Registered Nurse - Acute Care - Part Time - nights

Acute Care Rn TeamEarn up to a $5,000 sign-on bonus — join the Acute Care RN team in a full time night shift capacity at Guthrie Cortland Medical Center!Why this role and Guthrie?Our Acute Care (Med/Surg) department has been described by our staff as having a caring and 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. Our team values collaboration, communication, and patient-centered care. Nurses are respected clinical partners here, not task-doers, and the work you do directly influences diagnostic quality and treatment outcomes.At Guthrie, you'll find:A collaborative, provider-led acute care teamStrong clinical leadership and interdisciplinary supportA mission-driven culture grounded in compassion and excellenceThe stability and resources of a large, integrated health systemA role that supports longevity, growth, and work-life balanceWhat Guthrie offers you:$5,000 sign-on bonus for eligible, experienced RNs$6.00 per hour shift differential for night shift!Newly increased RN rates!Medical, dental & vision coverage starting the first of the month after hireGenerous PTO beginning on Day 1 which is based on years of experience!403(b) retirement plan with employer matchTuition reimbursement after 90 daysStable, predictable scheduling compared to inpatient bedside rolesSupportive, team-focused cultureFree on-site parkingAmerica's greatest workplaces in healthcare 2026 - NewsweekWho we areGuthrie Cortland Medical Center has proudly served the Cortland community for over a century, delivering high-quality, patient-centered care backed by modern technology and a deeply rooted culture of compassion. Our acute care team is a key part of that mission — providing critical diagnostic services that help patients live healthier, longer lives.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.Experience:Entry level-graduate per education requirementsSpecialty units-at least 1 year of medical-surgical nursing preferred. (i.e. ICU, maternity, psych)Skills:See core competencies and unit specific competenciesLicensure/certificates/certification:Current NYS license to perform as a registered professional nurseCurrent BLS-CPR certification required (or within first 30 days of employment)Specialty unit - maternity – neonatal resuscitation certification within 6 months of employmentSpecialty unit –ICU- ACLS within 6 months of hireEssential job functions:Accordingly, employees may be asked to perform duties that are outside the specific functions that are listed.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, etc.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 IVs 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 educationAssesses 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 planningContributes 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 bedside 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 useDemonstrates 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 projectsAttends at least 75% of all staff meetings.Attends at least