Med/Surg Registered Nurse - Per Diem 5 East

About the Role

The registered nurse provides highly professional and technical nursing care to assigned patients, delivering both direct and indirect patient care using the nursing process (assessment, planning, implementation, and evaluation). This role involves overseeing other assigned team members and collaborating with a multidisciplinary team to provide population-specific care in accordance with BORN regulations and professional standards.

The STAT Registered Nurse supports the care of unstable and critically ill patients throughout the hospital when census and/or acuity dictate. The Device Clinic RN performs patient care and technical duties in the outpatient Device Clinic, including interrogation and programming, trans-telephonic pacemaker follow-up, and follow-up of patients in research studies and clinical trials related to cardiac pacing.

Specialty Areas and Requirements

• Adult GI:
  • 2 years Critical Care/GI experience required (unless otherwise noted).
  • ACLS required within the first year of employment.
  • CCGRN certification preferred.
• Assisted Reproductive Technologies Clinic (ARTC):
  • BSN required upon employment.
  • Completion of the ASRM RN certificate course within the first year of employment.
  • Minimum 1 year working in reproductive endocrinology practice required.
  • Ability to provide competent, compassionate care with advanced knowledge of reproductive health and treatment options.
• Cancer Center:
  • Minimum 1 year experience administering chemotherapy (single agent and multi-drug regimens) in the outpatient setting.
  • Thorough assessment skills and knowledge of Hematology/Oncology disease pathophysiology, acute and chronic side effects of treatment.
  • 3 years' experience in ambulatory oncology nursing strongly preferred.
  • Oncology Nursing Certification (OCN) required (or obtained within the first year of hire).
  • Chemotherapy/Biotherapy Administration Certification Card required.
  • Oncology Nursing Society membership strongly preferred.
• Cardiovascular Center:
  • 2 years Critical Care experience required.
  • Cardiac ICU, CCU, or Cardiac Surgery, Cath Lab experience preferred (unless otherwise noted).
  • Previous interventional radiology and/or electrophysiology experience required.
  • Proficiency in IV catheter insertion and IV sedation in an acute procedural setting preferred.
  • BLS/ACLS certification required upon employment.
• Device Clinic:
  • 2 years device clinic experience with pacemaker programming and clinic follow-up required.
  • Basic Cardiac Life Support (BCLS) and Advanced Cardiac Life Support (ACLS) certifications required.
  • HRS/NASP certification preferred.
• ED:
  • 2 years ED experience required (unless otherwise noted).
  • ACLS, PALS, and CPI certifications required within the first year of employment.
  • CEN or CCRN preferred.
• ICU:
  • 2 years Critical Care experience required (unless otherwise noted).
  • ACLS required within the first year of employment.
• Labor & Delivery/AETU:
  • Experience with Fetal Monitoring preferred.
  • 2 years L&D experience required (unless otherwise noted).
  • NRP required within the first year of employment.
• Maternal Fetal Medicine:
  • Performs perinatal procedures for high-risk pregnant populations.
  • Assists in a standardized approach to Fetal Monitoring following Nursing Standards of Fetal Monitoring Care.
  • Minimum 2 years of clinical experience in perinatal services required.
  • Minimum 1 year working in reproductive endocrinology practice required.
  • BSN in Nursing required.
  • BLS required prior to hire; ACLS preferred.
• Med/Surg:
  • 1 year Med/Surg experience required (unless otherwise noted).
  • Telemetry experience preferred; telemetry training required within the first year of employment.
• Mother/Baby:
  • Experience with Fetal Monitoring preferred.
  • 2 years Mother/Baby experience required (unless otherwise noted).
  • NRP required within the first year of employment.
• OR:
  • Completion of a Peri-operative Nursing Program preferred.
  • 2 years OR experience required (unless otherwise noted).
  • AORN certification preferred.
• PACU/Henderson:
  • 2 years Critical Care/PACU experience required (unless otherwise noted).
  • ACLS and PALS required within the first year of employment (PACU).
  • CPAN/CAPA certification preferred (PACU/Henderson).
• Pediatrics:
  • 2 years Pediatrics experience required (unless otherwise noted).
  • NRP required within the first year of employment when cross-trained for mother/baby.
• Pedi GI:
  • 2 years Pedi GI experience required (unless otherwise noted).
  • PALS required within the first year of employment.
• Psychiatry:
  • 2 years Psychiatry experience required (unless otherwise noted).
  • CPI required within the first month of employment.
• SCN:
  • 2 years SCN experience required (unless otherwise noted).
  • NRP required within the first year of employment.
• STAT RN:
  • 2 years Critical Care/Emergency nursing experience required (unless otherwise noted).
  • ACLS, PALS, and CPI required within the first year of employment.
• Primary Care Triage RN:
  • 2 years Triage, ER, Urgent Care, or Outpatient experience required (unless otherwise noted).
  • Ambulatory Care Nursing Certification (ANCC RN-BC) preferred.

Responsibilities

• Adheres to general hospital standards to promote a cooperative work environment through communication, interpersonal relationships, and team building.
• Follows departmental policies and procedures, contributing to the overall quality of services.
• Assumes responsibility for staying informed about changes and making independent decisions within the scope of nursing practice.
• Uses the nursing process and evidence-based practice to ensure quality patient care throughout the episode of care.
• Assesses patients' physical, psychological, spiritual, cultural, and social needs, providing competent and compassionate care tailored to individual needs.
• Individualizes care considering age, developmental or physical abilities, spiritual/religious/cultural practices, economic status, literacy, communication skills, cognitive abilities, and gender or sexual orientation.
• Updates knowledge and skills related to populations served to meet patient care needs.
• Applies knowledge of illness, injury, and disease in the assessment process, recognizing symptoms requiring immediate intervention.
• Develops and updates individualized plans of care in collaboration with patients, families, and multidisciplinary team members.
• Engages patients, families, and significant others as partners in care.
• Implements clinical and technical aspects of care and physicians' orders in compliance with standards of practice.
• Evaluates patient responses to established goals and revises plans of care accordingly.
• Sets priorities when planning and implementing patient care.
• Coordinates and collaborates with appropriate resources to facilitate comprehensive discharge planning.
• Recognizes changes in patient status and informs physicians or other healthcare professionals.
• Collaborates with Case Managers to anticipate discharge needs and address barriers.
• Creates and maintains a safe and therapeutic environment for patients, self, and coworkers.
• Uses two patient identifiers to ensure correct patient care.
• Demonstrates principles of infection control, universal precautions, OSHA standards, and isolation procedures.
• Safeguards patient and hospital personnel privacy by protecting confidential information.
• Provides patient comfort and hygiene.
• Demonstrates proper use of equipment and supplies, ensuring equipment is operational and safe.
• Assesses the need for and applies restraints appropriately, using alternative measures when possible.
• Responds appropriately to emergency situations and minimizes risk of injury through fall precautions and safety practices.
• Treats patients and families in a non-judgmental, respectful manner, advocating for patient rights and responsibilities.
• Provides emotional, psychological, and spiritual support to patients and families.
• Participates in performance improvement activities, incorporating recommendations into daily practice.
• Controls patient care costs through efficient management of supplies and services, suggesting cost-containment approaches.
• Ensures complete, accurate, and timely documentation of patient information, including discharge instructions and progress notes.
• Administers medications and IVs safely and accurately, using the "5 rights" and scanning barcodes where applicable.
• Demonstrates knowledge of drug actions and appropriate nursing interventions for adverse drug reactions.
• Verifies and rectifies patient medication records per unit protocols.
• Demonstrates critical assessment of correct drug, dose, and pump settings for patients with continuous large-volume infusions, PCA, or epidurals.
• Recognizes, reports, and addresses medication variances and problems.