Registered Nurse (RN) Observation Unit - Overnights

Summary
The Registered Nurse manages all aspects of the nursing process and the delivery of patient and family centered care. The Registered Nurse has the responsibility and authority to request and use governing and administrative resources, technological and support systems, and multidisciplinary clinical experts necessary to manage and deliver quality, cost effective patient care.
RN Specialties Additional Requirements: (ED,OR, PACU, Cardiac Rehab, First Assist OR, ICU, Med Surge, Pediatrics Labor & Delivery, Pre-Op Eval, Radiology)
ED - Require BLS, Prefer ACLS / PALS
OR - Proficiency in using computers and ability to quickly gain competency in various hospital software applications. Maintain current BLS certification Required. Minimum of 3 years Operating Room Nursing experience required. Ability to circulate and scrub. Requires call.
OR, First Assist - Ability to circulate and scrub. Requires call. Minimum of 3 years Operating Room Nursing experience required. In addition to nursing degree, requires the successful completion of an RNFA program that meets the "AORN Standards for RNFA Education Programs".
PACU - Minimum 3 years critical care and/or specialty experience required. PACU experience preferred. ACLS and PALS certification required.
ICU - ACLS certification required.
Cardiac Rehab - Computer skills knowledge, ability to quickly gain competency in various hospital software applications is required. Minimum of two years of medical/surgical nursing experience, two years of recent cardiac intensive nursing care experience required ( Other intensive nursing experience considered) and cardiac risk factor intervention and in exercise prescription and intervention. Critical care education required. Demonstrates knowledge of principles of cardiac rehabilitation and behavior modification strategies. Able to read and write English. Commitment to concept of wellness and cardiovascular health preferred. Additional certification requirements include; BLS, ACLS. ANCC Cardiac Vascular Nursing Certification preferred.
Med Surg - Requires BLS certification and/or ACLS certification, Prefer 2+ years Med/Surg. experience.
Pediatrics, Labor & Delivery - Inpatient Pediatric Unit and Pediatric Emergency Department Nurses are required to maintain BLS and PALS certification and ENPC is preferred for Pedi ED Nurses. Pediatric Special Care Nursery Nurses are required to maintain BLS and NRP certification. Labor and Delivery Nurses are required to possess and maintain BLS certification with EFM certification preferred. All prefer a minimum of two years experience in Pediatric or Labor and Delivery Nursing.
Pre-Op Eval - Must have two years of critical care experience.
Radiology - 3 years medial surgical nursing experience required, and preferably one year of critical care experience. Current certifications, BLS and ACLS required.

Does this position require Patient Care? Yes
Essential Functions
-Culture of Excellence Responsibilities;.
-See everyone as worthy of respect and attention.
-Design care and services for and with each patient.
-Recognize that patients see quality service as quality care.
-Make it a priority to assist patients, visitors and colleagues.
-Take advantage of learning and growth opportunities.
-Understand organizational goals and priorities.
-Compliance Responsibilities;
-Understands and adheres to North Shore Medical Centers' (NSMC) compliance standards as they appear in Corporate Compliance Policies, Code of Conduct, and NSMC's Policies.
-Professional, Supervisory and Managerial Staff, keep abreast of all pertinent federal, state and NSMC regulations, laws, and policies as they presently exist and as they change or are modified.
-Managerial Staff ensure that their staff are trained and evaluated on their knowledge of and adherence to compliance policies and procedures specific to their jobs.
-Job Specific Responsibilities; (e.g. clerical, patient care, food service, supervisory, etc.).
-Clinical Practice:
-Utilizes the standards of Patient Focused Model.
-Plans, implements and evaluates, and manages care for all patients.
-with consideration of age, developmental, socioeconomic, psychological, physical, spiritual and cultural factors.
-Practice reflects knowledge of current nursing literature and resources, demonstrates ongoing learning in appropriate science, such as contemporary medical, pharmacologic, pathophysiology to care for specific patient types.
-Maintains competency in nursing practice and clinical skills and makes annual plan for professional development.
-Completes mandatory educational requirements.
-Assesses, diagnoses, plans, implements and evaluates care for assigned patients that is consistent with the medical plan and is responsive to the patient's changing needs.
-Delegates appropriate nursing activities to unlicensed personnel based on: the stability of the patient; the training an capability of the unlicensed person to whom the nursing task is delegated; nature of the nursing task being delegated; and the proximity and availability of the nurse to the unlicensed person when performing the activity.
-Collects and analyzes patient information.
-Collaborates with patient, family, physicians and health care team members to: expedite and coordinate the delivery of services and insure efficient use of resources.
-Collaborates with the physician regarding the patient's clinical status, medical and nursing treatment plans, progression toward outcomes and next level of care.
-Maintains continuity of care, delivery process and family/significant other communication to achieve optimal outcomes.
-Assesses patient's learning needs.
-Develops a teaching plan based upon assessment.
-Educates patients and family members in disease processes, testing, medications, signs/symptoms, etc.
-Communicates understanding/progress to outcomes with other team * members.
-Assures timely initiation, completion, communication and documentation of nursing care, tests, treatment, teaching and discharge planning activities.
-Consults the Clinical Nurse Specialist and Health Care Coordinator for complex patient care management and discharge planning.
-Identifies barriers to implementing the plan of care or to achieving expected outcomes.
-Consults appropriate resources to report and/or resolve problems.
-Seeks out innovative opportunities to improve patient care.
-Exhibits fiscal accountability through cost effective use of time, material and other resources.
-Safety and Infection Control:
-Follows hospital policy and procedures regarding patient and staff safety, maintains a safe environment.
-Incorporates infection control standards in daily activities.
-Human Resources Policies:
-Adheres to standards established for attendance and is punctual.
-Adheres to dress code standard.
-Wears employee name badge.
-Adheres to Human Resources policies of Salem Hospital/NSMC.
-Supports and demonstrates the philosophy, goals, values and standards of the division and The North Shore Medical Center. *Maintains the dignity and confidentiality of all patients while promoting autonomy and individuality.
-Demonstrates knowledge of and respect for diverse ethnic, spiritual, cultural and socioeconomic population (backgrounds). *Engages in activities that promote mutual cooperation and supportive collegial relationships among nurses, and between nurses and other health care team members.
-Understands and integrates service excellence standards at all times.
-Serves as a role model.
-Recognizes these attributes in others and celebrates their achievements.
-Participates in implementation of the change process.
-Supervisory/Managerial Responsibilities; (Include number and type of FTEs).
-Assumes responsibility for direction, supervision, and development of assigned personnel.
-Participates in hiring process and evaluating assigned personnel, or as requested.
-Maintains smooth functioning of a department through effective priority setting, decision-making, problem solving and organization of resources.
-Identifies problems with systems or processes; recommends or participates in designing strategies that will improve the quality and utilization of Medical Center resources.
-Conducts and participates in multidisciplinary team conferences and educational offerings.
-Demonstrates and applies assertiveness skills and techniques.
-Participates in orientation of new employees and serves as a preceptor and mentor for team members.
-Participates in and assists in the identification of performance improvement activities.
-Assures practice meets external regulatory agencies' requirements.
-Assists in identifying areas for improvement and develops plan for compliance.
-Supervises unlicensed assistive personnel and support staff as assigned to achieve patient outcomes on a daily basis and consistent with department plans.


Education
Other Certificate/Diploma Nursing required or Bachelor's Degree Nursing preferred
Can this role accept experience in lieu of a degree?
No
Licenses and Credentials
Registered Nurse [RN - State License] - Generic - HR Only required
Experience
3+ years of IV and PICC experience. 3-5 years preferred
Knowledge, Skills and Abilities
- Perform this job successfully within the scope of nursing, an individual must be able to perform each essential duty satisfactorily and be able to demonstrate any knowledge and skills necessary to provide care appropriate to the age of the patients serviced in his/her assigned department Certifications in CPR, or PALS, ACLS, and BLS may be required upon hire for specific patient care units.
- Those who are transitioning into a new area who do not possess skill will be trained.


North Shore Medical Center, Inc. is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.