RN Med Surg 7p-7:30a

Patient Population 3G patient population is adult/geriatric generalized Med/Surg unit. Manages a wide range of patient conditions including pre and post op care of patients undergoing surgical procedures, managing ongoing conditions of complex patients with numerous co‑morbidities and generalized medical complaints. Surgical focus includes: general surgery, respiratory and urology. Schedule PRN one 12 hour night shift 7p-7:30a per week, mainly weekend shifts. Job Summary Supports, and is responsible for incorporating into job performance, the Frederick Health (FH) mission, vision, core values and customer service philosophy and adheres to the FH Compliance Program, including following all regulatory requirements and the FH Standards of Behavior. Independently provides patient care using the nursing process and performs leadership and teaching duties necessary that supports effective patient care. Supports and participates in continuous quality improvement activities. Functions within the limits of the State and Federal licensing, regulatory bodies and hospital policies. Essential Functions Assess biophysical, psychosocial, environmental, self‑care, educational and discharge planning of patients according to nursing standards. Use knowledge and experience in identifying patient needs and prioritizing treatment. Recognize and accurately document and communicate subtle changes in patient assessment. Provide initial assessment and reassessments according to current organizational and department standards for Assessment of Patients and Nursing Assessment and document according to policy. Anticipate potential changes in patient’s condition and respond appropriately. Anticipate needs based on assessment findings and proposed procedure or course of care. Ensure an effective plan of care for assigned patients based upon the standards for planning and providing care. Initiate individualized plan of care using nursing diagnosis based on identified patient needs and includes all available resources, e.g., family, caregivers, other disciplines and community agencies. Efficiently organize and prioritize patient care and seek assistance when necessary to meet the needs of individual patients. Actively participate in development of standards of care according to departmental, organizational, professional or regulatory standards. Implement plan of care in compliance with hospital and nursing policies in accordance with all appropriate standards. Completely and accurately implement and document nursing interventions and patient response. Communicate pertinent information to patient and members of the health care team in a concise and timely manner utilizing an interdisciplinary approach. Assure that the patient/family are updated regarding the status of the patient and any changes in the patient or plan of care as they evolve. Demonstrate flexibility in giving and receiving patient assignments on the department and hospital‑wide based on skill mix of the staff available and patient care demands. Evaluate nursing care, which includes tools and equipment related to patient care. Review, evaluate and document effectiveness of interventions, making modifications as needed on the plan of care. Evaluate new and existing equipment, policies, procedures and programs. Anticipate patient’s response to interventions and collaborate with patient/family and health care team to revise treatment plan accordingly. Identify variances from expected outcomes and make appropriate recommendations. Provide patient/family education. Assess patient/family for: Current knowledge of health status, condition or disease process; barriers to learning; readiness, willingness and ability to learn. Cultural, religious, financial and patient preference implications related to learning. Identify learning needs and establish goals using standardized or individualized teaching plans. Implement the plan through direct, interactive teaching with additional use of teaching aids and materials as appropriate. Evaluate effectiveness of teaching. Communicate patient/family progress toward learning goals and need for follow‑up to other nurses and health care disciplines. Integrate discharge planning and referral into the teaching process. Document teaching per policy. Independently offer support to less experienced staff to aid in patient/family teaching. Demonstrate professional expectations as evidenced by: Incorporate suggestions for self‑development and/or performance into daily practice. Meet all requirements of clinical ladder level. Actively engage in department efforts to promote retention of staff and provide a high level of employee morale. Utilize supplies, equipment, and technology to ensure quality of patient care. Float to other nursing units in the hospital as requested. Demonstrate leadership/accountability qualities. Consistently utilize communication style that sets department tone for positive professional behavior. Promote meaningful focused communication between all members of the healthcare team as appropriate. Encourage professional interactions between ancillary healthcare givers, including physicians. Demonstrate effective delegation skills as they pertain to nursing staff in the delivery of safe nursing care and communication to peers. Demonstrate effective precepting and mentoring skills for RNs and ancillary staff. Adhere to program policies and participate in effective department orientation. Demonstrate accountability for the following which includes but is not limited to: Reviewing Quality Assurance report/data for accuracy and completeness according to departmental standards. Contributing to the evaluation/auditing process for CNAs, Technicians, and peers, etc. Must complete all Hospital wide and Department specific competencies. Required Knowledge, Skills and Abilities Clinical competency in departmental area of practice. Ability to use technology and equipment to perform job duties. Effective interpersonal and communication skills. Effective use of proper body mechanics when handling patients, supplies and equipment. Ability to handle a physically demanding environment. Skills and abilities to perform all job description duties according to the age‑specific patient population served by the department. Ability to meet the requirements annually of the FH Clinical Ladder. Ability to keep patient and employee information confidential. Competency in operating equipment required to meet patient care needs. Minimum Education, Training, and Experience Required Eligible for or currently licensed as a Registered Nurse in State of Maryland or compact state. Associate degree in Nursing required; Bachelor of Science in Nursing preferred or willingness to obtain within 5 years of employment. Certified in Cardiopulmonary Resuscitation (CPR). BLS certification required for all nurses within 90 days of hire. Certifications Required for Nursing Units Oncology/Thoracic – Chemotherapy. L&D, OB/OR – NRP, C‑EFM within 3 years. Patient Age Group Requirements Neonate (0 thru 30 days) Infant (31 thru 12 months) Child (13 months thru 12 years) Adolescent (13 years thru 17 years) Adult (18 years thru 65 years) Geriatric (66+ years) Physical Demands Medium‑Heavy Work – Lifting up to 100 pounds on an infrequent basis (less than one lift every three minutes) and/or carrying up to 50 pounds while walking. Pushing or pulling up to 115 pounds infrequently or greater than 115 pounds occasionally (no more than once per hour). Ergonomic Risk Factors Repetition – Repeating the same motion over and over again places stress on the muscles and tendons. The severity of risk depends on how often the action is repeated, the speed of the movement, the required force and muscles involved. Forceful Exertion – The amount of physical effort required to perform a task (such as moving patients) or to maintain control of equipment or tools. Awkward Posture – Posture is the position your body is in and its effect on the muscle groups that are involved in the physical activity. Contact Stress – Pressing the body hard on sharp edges can result in placing too much pressure on nerves, tendons, and blood vessels. Working Conditions Bloodborne Pathogens Exposure Risk: Category A – Will have exposure to blood or body fluids. Exposure to infectious diseases, hazardous materials and highly technical and heavy equipment. Reporting Relationship Reports to Department Manager. Also receives supervision from Director or Hospital Supervisor. Disclaimer The content of this document reflects the general duties, responsibilities, minimum skills, abilities and competencies necessary to perform the essential functions of the job and should not be considered as an exhaustive detailed description of all the work requirements of the position. Benefits Frederick Health offers a comprehensive and affordable benefits package. Health, Dental and Vision insurance are offered the 1st of the month after 30 days of employment to all employees hired to work at least 20 hours per week and we offer multiple plans to best meet your and your family's needs. Life insurance, Short‑Term Income Replacement and Long‑Term Disability are employer‑paid for eligible employees. Frederick Health offers a robust Paid Time Off program for eligible employees. Our 403B retirement plan helps you save for your retirement and includes an employer match to eligible employees. All employees have access to free financial planning sessions. We also offer an educational assistance program to support your education goals as well as an employer‑paid Employee Assistance Program. Pay is based on experience, skills and education. If the position is part‑time, salary will be pro‑rated based on scheduled hours. The pay range may also vary within the stated range based on specialty if applicable. Non‑Exempt positions may have shift differential and/or overtime paid, if applicable. Pay range: Hourly rate $36.07 Min – $55.17 Max Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor. #J-18808-Ljbffr