REGISTERED NURSE PER DIEM

The RN participates in performance improvement/research activities; maintains professional practice standards and clinical expertise; and demonstrates leadership skills. The RN demonstrates core and unit specific competencies based on the patient population served.

Essential Functions

• Demonstrates leadership skills in the coordination and delivery of patient care.
  * Coordinates an interdisciplinary plan of care.
  * Assures 100% assigned patients have a documented plan of care.
  * Ensures completion of patient care assignment 100% of time.
  * Interdisciplinary plan of care is congruent with accepted LOS parameters for all assigned patients.
  *Delegates aspects of care of the patient to team members consistent with capabilities and responsibilities of caregiver.
  * Ensures that delegated aspects of care are completed in accordance with established standards of practice.
  * Negotiates with team member if unable to fulfill role responsibilities; escalates as per MMC policy and procedure.
  * Establishes a therapeutic relationship with patient/family.
  * Assumes charge nurse assignment.
  * Participates in the orienting and development of associates by mentorship and assigned preceptorship.
  * Patient/family wishes related to care decisions are assessed and documented.

• Systematically assesses the health care of patients/families and responses to care rendered.
  * Completes 100% of admission assessment within 8 hours.
  * Completes documentation reflecting interdisciplinary team approach as per policy.
  * Documentation reflects systematic and continuous collection of data.
  * Documents teaching/learning needs of patients and families prior to discharge.
  * Assesses, evaluates and documents patient's response to nursing and interdisciplinary team interventions, including patient/family teaching.
  * Initiates a teaching and discharge plan for 100% of assigned patients within 24 hours of admission. Modifies plan of care through prioritization of patient/family needs and interdisciplinary orders

• Demonstrates critical thinking skills to problem solve and initiate clinical decision making.
  * Takes action to optimize achievement of patient outcomes.
  * Participates in identification, Investigation and resolution of actual and/or potential risk management/quality care/ethical issues.
  * Incorporates effective problem solving/conflict resolution/consensus building into daily practice.

• Evaluates patient progress toward health goals and modifies critical path or plan of care accordingly.
  * Identifies variances to plan of care.
  * Initiates appropriate interventions to amend identified variances from plan of care.
  * Documents patient and family response to interventions and modifies plan of care as needed. Reviews plan of care daily and/or updates it to reflect current status of patient.
  * Consistently participates and communicates in daily IDT rounds to provide concise direction to all care givers.

• Develops, coordinates and provides direct care for specific patient assignment.
  * Provides patient focused care.
  * Incorporates standards of practice, critical pathways, age-specific guidelines and patient care guidelines into plan of care.
  * Assess potential and actual changes in level of care require*
  * Develops plan of care within 24 hours of admission to the extent possible.
  * Includes patient/family in care planning.

• Provides a safe environment for patients/families.
  * Orients patient/family to environment assuring comprehension of information presented.
  * Administers medication according to the medication administration policy.
  * Responds appropriately to urgent/emergent situations. Utilizes and documents use of restraints according to hospital patient care guidelines.
  * Uses equipment in accordance with MMC policies and procedures.

• Provides comprehensive direct patient care to assigned patients.
  * Utilizes knowledge of nursing, research and evidenced based practice in the application of care and clinical judgment.
  * Administers care consistent with standards of care for MM*
  * Nursing interventions demonstrate consideration of patient's bio psychosocial and spiritual needs.

• Communicates effectively with patient/family and members of the health care team.
  * Defends and preserves the rights of patients relative to all aspects of care, information, knowledge and privacy.
  * Demonstrates respect of cultures and respect for cultural diversity with co-workers and other health care team members, patients, families and co-workers. Incorporates the principles of patient focused care in daily practice.
  * Recognizes the family as defined by the patient. Communicates interdisciplinary plan of care to 100% of assigned patients and families within 24 hours of admission and daily.
  * Identifies patient satisfaction/dissatisfaction with plan of care. If patient expresses dissatisfaction, implements conflict resolution skills, and escalates issues with plan of care.
  * Assesses and documents patient advanced care directives for 100% of assigned patients.
  * Establishes collaborative and collegial relationships with health care team members.
  * Documents legibly.

• Demonstrates responsibility for maintaining competencies and participates in activities contributing to the growth and development of self, colleagues and the nursing profession.
  * Provides two examples of ongoing professional development.
  * Contributes to growth and development of staff and students through participation in peer review, mentor relationships, formal and informal education.
  * Recognizes that professional responsibility extends beyond one's own patient population; assists and supports team members.
  * Attends at least one hospital committee meeting or in-service annually and shares information with coworkers.
  * Demonstrates active participation in unit-based performance improvement initiatives.

• Is responsible and accountable for own practice.
  * Ensure compliance with written policies, procedures and standards of practice/care as defined in the R.N. position summary.
  * Critical thinking/problem solving skills are incorporated into nursing practice.
  * Contributes to problem identification and problem solving in the work environment, participating on task forces and groups as necessary.
  * Supports the mission, vision, values and balanced scorecard performance measures for Montefiore Medical Center and standards of nursing practice.  *Attends an educational program at least annually and provides feedback to co-workers about educational content.
  * Attends unit-based in-services as schedule*
  * Conforms with MMC dress code.
  * Conforms with MMC attendance and punctuality policy.
  * Maintains licensure and current registration.
  * Maintains mandatory certification, and competency including but not limited to annual review, BLS, etc.

• Integrates the standards of excellence into daily clinical practice.
  * Respect: Honors and values each person.
  * Effective Communication: Effectively listens, conveys, and receives ideas, information, and direction.
  * Sensitivity: Demonstrates willingness and ability to listen and understand others' feelings, needs and circumstances.
  * Professionalism: Demonstrates confidence, competence and pride in work and appearance.
  * Exceeding Expectations: Assists others without being asked
  * Courtesy: Treats everyone with kindness and care.

Qualifications

• BS/ BSN in Nursing Required

• NYS License for Registered Professional Nurse and current registration or valid permit to practice in NYS as an RN Required

• NYS Mandated Infection Control and Child Abuse Reporter Training Required

• Basic Life Support (BLS) Training Required

• Certification in specialty Upon Hire Required

• NYS Infection Control Certification

• Pediatric Advanced Life Support (PALS) Training Upon Hire 

• At least 1 year Hospital or Clinic setting experience Preferred

• Ability to use basic data entry and retrieval systems

• Effective English communication skills, both written and oral