RN - ED - Contract - MSH

ER Clinical Nurse

The ER Clinical Nurse is a Registered Professional Nurse who provides safe, competent quality care based on nursing theory and research to a designated group of patients and significant others. Essential duties and responsibilities include delivering patient care by incorporating the tenets of the professional practice model of Relationship Centered Care and through the application of the nursing process based upon theory, research, evidence-based practice, and approved organizational nursing standards. The nurse assesses and evaluates patient care needs and applies critical thinking skills in patient care management. They integrate relevant assessment and intervention skills in the delivery of nursing care, collaborate with the interdisciplinary healthcare team in the development, implementation, and evaluation of the plan of care, and prioritize all aspects of patient care including teaching, rounding, coaching, and planning after hospital care and delegating to others as appropriate. The nurse educates patients and caregivers while anticipating needs and readiness to learn, about their plan of care, transition of care, promotion of health, and prevention of disease. They communicate effectively and professionally with patients, family, and all members of the Interdisciplinary Patient Care Team. The nurse manages assignments within the Care Delivery Model of Modified Primary Nursing and demonstrates allocation of material resources effectively. They role model the tenets of Mount Sinai Relationship Centered Care through facilitation of the following actions including, but not limited to, Admission Welcome, Bedside shift Report, HELP (High Risk Medications, Equipment, Lines/Drains/Airway, Pain and Plan of Care) AM/PM Care, 5 Minute Sit Down, Purposeful Hourly Rounding, Medication Review, Discharge Wrap Up, and MD/RN Unit Collaboration. They consider the patient's values, preferences, cultural diversity, expressed needs and knowledge in all aspects of care, establish and maintain a therapeutic relationship with the patient and family, and use evidence-based practices to increase understanding of patients' perceptions of care. The nurse initiates service recovery for patients and family members who have concerns and escalates to Clinical Nurse Manager/Assistant Nurse Manager/Nursing Shift Manager or Patient Relations as needed. They demonstrate caring, respect, compassion, empathy and active listening through dialogue, body language and actions, support staff use of evidence-based practices to increase understanding of patients' perceptions of care, conduct Purposeful Hourly Rounding (PHR) on assigned patients addressing the 4 Ps, and practices safe and efficient patient-centered care, identifying and escalating barriers and opportunities for improvement. The nurse demonstrates clinical skills and knowledge crucial to quality and safety in the patient population served, implements process improvement strategies based on institutional, evidence-based ensure and procedures, engages in formal and informal peer and institutional review processes, collaborates with interdisciplinary teams to create and implement quality improvement projects, evidence-based practice activities and nursing research studies, contributes to quality and safety practices and required compliance measures, implements principles of high reliability to identify and avoid high risk behaviors to provide a safe environment for patients, escalates potential safety hazards or gaps from best practice following institutional chain of command protocol, utilizes institutional information technology by documenting nursing practice to support quality and performance improvement initiatives, performs charge nurse duties as assigned, coordinates with the Clinical Coordinator/Clinical Nurse Manager/Assistant Nurse Manager/Nursing Shift Manager to ensure supplies are appropriately utilized and inventory is sufficient for patient care, escalates material or staffing resource deficits to charge nurse, Clinical Nurse Manager/Assistant Nurse Manager or Nursing Shift Manager, demonstrates patient focused and cost effective approaches to patient care in terms of equipment, staff, supplies and all other resources, documents in an accurate and thorough manner in compliance with hospital, regulatory and legal requirements and standards of care, facilitates patient throughput on shift basis, contributes to the environment of care to support clinical colleagues, patients and their families and members of the healthcare team, advances clinical competence in nursing practice to progress from novice to expert, projects a professional image to colleagues and communicates with styles and methods that demonstrate caring, respect, compassion and empathy, incorporates ethical principles into decision making for patient and family, encourages and demonstrates a spirit of scholarship, inquiry, life-long learning and innovation for self and others, acquires knowledge and skills relative to the role, patient population, clinical specialty and local and/or global health community needs, and participates in shared decision making through specialty practice councils, nursing department committees and unit initiatives.