Level I Registered Nurse (RN) - CCU - Coronary Care - $63 per hour

About the Role

Montefiore Medical Center is seeking a Registered Nurse (RN) for the Coronary Care Unit (CCU) Level I. This is a staff position located in the Bronx, New York, with night shifts on alternate weekends.

Responsibilities

• Demonstrates leadership skills in the coordination and delivery of patient care:
  • Coordinates an interdisciplinary plan of care.
  • Ensures 100% of assigned patients have a documented plan of care.
  • Completes patient care assignments 100% of the time.
  • Ensures the interdisciplinary plan of care aligns with accepted Length of Stay (LOS) parameters.
  • Delegates aspects of patient care to team members based on their capabilities and responsibilities.
  • Negotiates with team members if unable to fulfill role responsibilities and escalates as per policy.
  • Establishes a therapeutic relationship with patients and families.
  • Assumes charge nurse responsibilities.
  • Participates in orienting and developing associates through mentorship and preceptorship.
  • Assesses and documents patient/family wishes related to care decisions.
• Systematically assesses the healthcare of patients and families:
  • Completes 100% of admission assessments within 8 hours.
  • Documents care reflecting an interdisciplinary team approach.
  • Ensures documentation reflects systematic and continuous data collection.
  • Documents teaching and learning needs of patients and families prior to discharge.
  • Assesses, evaluates, and documents patient responses to nursing and interdisciplinary interventions, including teaching.
  • Initiates a teaching and discharge plan for 100% of assigned patients within 24 hours of admission.
  • Modifies the plan of care through prioritization of patient/family needs and interdisciplinary orders.
• Demonstrates critical thinking skills to problem-solve and initiate clinical decision-making:
  • Takes action to optimize patient outcomes.
  • Participates in identifying, investigating, and resolving risk management, quality care, and ethical issues.
  • Incorporates effective problem-solving, conflict resolution, and consensus-building into daily practice.
• Evaluates patient progress toward health goals and modifies the plan of care accordingly:
  • Identifies variances to the plan of care and initiates appropriate interventions.
  • Documents patient and family responses to interventions and modifies the plan of care as needed.
  • Reviews and updates the plan of care daily to reflect the current status of the patient.
  • Consistently participates and communicates in daily interdisciplinary team (IDT) rounds.
• Develops, coordinates, and provides direct care for specific patient assignments:
  • Provides patient-focused care.
  • Incorporates standards of practice, critical pathways, and age-specific guidelines into the plan of care.
  • Assesses potential and actual changes in the level of care required.
  • Develops a plan of care within 24 hours of admission and includes patient/family in care planning.
• Provides a safe environment for patients and families:
  • Orients patients and families to the environment, ensuring comprehension.
  • Administers medication according to policy.
  • Responds appropriately to urgent and emergent situations.
  • Utilizes and documents the use of restraints according to hospital guidelines.
  • Uses equipment in accordance with policies and procedures.
• Provides comprehensive direct patient care:
  • Utilizes knowledge of nursing, research, and evidence-based practice in care and clinical judgment.
  • Administers care consistent with standards and considers bio-psychosocial and spiritual needs.
• Communicates effectively with patients, families, and healthcare team members:
  • Defends and preserves patient rights related to care, information, knowledge, and privacy.
  • Demonstrates respect for cultural diversity among coworkers, patients, and families.
  • Incorporates principles of patient-focused care in daily practice.
  • Recognizes the family as defined by the patient.
  • Communicates the interdisciplinary plan of care to 100% of assigned patients and families within 24 hours of admission and daily.
  • Identifies patient satisfaction or dissatisfaction with the plan of care and implements conflict resolution skills.
  • Assesses and documents advanced care directives for 100% of assigned patients.
  • Establishes collaborative and collegial relationships with healthcare team members.
  • Documents legibly.
• Demonstrates responsibility for maintaining competencies and participates in activities contributing to growth and development:
  • Provides examples of ongoing professional development.
  • Contributes to the growth and development of staff and students through mentorship and education.
  • Recognizes professional responsibility extends beyond one's own patient population.
  • Attends at least one hospital committee meeting or in-service annually and shares information with coworkers.
  • Demonstrates active participation in unit-based performance improvement initiatives.
• Is responsible and accountable for own practice:
  • Ensures compliance with written policies, procedures, and standards of practice.
  • Incorporates critical thinking and problem-solving skills into nursing practice.
  • Contributes to problem identification and resolution in the work environment.
  • Supports the mission, vision, values, and performance measures of Montefiore Medical Center.
  • Attends educational programs annually and provides feedback to coworkers.
  • Attends unit-based in-services as scheduled.
  • Conforms with dress code, attendance, and punctuality policies.
  • Maintains licensure, current registration, and mandatory certifications (e.g., BLS).
• Integrates standards of excellence into daily clinical practice:
  • Respect: Honors and values each person.
  • Effective Communication: Listens, conveys, and receives ideas, information, and direction effectively.
  • Sensitivity: Demonstrates willingness and ability to understand others' feelings, needs, and circumstances.
  • Professionalism: Demonstrates confidence, competence, and pride in work and appearance.
  • Exceeding Expectations: Assists others without being asked.
  • Courtesy: Treats everyone with kindness and care.

Requirements

• ASN in Nursing required; BSN in Nursing preferred.
• Less than 1 year of work experience in a hospital or clinic setting.
• Ability to use basic data entry and retrieval systems (medium proficiency).
• Effective English communication skills, both written and oral (medium proficiency).
• Registered Nurse New York State License for Registered Professional Nurse and current registration or valid permit to practice in New York State as an RN (upon hire).
• Certification in specialty (upon hire).
• Basic Life Support (BLS) Training (upon hire).
• Infection Control Training (upon hire).
• OHS Fit Test and Annual Assessment required.

Schedule

• Night shift: 7 PM - 7:30 AM.
• Alternate weekends.
• Scheduled daily hours: 11.5 hours.

Pay

Hourly rate: $62.63. For positions that have only a rate listed, the displayed rate is the hiring rate but could be subject to change based on shift differential, experience, education, or other relevant factors.