RN - CSICU - Contract - MSM

Clinical Nurse

The 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.

Patient Care

• Delivers 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.
• Assess and evaluate patient care needs and apply critical thinking skills in patient care management.
• 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.
• Prioritize all aspects of patient care including teaching, rounding, coaching, and planning after hospital care and delegating to others as appropriate.
• Educate 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.
• Communicate effectively and professionally with patients, family and all members of the Interdisciplinary Patient Care Team.
• Manage assignments within the Care Delivery Model of Modified Primary Nursing and demonstrate allocation of material resources effectively.

Patient Experience

• Role model the tenets of Mount Sinai Relationship Centered Care (MSHRCC) 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.
• Consider the patients values, preferences, cultural diversity, expressed needs and knowledge in all aspects of care.
• Establish and maintain a therapeutic relationship with the patient and family.
• Use evidence-based practices to increase understanding of patients perceptions of care.
• Initiate service recovery for patients and family members who have concerns and escalate to Clinical Nurse Manager/Assistant Nurse Manager/Nursing Shift Manager or Patient Relations as needed.
• 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.

Quality and Safety

• Practice safe and efficient patient-centered care, identifying and escalating barriers and opportunities for improvement.
• Demonstrate clinical skills and knowledge crucial to quality and safety in the patient population served.
• Implement process improvement strategies based on institutional, evidence-based ensure and procedures.
• Engage in formal and informal peer and institutional review processes.
• Collaborate with interdisciplinary teams to create and implement quality improvement projects, evidence-based practice activities and nursing research studies.
• Contribute to quality and safety practices and required compliance measures.
• Implement principles of high reliability to identify and avoid high risk behaviors to provide a safe environment for patients.
• Escalate potential safety hazards or gaps from best practice following institutional chain of command protocol.
• Utilize institutional information technology by documenting nursing practice to support quality and performance improvement initiatives.

Operations

• Perform charge nurse duties as assigned.
• Coordinate 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.
• Escalate material or staffing resource deficits to charge nurse, Clinical Nurse Manager/Assistant Nurse Manager or Nursing Shift Manager.
• Demonstrate patient focused and cost effective approaches to patient care in terms of equipment, staff, supplies and all other resources.
• Document in an accurate and thorough manner in compliance with hospital, regulatory and legal requirements and standards of care.
• Facilitate patient throughput on shift basis.

Professional Development

• Contribute to the environment of care to support clinical colleagues, patients and their families and members of the healthcare team.
• Advance clinical competence in nursing practice to progress from novice to expert.
• Project a professional image to colleagues and communicate with styles and methods that demonstrate caring, respect, compassion and empathy.
• Incorporate ethical principles into decision making for patient and family.
• Encourage and demonstrate a spirit of scholarship, inquiry, life-long learning and innovation for self and others.
• Acquire knowledge and skills relative to the role, patient population, clinical specialty and local and/or global health community needs.
• Participate in shared decision making through specialty practice councils, nursing department committees and unit initiatives.

Skills

• CSICU Coronary Care - Mount Sinai St. Luke's
• NYS RN License
• BLS
• 2 years of Post Open Heart and Cardiac Care Unit experience
• Min 2 years RN experience
• 1 year travel experience for Travel positions, not required for Per Diem positions
• EPIC experience highly preferred
• Avg Unit Census = 1726 Beds in Unit
• Staffing Guidelines 1:23x12 Schedule with weekends required
• Education: Bachelor of Science with a major in nursing preferred. Associate degree in nursing is considered only with relevant experience and/or active matriculation in a BSN Program
• Schedule Notes: 7am - 7:30pm
• Required Skills: EXCELLENT ORGANIZATIONAL SKILLS
• Hours Per Day: 12.00
• Hours Per Week: 36