RN Medical Step Down PD

Experienced Registered Nurse – Medical Step Down Per Diem

As Mount Sinai grows, so does our legacy in high-quality health care.

Since 1949, Mount Sinai Medical Center has remained committed to providing access to its diverse community. In delivering an unmatched level of clinical expertise, our medical center is committed to recruiting and training top healthcare workers from across the country. We offer the latest in advanced medicine, technology, and comfort in 12 facilities across Miami-Dade (including our 674-bed main campus facility) and Monroe Counties, with 38 medical services, including cancer care, 24/7 emergency care, orthopedics, cardiovascular care, and more. Mount Sinai takes pride in being South Florida's largest private independent not-for-profit hospital, dedicated to continuing the training of the next generation of medical pioneers. Culture of Caring: The Sinai Way

Our hardworking, tight-knit community of more than 4,000 dedicated employees fosters an environment of care and compassion. Each member plays a vital role in our collective mission to deliver excellent healthcare through innovation, education, and research. At Mount Sinai, we take pride in our achievements, aiming to be a beacon of quality healthcare in South Florida. We welcome all healthcare professionals to join our thriving community and contribute to our pursuit for clinical excellence.

Position Responsibilities:

• Maintains annual clinical competence in care of surgical patients, administration of vasoactive medications, and telemetry-monitored patients.
• Assesses clinical and diagnostic data of the population served.
• Troubleshoots unit specific equipment.
• Monitors patient hemodynamic response to interdisciplinary plan of care and intervenes appropriately.
• Performs Tracheostomy care according to hospital policy and procedure.
• Provides individualized teaching to patients/family requiring surgical procedures, telemetry monitoring, and vasoactive medication administration.
• Interprets ABG results and intervenes appropriately.
• Administers medications via PCA competently.
• Assess, monitor, and document patient response to chest tube management.
• Prepares patient for surgery and all procedures and transfers to procedural areas.
• Transport monitored patients to testing, procedures and higher level of care with defibrillator.
• Performs initial vital signs and admission history to include introduction to patient and family. Assessment of chief complaint and notification of physician within 15 minutes of arrival to unit.
• Obtains and documents a complete nursing admission assessment, including physiological and psychological factors to develop an interdisciplinary plan of care within eight hours of admission.
• Performs and documents an accurate system assessment at the beginning of each shift. Reports abnormal findings immediately to physician.
• Responds to Diagnostic Data and initiates appropriate action or intervention.
• Assesses patient education needs upon admission and daily thereafter.
• Assesses psychosocial needs specific to patient's age, growth and development.
• Establishes priorities for patient care based on patient needs, evidenced by the completion of assigned duties within shift.
• Verbalizes understanding of patient diagnosis and interdisciplinary plan of care.
• Safely and correctly initiates and documents nursing interventions in emergencies.
• Administers, observes, and documents intravenous therapy according to hospital policy.
• Administers medications within 30 minutes of scheduled time, observes and documents effectiveness, recognizes and reports adverse reactions immediately.
• Provides individualized instructions each shift to patient/significant other regarding the plan of care.
• Demonstrates safe and correct use of unit specific equipment.
• Ensures that each patient's general hygiene needs are met daily.
• Performs pre-operative and post-operative care and instructions for each assigned surgical patient during shift.
• Adheres to standard precautions including hand hygiene guidelines at all times.
• Documents specific patient valuables and arranges appropriate storage.
• Performs dressing changes using aseptic technique.
• Collects and labels specimens per policy when ordered by physician.
• Performs bedside glucose monitoring according to policy.
• Administers internal feeding via ng tube, gastrostomy tube and/or jejunostomy tube.
• Performs ostomy care to include irrigation, appliance usage and reinforcement of teaching
• Inserts intermittent or indwelling urinary catheter using aseptic technique.
• Administers oxygen therapy according to physician order.
• Documents/reports patient responses or outcomes.
• Evaluates and documents patient's progress towards established goals.
• All other tasks as related to the positions duties.

Qualifications:

• Current FL RN License
• BLS and ACLS Required
• 1+ year of RN experience required

Benefits

We believe in the physical and mental well-being of our employees and are committed to offering comprehensive benefits that fit their personal needs. Our robust employee benefits package includes:

• Health benefits
• Life insurance
• Long-term disability coverage
• Healthcare spending accounts
• Retirement plan
• Paid time off
• Pet Insurance
• Tuition reimbursement
• Employee assistance program
• Wellness program
• Free Parking
• On-site housing for select positions and more!