Registered Nurse - Acute Care - Per Diem

Guthrie; City of Cortland (NY); On-site; USD 53,726 - 74,390; Part time

Benefits offered by this job

Competitive hourly pay

Per diem differential

Comprehensive training programs

Job summary

A healthcare facility in Cortland, NY, seeks a skilled per diem Registered Nurse to join their Acute Care team. Responsibilities include patient assessment, monitoring vital signs, and medication administration. Candidates must be licensed RNs, with a preference for those holding a BSN. Join a supportive and fast-paced environment fostering knowledge and teamwork.

Qualifications

• Must be a registered nurse currently licensed in the state of employment.
• Preferred: Bachelor's degree in nursing.
• At least one year of nursing experience or transition from NLRN Program.

Responsibilities

• Provide patient care through nursing process of assessment, planning, implementation, and evaluation.
• Monitor patient's vital signs and condition.
• Perform safe administration and documentation of medications.

Skills

Compassionate patient care

Patient assessment

Medication administration

Effective communication

Education

Registered Nurse license

BSN in Nursing (preferred)

BLS certification

ACLS certification

Job description

Registered Nurse - Acute Care - Per Diem

Join to apply for the Registered Nurse - Acute Care - Per Diem role at Guthrie

Guthrie Cortland Medical Center (GCMC) is searching for a compassionate & skilled per diem Registered Nurse (RN) to provide exceptional care in our Acute Care (Med/Surg) unit at our hospital in Cortland, NY.

Our Acute Care (Med/Surg) department has a caring & comforting environment with an incredible team that feels like family. The department is fast-paced but has a strong focus on teaching and learning. Our RNs work on a Care Team with a LPN and a PCP sharing a patient load.

Job Summary

Responsible for delivery of patient care through the nursing process of assessment, planning, implementation, and evaluation. Directs and guides patient teaching and the activities of ancillary personnel while maintaining standards of professional nursing. Understands and adheres to GCMC’s Compliance Standards as they appear in GCMC’s Corporate Compliance Policy, Code of Conduct and Conflict of Interest Policy. Keeps abreast of all pertinent federal, state and GCMC regulations, laws, and policies as they presently exist and as they change or are modified.

Education, License & Cert

• Registered Nurse in the State of Practice.
• BSN in Nursing preferred.
• Any previously agreed upon effective date for obtaining a Bachelor's degree in nursing between individuals and facilities will remain in effect, including those who transition to their position from the NLRN Program.
• Any contract with specific time frames for obtaining a bachelor's degree in nursing will supersede the above point and will remain in effect.
• Specialty Certification is preferred
• BLS certification.
• ACLS is unit dependent.

Experience

The Registered Nurse must be a registered nurse currently licensed in the state of employment with at least one year of experience. Alternately, the RN may have less than one year of experience if they have been transitioned to their position from the Newly Licensed Registered Nurse Residency (NLRN) Program. The RN must meet the individual nursing unit specifications regarding educational requirements during employment. Must maintain BLS certification. ACLS is unit dependent. Specifications regarding educational requirements during employment are determined by the Nursing Department and Nursing Unit.

Essential Job Functions

Assessment

• Performs patient assessment and documents accurately in a timely manner per nursing and department policy
• Performs nursing admission assessment thoroughly and within timeframe. Documents the admission assessment accurately and completely
• Performs skin risk assessment accurately and reassessment per policy and protocol
• Performs pain assessment and reassessment per policy and utilizes hospital approved pain scale and documents appropriately

Patient Monitoring

• Monitors patient as appropriate for condition, status and safety according to nursing department policy
• Monitors patient’s vital signs and systems per protocol and documents on appropriate forms
• Recognizes change in patient’s condition or status and reports to charge nurse or physician as appropriate
• Calls CAT team for patients who meet criteria
• Works to ensure patient safety is maintained in all aspects of patient care, by following all policies related to National Patient Safety Goals
• Raises concern about patient care and utilizes the Chain of Command as needed to prevent patient harm

Medication Administration

• Performs safe administration and complete documentation of medications, IV fluids, and blood products in accordance with nursing policy
• Follows medication administration policy using e-Mar, bar coding and scanning of medications and has at least an 85% scan rate
• Insertion of IV’s under aseptic technique and follows IV policy by changing site, tubing and dressing and documents accordingly
• Always follows hospital policy when administering blood products
• Maintains security of electronic signature with Omnicell and accounts for all narcotics removed from automated dispensing system through proper waste/return administration documentation.

Patient and Family Education

• Assesses and addresses educational needs of patients and families to include disease state, care and treatment
• Documents educational needs
• Distributes appropriate teaching sheets
• Includes evaluation of learner’s understanding post-teaching

Safe Discharge/Discharge Planning

• Contributes to or initiates discharge plan upon day of admission and participates in interdisciplinary planning
• Completes all pre-discharge checklist items
• Always gives patient correct forms and discharge instructions by using 2 patient identifiers
• Provides patient a safe discharge and appropriate follow-up information and community resources are in place

Assist Providers

• Assist providers in performing procedures and treatments per unit, department specific and hospital policy
• Assist physicians/providers with beside procedures and remains competent with unit-specific procedures
• Performs read back of critical values and telephone orders when interacting with physicians as warranted
• Uses SBAR when giving physicians report on change in patient condition

Equipment Use

• Demonstrates knowledge and ability to use equipment safely and effectively
• Utilizes hospital equipment per policy (i.e., guardrails for IV pumps, alarm settings)
• Uses patient lift equipment per policy at all times

Nursing Clinical Skills

• Demonstrates the ability to perform nursing treatments and procedures
• Demonstrates competency, knowledge, and ability to perform nursing treatments and procedures safely and effectively
• Conducts Hourly Rounds on patients using 4 “P’s” and documents on appropriate forms
• Regularly uses patient room white boards to communicate information to patients and families.

Emergency Preparedness

• Demonstrates working knowledge and understanding of emergency preparedness plans and operations
• Aware of and actively participates in emergency preparedness procedures and operations
• Aware of and actively participates in Code Blue, Green, Pink, Orange, White, and Silver drills and actual events

Documentation

• Completely and accurately documents patient care activities and response in a timely manner in accordance with department and hospital policy
• Documents on a regular, real time basis all patient care activities in accordance to hospital policy

Nursing Promotion

• Promotion of professional nursing to include participation in PI/QI, Customer satisfaction, community involvement, committee activities and nursing continuing education
• Actively sits on and attends at least 1 team or committee, or participates in unit PI activity or department team or projects
• Attends at least 75% of all staff meetings
• Attends at least 1 clinical update and all mandatory in services
• Participates in unit specific or hospital wide PI/QI activity

Infection Control

• Provide safe and effective patient care in accordance with hospital Infection Control policy and procedures.
• Wears appropriate PPE as warranted
• Follows hand hygiene protocol
• Follows all isolation procedures

Utilize nursing process

• Identify patient needs and problems through assessment. Implement nursing interventions based on nursing diagnosis. Develop individualized patient care plan. Provide appropriate discharge instructions to patient and family
• Initiates individualized patient plan of care for all admissions
• Edits Plan of Care on a regular basis per policy
• Documents interventions every shift based on nursing diagnosis

Additional Responsibilities

• Participates in learning experiences for orientees, nursing and ancillary staff and students by serving as a preceptor
• Participates in Nursing Grand Rounds at least quarterly by either attending a session or assisting in preparing for unit topic.
• Provide for continuum of care: ensure safe patient hand off through effective communication, participate in interdisciplinary care/discharge planning, use SBAR for handoffs, and communicate important information to other departments

Other

Other duties as assigned. The pay range for this position is $39.00 - $54.12 per hour plus per diem differential.

About Us

Joining the Guthrie team allows you to become a part of a tradition of excellence in health care. The Guthrie Clinic is an Equal Opportunity Employer and a non-profit, integrated, physician-led organization in the Twin Tiers of New York and Pennsylvania. Guthrie offers a multi-specialty group practice with extensive residency and fellowship programs.