Level I Registered Nurse (RN) - ICU - Intensive Care Unit - $63 per hour

Specialty: ICU - Intensive Care Unit | Discipline: RN | Start Date: ASAP | Duration: Ongoing | Employment Type: Staff | Location: Bronx, New York

About the Role

The Montefiore RN maintains standards of the practice for nursing as defined by the American Nurses Association Code of Ethics, Nursing Scope and Standards of Practice, and Nursing's Social Policy Statement. The Registered Nurse actualizes the vision, mission, values, and balanced scorecard performance measures for Montefiore Medical Center. The RN participates in performance improvement and research activities; maintains professional practice standards and clinical expertise; and demonstrates leadership skills. The RN demonstrates core and unit-specific competencies based on the patient population served.

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.
  • Ensures completion of patient care assignment 100% of the time.
  • Interdisciplinary plan of care is congruent with accepted LOS parameters for all assigned patients.
  • Delegates aspects of care to team members consistent with capabilities and responsibilities of the caregiver.
  • Ensures delegated aspects of care are completed in accordance with established standards of practice.
  • Negotiates with team members if unable to fulfill role responsibilities; escalates as per MMC policy and procedure.
  • Establishes a therapeutic relationship with patient/family.
  • Assumes charge nurse assignment.
  • Participates in orienting and development of associates by mentorship and assigned preceptorship.
  • Assesses and documents patient/family wishes related to care decisions.
• Systematically assesses the healthcare of patients/families and responses to care rendered:
  • Completes 100% of admission assessment within 8 hours.
  • Completes documentation reflecting interdisciplinary team approach as per policy.
  • Documentation reflects systematic and continuous collection of data.
  • Documents teaching/learning needs of patients and families prior to discharge.
  • Assesses, evaluates, and documents patient's response to nursing and interdisciplinary team interventions, including patient/family teaching.
  • Initiates a teaching and discharge plan for 100% of assigned patients within 24 hours of admission.
  • Modifies 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 achievement of patient outcomes.
  • Participates in identification, investigation, and resolution of actual and/or potential risk management/quality care/ethical issues.
  • Incorporates effective problem-solving, conflict resolution, and consensus building into daily practice.
• Evaluates patient progress toward health goals and modifies critical path or plan of care accordingly:
  • Identifies variances to plan of care.
  • Initiates appropriate interventions to amend identified variances from plan of care.
  • Documents patient and family response to interventions and modifies plan of care as needed.
  • Reviews plan of care daily and/or updates it to reflect current status of patient.
  • Consistently participates and communicates in daily IDT rounds to provide concise direction to all caregivers.
• Develops, coordinates, and provides direct care for specific patient assignment:
  • Provides patient-focused care.
  • Incorporates standards of practice, critical pathways, age-specific guidelines, and patient care guidelines into plan of care.
  • Assesses potential and actual changes in the level of care required.
  • Develops plan of care within 24 hours of admission to the extent possible.
  • Includes patient/family in care planning.
• Provides a safe environment for patients/families:
  • Orients patient/family to environment assuring comprehension of information presented.
  • Administers medication according to the medication administration policy.
  • Responds appropriately to urgent/emergent situations.
  • Utilizes and documents use of restraints according to hospital patient care guidelines.
  • Uses equipment in accordance with MMC policies and procedures.
• Provides comprehensive direct patient care to assigned patients:
  • Utilizes knowledge of nursing, research, and evidence-based practice in the application of care and clinical judgment.
  • Administers care consistent with standards of care for Montefiore Medical Center.
  • Nursing interventions demonstrate consideration of patient's bio-psychosocial and spiritual needs.
• Communicates effectively with patient/family and members of the healthcare team:
  • Defends and preserves the rights of patients relative to all aspects of care, information, knowledge, and privacy.
  • Demonstrates respect for cultures and cultural diversity with coworkers, patients, families, and other healthcare team members.
  • Incorporates the principles of patient-focused care in daily practice.
  • Recognizes the family as defined by the patient.
  • Communicates interdisciplinary plan of care to 100% of assigned patients and families within 24 hours of admission and daily.
  • Identifies patient satisfaction/dissatisfaction with plan of care. If patient expresses dissatisfaction, implements conflict resolution skills and escalates issues with the plan of care.
  • Assesses and documents patient 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 the growth and development of self, colleagues, and the nursing profession:
  • Provides examples of ongoing professional development.
  • Contributes to the growth and development of staff and students through participation in peer review, mentor relationships, and formal/informal education.
  • Recognizes that professional responsibility extends beyond one's own patient population; assists and supports team members.
  • 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/care as defined in the RN position summary.
  • Incorporates critical thinking/problem-solving skills into nursing practice.
  • Contributes to problem identification and problem-solving in the work environment, participating in task forces and groups as necessary.
  • Supports the mission, vision, values, and balanced scorecard performance measures for Montefiore Medical Center and standards of nursing practice.
  • Attends an educational program at least annually and provides feedback to coworkers about educational content.
  • Attends unit-based in-services as scheduled.
  • Conforms with MMC dress code.
  • Conforms with MMC attendance and punctuality policy.
  • Maintains licensure and current registration.
  • Maintains mandatory certification and competency, including but not limited to annual review, BLS, etc.
• Integrates the standards of excellence into daily clinical practice:
  • Respect: Honors and values each person.
  • Effective Communication: Effectively listens, conveys, and receives ideas, information, and direction.
  • Sensitivity: Demonstrates willingness and ability to listen and 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

• New York State License for Registered Professional Nurse and current registration or valid permit to practice in New York State as an RN.
• Associate’s degree required; BSN Degree preferred.
• 1-2 years ICU experience required.
• Basic Life Support Training.
• Infection Control Training.
• Certification in specialty preferred.
• Effective English communication skills, both written and oral.
• Ability to use basic data entry and retrieval systems.

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).

Schedule

• Work Shift: Night
• Work Days: Alternate work schedule
• Scheduled Hours: 7 PM - 7:30 AM
• Scheduled Daily Hours: 11.5 hours