Experienced Registered Nurse Med Surg

Department Job Description Summary

Full-time position with both day and night shifts available. Schedule consists of three 12-hour shifts per week, including rotating weekends and holidays.

Position Responsibilities

• Successfully challenges EKG I test upon hire, if previously trained or successfully completes EKG I program within 90 days of hire.
• Successfully interprets life-threatening dysrhythmia and subsequent treatment.
• Demonstrates safe and correct defibrillation.
• Administers anti-dysrhythmic therapy as ordered.
• Successfully completes ACLS training and maintains current status within 90 days of hire.
• Consistently cooperates with rotation of assignments and floating.
• Demonstrates safe and correct care of the patient with internal cardiac devices.
• Demonstrates understanding of patient multi-system complications, evidenced by identification and reporting of abnormal findings to appropriate physician in a timely manner and implementation of nursing interventions.
• Maintains hemodynamically unstable patients, assesses, reports, and intervenes appropriately.

Culture of Caring: The Sinai Way

The Sinai Way fosters an environment of care and compassion, where each member plays a vital role in the collective mission to deliver excellent healthcare through innovation, education, and research.

Assessment

• Performs initial vital signs and admission history to include introduction to patient and family.
• Assesses patient education needs on admission and daily.
• Assesses psychosocial needs specific to patient's age, growth, and development.

Planning

• Initiates an interdisciplinary plan of care within eight hours of admission.
• Establishes priorities for patient care based on patient needs as evidenced by completion of assigned duties within shift.

Implementation

• Verbalizes understanding of patient diagnosis and interdisciplinary plan of care.
• Safely and correctly initiates and documents nursing interventions in emergency situations.
• Performs 24-hour chart check at the beginning of each shift.
• Administers, observes, and documents intravenous therapy according to hospital policy.
• Administers medications within 30 minutes of scheduled time. Observes and documents effectiveness, recognizes and reports adverse reactions immediately.
• Provides individualized instructions each shift to patient/significant other regarding the plan of care.
• Demonstrates safe and correct use of unit specific equipment.
• Ensures that each patient's general hygiene needs are met daily.
• Performs pre-operative and post-operative care and instruction for each assigned surgical patient during shift.
• Adheres to standard precautions, including hand hygiene guidelines at all times.
• Documents specific patient valuables on designated form when received and immediately arranges for appropriate storage.
• Performs dressing changes using aseptic technique.
• Collects and labels specimens per policy when ordered by physician.
• Performs bedside glucose monitoring according to policy.
• Administers internal feedings via ng tube, g tube, and/or j tube.
• Reports all abnormal findings immediately to physician.
• Initiates wound and skin protocol upon identification of risk.
• Performs ostomy care to include irrigation, appliance usage, and reinforcement of teaching.
• Inserts intermittent or indwelling urinary catheter using aseptic technique.
• Administers oxygen therapy according to physician order.
• Transfers patients in/out of the unit in an efficient manner, by obtaining a complete and correct set of physician's orders.

Evaluation

• Documents/reports patient responses or outcomes resulting from: nursing interventions, treatments/procedures, interpersonal interactions, and patient/family education.
• Evaluates and documents patient's progress towards established goals/objectives every shift.
• Updates/revises patient care problem list and individualized patient care standards based on patient/family responses, progress towards goals, and/or change in medical status every shift.
• Evaluates patient length of stay and related transfer/discharge planning needs based on anticipated problems, internal or community resources, and support systems.

Professional and Staff Development

• OBTAINS 100% of mandatory hospital and unit specific inservices annually, prior to evaluation date.
• PLANS, PRESENTS, AND DOCUMENTS UNIT INSERVICE AS REQUIRED BY LEVEL.
• DOCUMENTS COMPETENCY IN CLINICAL SKILLS ANNUALLY.
• USES ESTABLISHED LINES OF COMMUNICATION FOR RESOLUTION OF PROBLEMS AND INTERPERSONAL CONFLICT.

Leadership

• ATTENDS 75% STAFF MEETINGS.
• FUNDS AS CHARGE NURSE, POSSESSES CLINICAL KNOWLEDGE OF ALL PATIENTS ON THE UNIT, TRIAGE AND ASSIGN BEDS TO PROMOTE PATIENT FLOW.
• SERVES AS A PRECEPTOR/Clinical RESOURCE.
• ACTIVELY PARTICIPATES IN UNIT BASED PI.