Nurse Graduate Observation Unit 7p-7:30a

About the Role

This role is part of a Nurse Residency program designed to provide clinical and educational support to nurse graduates and newly licensed RNs entering the acute care setting. You will be paired 1:1 with a dedicated RN preceptor during a 12-week orientation and will start immediately after graduation, working alongside your preceptor while awaiting NCLEX results.

Key Responsibilities

Under the direct supervision of a licensed RN:

• Assesses patients' biophysical, psychosocial, environmental, self-care, educational, and discharge planning needs according to nursing standards.
• Uses knowledge and experience to identify patient needs and prioritize treatment.
• Recognizes, accurately documents, and communicates subtle changes in patient assessment.
• Provides initial and reassessments according to current organizational and department standards and policies.
• Anticipates potential changes in patient's condition and responds appropriately.
• Anticipates needs based on assessment findings and proposed procedures or courses of care.
• Ensures an effective plan of care for assigned patients based upon standards for planning and providing care.
• Initiates individualized care plans using nursing diagnoses based on identified patient needs and includes all available resources (e.g., family, caregivers, other disciplines, community agencies).
• Organizes and prioritizes patient care efficiently and seeks assistance when necessary.
• Actively participates in the development of standards of care according to departmental, organizational, professional, or regulatory standards.
• Implements plans of care in compliance with hospital and nursing policies and appropriate standards.
• Accurately implements and documents nursing interventions and patient responses.
• Communicates pertinent information to patients and the healthcare team concisely and timely, utilizing an interdisciplinary approach.
• Assures that patients/families are updated regarding patient status and any changes in the patient or plan of care.
• Demonstrates flexibility in patient assignments based on available staff skill mix and patient care demands.
• Evaluates nursing care, including tools and equipment related to patient care.
• Reviews, evaluates, and documents the effectiveness of interventions, making modifications to the plan of care as needed.
• Evaluates new and existing equipment, policies, procedures, and programs.
• Anticipates patient responses to interventions and collaborates with patients/families and the healthcare team to revise treatment plans.
• Identifies variances from expected outcomes and makes appropriate recommendations.
• Provides patient/family education, assessing their current knowledge, barriers to learning, readiness, willingness, and ability to learn, as well as cultural, religious, financial, and preference implications.
• Identifies learning needs and establishes goals using standardized or individualized teaching plans.
• Implements the plan through direct, interactive teaching, utilizing teaching aids and materials.
• Evaluates the effectiveness of teaching.
• Communicates patient/family progress toward learning goals and the need for follow-up to other nurses and healthcare disciplines.
• Integrates discharge planning and referral into the teaching process.
• Documents teaching per policy.
• Independently offers support to less experienced staff to aid in patient/family teaching.
• Demonstrates professional expectations by incorporating suggestions for self-development/performance into daily practice.
• Meets all requirements of clinical ladder level.
• Actively engages in department efforts to promote staff retention and high employee morale.
• Utilizes supplies, equipment, and technology to ensure quality patient care.
• Floats to other nursing units in the hospital as requested.
• Demonstrates leadership/accountability qualities.
• Consistently utilizes a communication style that sets a positive professional tone.
• Promotes meaningful, focused communication between all members of the healthcare team.
• Encourages professional interactions between ancillary healthcare givers, including physicians.
• Demonstrates effective delegation skills as they pertain to nursing staff in the delivery of safe nursing care and communication to peers.
• Demonstrates effective precepting and mentoring skills for RNs and ancillary staff.
• Adheres to program policies and participates in effective department orientation.
• Demonstrates accountability for reviewing Quality Assurance reports/data for accuracy and completeness according to departmental standards.
• Contributes to the evaluation/auditing process for CNAs, Technicians, and peers.
• Completes all hospital-wide and department-specific competencies.

Requirements & Tech Stack

• Clinical competency in their departmental area of practice.
• Ability to use technology and equipment to perform job duties.
• Effective interpersonal and communication skills.
• Effective use of proper body mechanics when handling patients, supplies, and equipment.
• Ability to handle a physically demanding environment.
• Skills and abilities to perform all job duties according to the age-specific patient population served by their department.
• Ability to meet the requirements annually of the FH Clinical Ladder.
• Ability to keep patient and employee information confidential.
• Competency in operating equipment required to meet patient care needs.

Qualifications

• Currently eligible to sit for the NCLEX.
• Certified in Cardiopulmonary Resuscitation (CPR).
• BLS certification is required of ALL nurses within 90-days of hire.
• Specific certifications required within 1 year of hire for designated units (e.g., ACLS, PALS, NRP, C-EFM).
• Must demonstrate and maintain current knowledge and skills in providing appropriate care for patients in the following age groups:
• Neonate (0 thru 30 days)
• Infant (31 thru 12 months)
• Child (13 months thru 12 years)
• Adolescent (13 years thru 17 years)
• Adult (18 years thru 65 years)
• Geriatric (66+ years)

Minimum Education, Training, And Experience Required

• Associate's degree or Bachelor's degree in nursing required.

Schedule

• Full time (3) 12hr shifts/week, night shift (7p-7:30a) with weekend and holiday commitments.

Physical Demands

• Medium-Heavy Work: Lifting up to 100 pounds infrequently and/or carrying up to 50 pounds while walking. Pushing or pulling up to 115 pounds infrequently or greater than 115 pounds occasionally.
• Ergonomic Risk Factors: Repetition, Forceful Exertion, Awkward Posture, Contact Stress.

Working Conditions

• Bloodborne Pathogens Exposure Risk: Category A - WILL have exposure to blood or body fluids.
• Exposure to infectious diseases, hazardous materials, and highly technical and heavy equipment.