Staff Nurse I​/II; JR

Introduction

To heal, to teach, to discover and to advance the health of the communities we serve.

To learn more about the “Montefiore Difference” – who we are at Montefiore and all that we have to offer our associates, please .

The Montefiore RN maintains standards of the practice for nursing as defined by the American Nurses Association Code of Ethics, Nursing Scope and Standards of Practice and Nursing's Social Policy Statement.

The Registered Nurse actualizes the vision, mission, values, balanced scorecard performance measures for Montefiore Medical Center.

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.

• Demonstrates leadership skills in the coordination and delivery of patient care.
  • Coordinates an interdisciplinary plan of care.
  • Assures 100% of assigned patients have a documented plan of care.
  • Ensures completion of patient care assignments 100% of the time.
  • Interdisciplinary plan of care is congruent with accepted LOS parameters for all assigned patients.
  • Delegates aspects of care to team members consistent with their capabilities and responsibilities.
  • Ensures that delegated aspects of care are completed in accordance with established standards of practice.
  • Negotiates with team members 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 orientation and development of associates by mentorship and 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 assessments 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 patients' responses to nursing and interdisciplinary interventions, including patient/family teaching.
  • Initiates a teaching and discharge plan for 100% of assigned patients within 24 hours of admission and modifies the 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, and ethical issues.
  • Incorporates effective problem‑solving, conflict resolution, and 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.
  • Documents patient and family responses to interventions, modifies plan of care as needed, reviews plan daily and/or updates it to reflect current status of the patient.
  • Consistently participates and communicates in daily IDT rounds to provide concise direction to all caregivers.
• 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.
  • Assesses potential and actual changes in level of care required.
  • 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 restraints according to hospital patient‑care guidelines.
  • Uses equipment in accordance…