Staff Nurse - Inpatient Palliative - Mount Sinai Hospital -Per Diem Nights

Mount Sinai Health System•New York, NY
•Onsite

About The Position

The (Per Diem) Clinical Nurse is a Registered Professional Nurse who provides safe, competent, quality care based on nursing theory and research to a designated group of patients and significant others. The nurse delivers patient-centered care using the professional practice model of Relationship Centered Care and the nursing process, collaborates with the interdisciplinary healthcare team, educates patients and caregivers, and documents care in accordance with hospital, regulatory, legal, and professional standards. The role supports a positive patient experience through therapeutic relationships, evidence-based practices, purposeful rounding, effective communication, and service recovery. The nurse contributes to quality and safety initiatives, identifies and escalates safety concerns, and uses institutional information technology to document practice. Operational duties may include charge nurse responsibilities as assigned, coordinating supplies and resources, and escalating staffing or material shortages. The nurse also contributes to the professional development of colleagues and students, advances clinical competence, participates in shared decision-making and nursing initiatives, and promotes scholarship, lifelong learning, and evidence-based practice. The role is for inpatient palliative care at Mount Sinai Hospital and is designated per diem nights.

Requirements

  • Graduation from an accredited nursing program.
  • Bachelor’s Degree in Nursing (BSN), or an Associate’s Degree in Nursing (ADN) with matriculation in a BSN program and an expected graduation date within one year.
  • An ADN-prepared RN with nursing experience must be approved by the CNO.
  • Relevant clinical competence in the assigned area of nursing practice; new graduates must have current knowledge of the nursing process and its application.
  • Current Registered Nurse license and registration in New York State.
  • Basic Life Support (BLS) certification issued by the American Heart Association.
  • Acute inpatient nursing experience.

Responsibilities

  • Deliver patient care using Relationship Centered Care and the nursing process, informed by theory, research, evidence-based practice, and organizational standards.
  • Assess and evaluate patient care needs and apply critical thinking in patient care management.
  • Integrate relevant assessment and intervention skills into nursing care.
  • Collaborate with the interdisciplinary healthcare team to develop, implement, and evaluate plans of care.
  • Prioritize patient care, including teaching, rounding, coaching, discharge planning, and appropriate delegation.
  • Educate patients and caregivers about care plans, care transitions, health promotion, and disease prevention.
  • Communicate professionally with patients, families, and members of the interdisciplinary patient care team.
  • Manage assignments within the Modified Primary Nursing care delivery model and use material resources effectively.
  • Model Mount Sinai Relationship Centered Care practices, including admission welcome, bedside shift report, HELP, AM/PM Care, 5 Minute Sit Down, purposeful hourly rounding, medication review, discharge wrap-up, and MD/RN unit collaboration.
  • Establish and maintain therapeutic relationships with patients and families.
  • Use evidence-based practices to understand patients’ perceptions of care and support staff in doing so.
  • Initiate service recovery for patient or family concerns and escalate issues as needed.
  • Conduct purposeful hourly rounding for assigned patients, addressing the 4 Ps.
  • Provide safe, efficient, patient-centered care and identify and escalate barriers and improvement opportunities.
  • Apply clinical skills and knowledge relevant to quality and safety in the patient population served.
  • Implement process improvement strategies based on institutional and evidence-based procedures.
  • Participate in formal and informal peer and institutional review processes.
  • Collaborate on quality improvement projects, evidence-based practice activities, and nursing research studies.
  • Contribute to quality, safety, and compliance practices; apply high-reliability principles and escalate hazards or gaps through the chain of command.
  • Document nursing practice using institutional information technology to support quality and performance improvement.
  • Perform charge nurse duties as assigned.
  • Coordinate with nursing leadership to ensure appropriate supply use and sufficient inventory for patient care.
  • Escalate material or staffing resource deficits to the appropriate nursing leader.
  • Use equipment, staffing, supplies, and other resources in a patient-focused and cost-effective manner.
  • Document accurately and thoroughly in compliance with hospital, regulatory, and legal requirements and standards of care.
  • Support the care environment for clinical colleagues, patients, families, and healthcare team members.
  • Advance clinical competence and maintain professional, compassionate, and ethical practice.
  • Promote scholarship, inquiry, lifelong learning, and innovation for self and others.
  • Acquire knowledge and skills relevant to the role, patient population, clinical specialty, and community health needs.
  • Participate in shared decision-making through specialty practice councils, nursing committees, and unit initiatives.
  • Serve as a role model and preceptor for new staff and students.
  • Advance as a clinical leader by acting in charge, facilitating patient throughput, and serving as a unit or service-area resource.
  • Articulate the value and application of research and evidence-based practice in nursing.
  • Contribute to the nursing profession through participation in professional organizations.
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