Registered Nurse Float

• Night shift 7p–7a

Position Responsibilities

• Assessment
  • Performs initial vital signs and admission history to include introduction to patient and family. Assessment of chief complaint and notification of physician within 15 minutes of arrival to unit.
  • Obtains and documents a complete nursing admission assessment, including physiological and psychological factors to develop an interdisciplinary plan of care within eight hours of admission.
  • Performs and documents an accurate system assessment at the beginning of each shift.
  • Responds to diagnostic data and initiates appropriate action or intervention.
  • Assesses patient education needs upon admission and daily thereafter.
  • 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, 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, gastrostomy tube, and/or jejunostomy tube.
  • Reports all abnormal findings immediately to physician.
  • Implements skin and wound 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, completes documentation of transfer summary. Ensures appropriate completed referral forms accompany intra-facility transfers, including giving/receiving of report.
  • Demonstrates safe and correct use of restraints as per policy.
• 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, at least annually.
  • Attends staff meetings as required.
  • Uses established lines of communication for resolution of problems and interpersonal conflict.
• Leadership
  • Presents a minimum of 1 in-services and 2 patient care conference.
  • Attends 75% staff meetings.
  • Functions as a Charge Nurse, possesses clinical knowledge of all patients on the unit, triages and assigns beds to promote patient flow.
  • Attends a Charge Nurse course within the year/ serves as a preceptor/clinical resource
  • Actively participates in unit based PI.

Qualifications

• Current License in the State of Florida.
• BLS and ACLS required.
• Minimum of 8 months RN experience.

Benefits

• Health benefits
• Life insurance
• Long-term disability coverage
• Healthcare spending accounts
• Retirement plan
• Paid time off
• Pet Insurance
• Tuition reimbursement
• Employee assistance program
• Wellness program
• On-site housing for select positions and more!