Clinical Nurse-Stepdown-Med-Surge-10W-Mount Sinai Hospital-FT/Nights

Clinical Nurse-Stepdown-Med-Surge-10W-Mount Sinai Hospital-FT/Nights

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 Experience

•  Role models 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.
•  Considers the patients values, preferences, cultural diversity, expressed needs and knowledge in all aspects of care.
•  Establishes and maintains a therapeutic relationship with the patient and family.
•  Uses evidence-based practices to increase understanding of patient's perceptions of care.
•  Initiates service recovery for patients and family members who have concerns and escalates to Clinical Nurse Manager/Assistant Nurse Manager/Nursing Administrator or Patient Relations as needed.
•  Demonstrates caring, respect, compassion, empathy and active listening through dialogue, body language and actions.
•  Supports staff use of evidence-based practices to increase understanding of patient's perceptions of care.
•  Conducts Purposeful Hourly Rounding (PHR) on assigned patients addressing the 4 Ps.

Quality and Safety

•  Practices safe and efficient patient-centered care, identifying and escalating barriers and opportunities for improvement.
•  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.

Operations

•  Performs charge nurse duties as assigned.
•  Coordinates with the Clinical Coordinator/Clinical Nurse Manager/Assistant Nurse Manager/Nursing Administrator 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 Administrator.
•  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 a shift basis.

Professional Development

•  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.
•  Participates in shared decision making through specialty practice councils, nursing department committees and unit initiatives.