Nurse - Telemetry Medical/Surgical Step Down
12 hours ago
Mount Sinai Medical Center of Florida is seeking a skilled Registered Nurse to join our team in the Telemetry Medical/Surgical Step Down department. As a Registered Nurse, you will be responsible for providing high-quality patient care and contributing to the delivery of excellent healthcare services.
Job Summary:The Registered Nurse - Telemetry Medical/Surgical Step Down will be responsible for assessing, planning, implementing, and evaluating patient care for patients with medical and surgical conditions. The ideal candidate will have a strong background in telemetry monitoring, medication administration, and patient education.
Responsibilities:- Maintains annual clinical competence in care of surgical patients, administration of vasoactive medications, and telemetry-monitored patients.
- Assesses clinical and diagnostic data of the population served.
- Troubleshoots unit-specific equipment.
- Monitors patient hemodynamic response to interdisciplinary plan of care and intervenes appropriately.
- Performs Tracheostomy care according to hospital policy and procedure.
- Provides individualized teaching to patients/family requiring surgical procedures, telemetry monitoring, and vasoactive medication administration.
- Interprets ABG results and intervenes appropriately.
- Administers medications via PCA competently.
- Assess, monitor, and document patient response to chest tube management.
- Assesses clinical, diagnostic, and laboratory data of the population served.
- Prepares patient for surgery and all procedures and transfers to procedural areas.
- Transport monitored patients to testing, procedures, and higher levels of care with defibrillator.
- 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. Reports abnormal findings immediately to physician.
- 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.
- Establishes priorities for patient care based on patient needs, evidenced by the completion of assigned duties within shift.
- Verbalizes understanding of patient diagnosis and interdisciplinary plan of care.
- Safely and correctly initiates and documents nursing interventions in emergencies.
- 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 instructions for each assigned surgical patient during shift.
- Adheres to standard precautions, including hand hygiene guidelines, at all times.
- Documents specific patient valuables and arranges 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 feeding via NG tube, gastrostomy tube, and/or jejunostomy tube.
- Performs ostomy care, including irrigation, appliance usage, and reinforcement of teaching.
- Inserts intermittent or indwelling urinary catheter using aseptic technique.
- Administers oxygen therapy according to physician order.
- Documents/reports patient responses or outcomes.
- Evaluates and documents patient's progress towards established goals.
- Current FL RN License
- BLS and ACLS Required
- Minimum 1 year of RN experience
Mount Sinai Medical Center of Florida offers a comprehensive benefits package, including 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, and free parking.
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