Staff Nurse FP (JR234408)

Montefiore Hudson Valley Collaborative; New York (NY); On-site; USD 90,000 - 120,000; Full time

Job summary

Montefiore Hudson Valley Collaborative is seeking a Registered Nurse for its NYSNA float pool. The role emphasizes leadership in coordinating patient care, performing admission assessments, and developing interdisciplinary care plans across units. A two-year commitment is required.

ICU experience is preferred and nursing licensure in New York is assumed. The RN will float to units based on need and competencies, maintaining standards of practice and contributing to performance improvement

Qualifications

• Associates degree in nursing required; BSN preferred.
• Two years of ICU RN experience required.
• Two-year commitment to float pool position.

Responsibilities

• Demonstrates leadership in coordination and delivery of patient care.
• Performs admission assessments and documents interventions.
• Develops and communicates care plans within the interdisciplinary team.
• Ensures documentation is complete and up-to-date; participates in IDT rounds.

Skills

Communication skills

Interdisciplinary teamwork

Leadership

Critical thinking

Patient safety

Education

Associate degree in nursing

BSN preferred

Tools

Nursing documentation systems

Electronic health records

Job description

Introduction

To heal, to teach, to discover and to advance the health of the communities we serve.

To learn more about the “Montefiore Difference” – who we are at Montefiore and all that we have to offer our associates, please click here.

Overview

For positions that have only a rate listed, the displayed rate is the hiring rate but could be subject to change based on shift differential, experience, education or other relevant factors.

NYSNA float pool is the home-based unit for these RNs. RNs assigned to the float pool will float to units in the organization based on need and competencies. The Montefiore RN maintains standards of the practice for nursing as defined by the American Nurses Association Code of Ethics, Nursing Scope and Standards of Practice and Nursing's Social Policy Statement. The Registered Nurse actualizes the vision, mission, values, balanced scorecard performance measures for Montefiore Medical Center. The RN participates in performance improvement/research activities; maintains professional practice standards and clinical expertise; and demonstrates leadership skills. The RN demonstrates core and unit-specific competencies based on the patient population served.

*Note: a 2-year commitment to this position is required.

Responsibilities

• Demonstrates leadership skills in the coordination and delivery of patient care.
  • Coordinates an interdisciplinary plan of care.
  • Assures 100% assigned patients have a documented plan of care.
  • Ensures completion of patient care assignment 100% of time.
  • Interdisciplinary plan of care is congruent with accepted LOS parameters for all assigned patients.
  • Delegates aspects of care of the patient to team members consistent with capabilities and responsibilities of caregiver.
  • Ensures that delegated aspects of care are completed in accordance with established standards of practice.
  • Negotiates with team member if unable to fulfill role responsibilities; escalates as per MMC policy and procedure.
  • Establishes a therapeutic relationship with patient/family.
  • Assumes charge nurse assignment.
  • Participates in the orienting and development of associates by mentorship and assigned preceptorship.
  • Patient/family wishes related to care decisions are assessed and documented.
• Systematically assesses the health care of patients/families and responses to care rendered.
  • Completes 100% of admission assessment within 8 hours.
  • Completes documentation reflecting interdisciplinary team approach as per policy.
  • Documentation reflects systematic and continuous collection of data.
  • Documents teaching/learning needs of patients and families prior to discharge.
  • Assesses, evaluates and documents patient's response to nursing and interdisciplinary team interventions, including patient/family teaching.
  • Initiates a teaching and discharge plan for 100% of assigned patients within 24 hours of admission.
  • Modifies plan of care through prioritization of Patient/family needs and inter disciplinary orders.
• Demonstrates critical thinking skills to problem solve and initiate clinical decision making.
  • Takes action to optimize achievement of patient outcomes.
  • Participates in identification, investigation and resolution of actual and/or potential risk management/quality care/ethical issues.
  • Incorporates effective problem solving/conflict resolution/consensus building into daily practice.
• Evaluates patient progress toward health goals and modifies critical path or plan of care accordingly.
  • Identifies variances to plan of care.
  • Initiates appropriate interventions to amend identified variances from plan of care.
  • Documents patient and family response to interventions and modifies plan of care as needed.
  • Reviews plan of care daily and/or updates it to reflect current status of patient. Consistently participates and communicates in daily IDT rounds to provide concise direction to all caregivers.
• Develops, coordinates and provides direct care for specific patient assignment.
  • Provides patient-focused care.
  • Incorporates standards of practice, critical pathways, age-specific guidelines and patient care guidelines into plan of care.
  • Assess potential and actual changes in level of care required.
  • Develops plan of care within 24 hours of admission to the extent possible.
  • Includes patient/family in care planning.
• Provides a safe environment for patients/families.
  • Orients patient/family to environment assuring comprehension of information presented.
  • Administers medication according to the medication administration policy.
  • Responds appropriately to urgent/emergent situations.
  • Utilizes and documents use of restraints according to hospital patient care guidelines.
  • Uses equipment in accordance with MMC policies and procedures.
• Provides comprehensive direct patient care to assigned patients.
  • Utilizes knowledge of nursing, research and evidence-based practice in the application of care and clinical judgment.
  • Administers care consistent with standards of care for MMC.
  • Nursing interventions demonstrate consideration of patient's biopsychosocial and spiritual needs.

Requirements

• Communicates effectively with patient/family and members of the health care team.
  • Defends and preserves the rights of patients relative to all aspects of care, information, knowledge and privacy.
  • Demonstrates respect of cultures and respect for cultural diversity with co-workers and other health care team members, patients, families and co-workers.
  • Incorporates the principles of patient-focused care in daily practice.
  • Recognizes the family as defined by the patient. Communicates interdisciplinary plan of care to 100% of assigned patients.
  • Identifies patient satisfaction/dissatisfaction with plan of care. If patient expresses dissatisfaction,
    implements conflict resolution skills, and escalates issues with plan of care.
  • Assesses and documents patient advanced care directives for 100% of assigned patients.
  • Establishes collaborative and collegial relationships with health care team members.
  • Document legibly.
• Demonstrates responsibility for maintaining competencies and participates in activities contributing to the growth and development of self, colleagues and the nursing profession.
  • Provides two examples of ongoing professional development.
  • Contributes to growth and development of staff and students through participation in peer review, mentor relationships, formal and informal education.
  • Recognizes that professional responsibility extends beyond one's own patient population; assists and supports team members.
  • Attends at least one hospital committee meeting or in service annually and shares information with coworkers.
  • Demonstrates active participation in unit-based performance improvement initiatives.

Qualifications

• Associate degree in nursing is required, BSN Degree preferred.
• Valid New York State Registered Professional Nurse license and registration.
• Two years of ICU RN experience is required.
• Basic Life Support Training is required.
• Infection Control Training is required.
• Certification in specialty preferred.
• Effective English communication skills, both written and oral.
• Ability to use basic data entry and retrieval systems.
• This is a critical care float pool position which requires a two-year commitment.