Senior Clinical Nurse I, Night, Emergency Department

Senior Clinical Nurse I

UMMC Midtown Campus, one of two campuses of the University of Maryland Medical Center, has had a long history of working to keep our community healthy and has grown to become a trusted teaching hospital for medical and surgical care in Baltimore City. Located in Baltimore's cultural center near the historic Mount Vernon neighborhood, UMMC Midtown Campus is a 180-bed, community teaching hospital with a focus on helping people manage chronic diseases, including diabetes, hypertension, pulmonary conditions, and infectious diseases.

The ideal candidate for this position should have:

• Maryland RN license
• BSN degree
• ACLS, PALS, and BLS
• Relevant years of experience in the ED in a hospital setting

The Senior Clinical Nurse I (SCN-I) is a member of the health care team and renders nursing care to all patients within her/his assigned unit/area, assuring the nursing process is followed from admission through discharge. The SCN-I collaborates with other members of the health team, delegates appropriately to support staff and directs care to assure the patient's care needs are met. The SCN-I is expected to exercise good judgment in the care of patients and the management of personnel. The SCN-I models teamwork with physicians and personnel from other units/areas/departments. The SCN-I must stay current with standards of practice through ongoing education relevant to nursing, such as the Maryland Nurse Practice Act and specialty standards of practice. In addition, the SCN-I may function as charge nurse and/or preceptor, and are nurse leaders.

The SCN-I demonstrates the ability to lead groups of nurses and/or interdisciplinary groups, set nursing practice standards, evaluate nursing practice, plan for implementation of changes to practice, and ensure changes are made that positively impact nursing practice. He/she participates and collaborates with other disciplines to positively impact improvements in patient outcomes. He/she is able to articulate best practices and speak to nursing research/science/or literature for a specialty area in nursing. He/she demonstrates professional interpersonal skills that facilitate patient customer satisfaction scores that reflect highly on the practice of nursing at the University of Maryland Medical Center Midtown Campus. He/she monitors customer service and patient care standards for his/her areas of practice and ensures others always strive to improve in this practice area. He/she takes an active role in improving and changing nursing service in a positive manner and facilitates the spirit of teamwork. The SCN-I will maintain active membership on a nursing council/committee.

Principal Responsibilities and Tasks:

1. Understands and follows policies and protocols while helping other staff utilize these resources effectively. Performs and assists others in the completion of: core measures, unit based/annual competencies, regulatory requirements, quality measures, service excellence, and education.

2. Functions as charge nurse and/or preceptor. Resolves issues at the unit level, in collaboration with nurse manager or supervisor, as appropriate.

3. Assist others to perform assessments and reassessments, as appropriate for the patient's needs, collecting data from all sources to assist with formulating a nursing diagnosis.

4. Develops an individualized Plan of Care, based on the patient's assessment, with mutual, realistic and measurable goals and documents this thoroughly in the patient's record.

5. Coordinates and directs available resources and personnel in developing and following the Plan of Care.

6. Performs treatments, including medication administration, as ordered by the physician and carries out nursing interventions in accordance with the Plan of Care.

7. Evaluates the patient's response to treatments/interventions through reassessment and revises the Plan of Care as necessary.

8. Documents assessments and reassessments, thoroughly, accurately and on time. Documents any changes to the Plan of Care and communicates these changes to team members. Documents treatments/interventions including medication administration thoroughly and per hospital policy.

9. Assesses patient's teaching needs, and plans patient education accordingly.

10. Completes patient and family teaching, assesses understanding and document accordingly.

11. Communicates and collaborates effectively with other members of the health care team to ensure continuity and coordination of care, appropriate care delivery and to report changes in patient's condition.

12. Facilitates safe and timely patient throughput, including admission/transfer/discharge, diagnostics and therapeutics and teaches others regarding patient flow management.

13. Complies with hospital policies and practices in all aspects of care and professional behavior.

14. Follows Joint Commission (TJC) and Center for Medicare and Medicaid Services (CMS) standards as part of routine practice.

15. Assists with annual PCT core competency program.

16. Attends and actively participates in unit staff meetings.

17. Take a leadership role in shared governance through participation on committees or task forces.

18. Supports Shared Governance.

19. Demonstrates support and compliance with UMMC Midtown Campus' mission, vision, values, philosophy, goals objectives and policies.

20. Meets the continuing education and participation requirements of the clinical ladder.

Work Experience:

Education & Experience:

1. Licensure as a Registered Nurse in the state of Maryland, or eligible to practice due to Compact state agreements outlined through the MD Board of Nursing, is required.

2. As of December 1, 2021, BSN or Conferred BSN degree required.

3. Current CPR certification required.

4. ACLS Provider Completion within 1 year of employment in the following departments: ICU/IMC, PACU, Interventional Radiology, GI Lab, and ED.

5. PALS Completion within 1 year of employment in the following departments: PACU and Emergency Department.

6. Relevant clinical work experience related to practice on the unit.

University of Maryland Medical Center