Experienced Registered Nurse ICU

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.

Department

Job Description

Summary

Night shift 7p-7a

Position

Responsibilities

• ICU Responsibilities

• Monitor and evaluate patient on external and transvenous pacemaker.

• Monitor and evaluate patient on specific drips e.g. Diprivan, Vasopressors, Paralytics etc.

• Monitor, evaluate, document and troubleshoot patient's hemodynamic response and the use of critical care specialty equipment (e.g. IABP, CRRT).

• Monitor, evaluate and document patient with Femoral Line Catheter.

• Monitor, evaluate, document patient with Pulmonary Artery Catheter.

• Monitor, evaluate, document patient on Continous Renal Replacement Therapy.

• Monitor, evaluate, document patient on Ventilator support.

• Monitor, evaluate, document patient on Intracranial Pressure Monitor.

• Safely cares for Cardio Surgical patients who are hemodynamically compromised.

• Assessment

• 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.

• 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.

• Planning

• Initiates an Interdisciplinary plan of care within eight hours of admission.

• Establishes priorities for patient care based on patient needs, evidenced by completion of assigned duties within shift.

• Implementation

• Verbalizes understanding of patient diagnosis and interdisciplinary plan of care.

• Safely and correctly initiates and documents nursing interventions in emergency situations.

• Performs 24-hour chart check at the beginning of each shift.

• 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 instruction for each assigned surgical patient during shift.

• Adheres to Standard precautions including hand hygiene guidelines at all times.

• Documents specific patient valuables on designated form when received and immediately arranges for 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 feedings via ng tube, gastrostomy tube, and/or jejunostomy tube.

• Reports all abnormal findings immediately to physician.

• Implements skin and wound protocol upon identification of risk.

• 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.

• Transfers patients in/out of the unit in an efficient manner, by obtaining a complete and correct set of physician's orders, completes documentation of transfer summary. Ensures appropriate completed referral forms accompany intra-facility transfers, including giving/receiving of report.

• Demonstrates safe and correct use of restraints as per policy.

• Evaluation

• Documents/reports patient responses or outcomes resulting from: nursing interventions, treatments/procedures, interpersonal interactions, and patient/family education.

• Evaluates and documents patient's progress towards established goals/objectives every shift.

• Updates/revises patient care problem list and individualized patient care standards based on patient/family responses, progress towards goals, and/or change in medical status every shift.

• Evaluates patient length of stay and related transfer/discharge planning needs based on anticipated problems, internal or community resources, and support systems.

• Professional and Staff Development

• Obtains 100% of mandatory hospital and unit specific inservices annually, prior to evaluation date.

• Plans, presents, and documents unit inservice as required by level.

• Documents competency in clinical skills, at least annually.

• Attends staff meetings as required.

• Uses established lines of communication for resolution of problems and interpersonal conflict.

• Leadership

• Presents a minimum of 1 in-services and 2 patient care conference.

• Attends 75% staff meetings.

• Functions as a Charge Nurse, possesses clinical knowledge of all patients on the unit, triages and assigns beds to promote patient flow.

• Attends a Charge Nurse course within the year/ serves as a preceptor/clinical resource.

• Actively participates in unit based PI.

Qualifications

• License/Registration/

Certification

Current FL Nursing License, Current Basic Life Support, and Current Advanced Cardiac Life Support required.

Education

Graduated from an accredited school of nursing. BSN preferred, CCRN preferred.

Experience

Level II: Min 1 year RN experience.

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:

• 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

• On-site housing for select positions and more!

Degree

Requirements

Certification