RN 4B Tele 7p-7:30a Part time

4B patient population is Adult/Geriatric Telemetry with a focus on acute cardiac conditions. The unit serves as a primary source for patients with cardiac complications, including those requiring post-stroke care and telemetry monitoring of post-operative orthopedic patients. 4B also provides care for patients requiring external defibrillator devices.

Schedule

Part-time night shift: (2) 12-hour shifts, 7:00 PM – 7:30 AM, with weekend and holiday rotation.

About the Role

Supports and is responsible for incorporating the Frederick Health (FH) mission, vision, core values, and customer service philosophy into job performance, while adhering to the FH Compliance Program, including all regulatory requirements and FH Standards of Behavior. Independently provides patient care using the nursing process and performs leadership and teaching duties that support effective patient care. Participates in continuous quality improvement activities and functions within the limits of State and Federal licensing, regulatory bodies, and hospital policies.

Responsibilities

• Assesses biophysical, psychosocial, environmental, self-care, educational, and discharge planning needs of patients according to nursing standards.
• Uses knowledge and experience to identify patient needs and prioritize treatment.
• Recognizes and accurately documents subtle changes in patient assessment.
• Provides initial and reassessments according to organizational and department standards, documenting per policy.
• Anticipates potential changes in patient condition and responds appropriately.
• Ensures an effective plan of care for assigned patients based on nursing diagnosis and available resources (e.g., family, caregivers, other disciplines, and community agencies).
• Efficiently organizes and prioritizes patient care, seeking assistance when necessary.
• Actively participates in developing standards of care according to departmental, organizational, professional, or regulatory standards.
• Implements and documents nursing interventions and patient responses accurately and completely.
• Communicates pertinent information to patients and healthcare team members concisely and timely using an interdisciplinary approach.
• Updates patient/family regarding status and changes in care plan as they evolve.
• Demonstrates flexibility in patient assignments based on skill mix and patient care demands.
• Evaluates nursing care, including tools and equipment, and documents effectiveness of interventions, modifying care plans as needed.
• Evaluates new and existing equipment, policies, procedures, and programs.
• Collaborates with patient/family and healthcare team to revise treatment plans based on anticipated patient responses.
• Identifies variances from expected outcomes and makes appropriate recommendations.
• Provides patient/family education by:
  • Assessing current knowledge, barriers to learning, readiness, willingness, and ability to learn.
  • Considering cultural, religious, financial, and patient preference implications.
  • Identifying learning needs and establishing goals using standardized or individualized teaching plans.
  • Implementing interactive teaching with appropriate aids and materials.
  • Evaluating effectiveness of teaching and communicating progress to other healthcare disciplines.
  • Integrating discharge planning and referral into the teaching process.
  • Documenting teaching per policy.
  • Supporting less experienced staff in patient/family teaching.
• Demonstrates professional expectations by:
  • Incorporating suggestions for self-development and performance into daily practice.
  • Meeting all requirements of the clinical ladder level.
  • Engaging in department efforts to promote staff retention and high employee morale.
  • Utilizing supplies, equipment, and technology to ensure quality patient care.
  • Floating to other nursing units as requested.
• Demonstrates leadership and accountability by:
  • Utilizing a communication style that sets a positive tone for professional behavior.
  • Promoting focused communication among healthcare team members.
  • Encouraging professional interactions with ancillary healthcare providers, including physicians.
  • Demonstrating effective delegation skills for safe nursing care and communication.
  • Showing effective precepting and mentoring skills for RNs and ancillary staff.
  • Adhering to program policies and participating in orientation.
  • Reviewing Quality Assurance reports for accuracy and completeness.
  • Contributing to the evaluation/auditing process for CNAs, Technicians, and peers.
  • Completing all hospital-wide and department-specific competencies.

Requirements

• Eligible for or currently licensed as a Registered Nurse in the State of Maryland or a compact state.
• Associate’s degree in Nursing required; Bachelor of Science in Nursing preferred or willingness to obtain within 5 years of employment.
• Certified in Cardiopulmonary Resuscitation (CPR).
• BLS certification required within 90 days of hire.
• The following certifications are required within 1 year of hire for specified units:
  • ACLS: Emergency Department, Float NSG, 4B, 4A, ICU, 4G, Preop, Surgical Services, PACU, Endoscopy Room, Cardiac Cath.
  • PALS: Emergency Department, Pediatric Combined.
  • NRP: Labor & Delivery, Family Center, NICU, Women & Children Float.
  • Oncology/Thoracic-Chemotherapy: 2C.
  • Base Station: Emergency Department.
  • C-EFM: Labor & Delivery, Family Center (Antepartum assigned RNs).
• Demonstrates and maintains current knowledge and skills in providing care for the following age groups based on the designated patient population:
  • Adult (18 years thru 65 years)
  • Geriatric (66+ years)

Skills

• Clinical competency in departmental area of practice.
• Ability to use technology and equipment to perform job duties.
• Effective interpersonal and communication skills.
• Proper use of body mechanics when handling patients, supplies, and equipment.
• Ability to handle a physically demanding environment.
• Skills and abilities to perform duties according to the age-specific patient population served.
• Ability to meet annual requirements of the FH Clinical Ladder.
• Ability to maintain patient and employee confidentiality.
• Competency in operating equipment required to meet patient care needs.

Physical Demands

• Medium-Heavy Work: Lifting up to 100 pounds infrequently (less than one lift every three minutes) and/or carrying up to 50 pounds while walking.
• Pushing or pulling up to 115 pounds infrequently or greater than 115 pounds occasionally (no more than once per hour).
• Ergonomic Risk Factors:
  • Repetition: Repeating the same motion frequently, depending on frequency, speed, force, and muscles involved.
  • Forceful Exertion: Physical effort required for tasks such as moving patients, depending on grip, weight, posture, and duration.
  • Awkward Posture: Repeated or prolonged reaching, twisting, bending, kneeling, squatting, working overhead, or holding fixed positions.
  • Contact Stress: Pressing the body against sharp edges, increasing risk of musculoskeletal disorders.

Working Conditions

• Bloodborne Pathogens Exposure Risk: Category A – Will have exposure to blood or body fluids.
• Exposure to infectious diseases, hazardous materials, and highly technical or heavy equipment.

Benefits

• Comprehensive and affordable benefits package offered after 30 days of employment for employees working at least 20 hours per week, including:
  • Health, Dental, and Vision insurance with multiple plan options.
  • Employer-paid Life insurance, Short-Term Income Replacement, and Long-Term Disability for eligible employees.
• Robust Paid Time Off program for eligible employees.
• 403B retirement plan with employer match for eligible employees.
• Free financial planning sessions for all employees.
• Educational assistance program to support education goals.
• Employer-paid Employee Assistance Program.

Pay

Pay is based on experience, skills, and education, with a pro-rated salary for part-time positions based on scheduled hours. The pay range may vary within the stated range based on specialty. Non-exempt positions may include shift differential and/or overtime pay if applicable.

Hourly rate: $36.07 Min - $55.17 Max.