Registered Nurse Cardiac Step Down Experienced

Mount Sinai Medical Center; Miami Beach (FL); On-site; USD 72,000 - 95,000; Full time

Benefits offered by this job

Health benefits

Life insurance

Paid time off

Tuition reimbursement

Job summary

Mount Sinai Medical Center in Miami Beach is seeking an experienced RN for the Cardiac Step Down unit to monitor telemetry, care for post-surgical patients, and manage cardiovascular therapies. You will assess, document, and respond to patient conditions with a focus on safety and education for families.

Requirements include Florida RN license, ACLS/BLS, and 2+ years in cardiac telemetry/step-down nursing. Expect a collaborative team environment with opportunities for professional growth and

Qualifications

• Current Florida Nursing License.
• BLS and ACLS certification required.
• 2+ years in cardiac telemetry/step-down nursing.

Responsibilities

• Maintains annual clinical competence in telemetry care for patients with open heart surgery and vasoactive meds.
• Assesses clinical, diagnostic, and lab data to guide care.
• Monitors hemodynamics and responds per interdisciplinary plan of care.
• Performs tracheostomy care per policy and procedure.
• Provides patient/family teaching related to cardiac procedures and recovery.
• Interprets ABG results and intervenes appropriately.
• Assists with cardioversion and management of arrhythmias.
• Administers IV therapies within policy and documents responses.
• Transports patients with cardiac monitor and meds as needed.
• Performs wound care and dressing changes using aseptic technique.

Skills

Telemetry monitoring

Cardiac care

Patient education

Education

2+ years in area of specialty

Tools

Telemetry equipment

PCA pump

Job description

As Mount Sinai grows, so does our legacy in high-quality health care.Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community. In delivering an unmatched level of clinical expertise, our medical center is committed to recruiting and training top healthcare workers from across the country. We offer the latest in advanced medicine, technology, and comfort in 12 facilities across Miami-Dade (including our 674-bed main campus facility) and Monroe Counties, with 38 medical services, including cancer care, 24/7 emergency care, orthopedics, cardiovascular care, and more. Mount Sinai takes pride in being South Florida's largest private independent not-for-profit hospital, dedicated to continuing the training of the next generation of medical pioneers.Culture of Caring: The Sinai WayOur hardworking, tight-knit community of more than 4,000 dedicated employees fosters an environment of care and compassion. Each member plays a vital role in our collective mission to deliver excellent healthcare through innovation, education, and research. At Mount Sinai, we take pride in our achievements, aiming to be a beacon of quality healthcare in South Florida. We welcome all healthcare professionals to join our thriving community and contribute to our pursuit for clinical excellence.Department:Job Description Summary:Experienced RN Cardiac Step DownDays/NightsPosition ResponsibilitiesMaintains annual clinical competence in care of patients recieving telemetry monitoring, open heart surgery, and vasoactive medication administration.Assess clinical, diagnostic, and laboratory data of the population served.Monitors patients hemodynamic response to interdisciplinary plan of care, and intervenes appropriately.Performs tracheostomy care according to hospital policy and procedure.Provides individualized teaching to patients/family requiring open heart surgery, telemetry monitoring, and cardiovascular invasive procedure.Interprets ABG results and intervenes appropriately.Assist physician with cardioversion and management of cardiac arrythmiasAssess and monitor patients recieveing PCA or epidural medication for pain management.Assess, monitor, and document patient response to chest tube management.Troubleshoots unit specific equipment.Transport patient via cardiac monitor and emergency drugs to and from diagnostic testing areas.AssessmentPerforms 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 systems assessment at the beginning of each shift.Responds to diagnostic data and initiates appropriate action or intervention.Assesses patient education needs on admission and daily.Assesses psychosocial needs specific to patient's age, growth, and development.PlanningInitiates an interdisciplinary plan of care within eight hours of admission.Establishes priorities for patient care based on patient needs as evidenced by completion of assigned duties within shift.ImplementationVerbalizes 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.Prepares intravenous solutions using aseptic technique.Administers, observes, and documents intravenous therapy according to hospital policy.Administers medications within 30 minutes of scheduled time, observes and documents effectiveness, and recognizes/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.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, g tube, and/or j tube.Reports all abnormal findings immediately to physician.Initiates wound and skin protocol upon identification of actual or potential skin breakdown.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. Appropriate completed referral forms accompany intra-facility transfers, including giving/receiving of report.Demonstrates safe and correct use of restraints as per policy.EvaluationDocuments/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 DevelopmentObtains 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, annually.Attends staff meetings as required.Uses established lines of communication for resolution of problems and interpersonal conflict.LeadershipPresents a minimum of 2 in-services, 2 patient conferences.Attends 75% staff meetings.Serves as a preceptor/clinical resource.Functions as a Charge Nurse and assists in applying financial management principles - e.g. staffing, scheduling, decreasing LOS, Triaging, supply management.Chair or Co Chair unit based PI committee meetings.Participates in clinical competency compliance of staff.QualificationsLicense/Registration/CertificationCurrent FL Nursing License, Current Basic Life Support, and Current Advanced Cardiac Life Support required.EducationNoneExperienceLevel III: Min 2 years in area of specialty.Benefits:We believe in the physical and mental well-being of our employees and are committed to offering comprehensive benefits that fit their personal needs:Health benefitsLife insuranceLong-term disability coverageHealthcare spending accountsRetirement planPaid time offPet InsuranceTuition reimbursementEmployee assistance programWellness programOn-site housing for select positions and more!Degree Requirements:Certification: