Adult ICU New Graduate Fellowship Clinical Nurse

Job Description: Adult ICU New Graduate Fellowship Clinical Nurse

The Clinical Nurse at Mount Sinai Morningside is a Registered Professional Nurse dedicated to providing safe, competent, and high-quality care. This role is grounded in nursing theory and research, serving a designated group of patients and their significant others.

Patient Care Responsibilities

• Delivers patient care integrating Relationship Centered Care and applying the nursing process based on theory, research, evidence-based practice, and organizational standards.
• Assesses patient care needs and applies critical thinking for effective management.
• Integrates relevant assessment and intervention skills in daily nursing care.
• Collaborates with the interdisciplinary healthcare team to develop, implement, and evaluate patient care plans.
• Prioritizes all aspects of patient care, including teaching, rounding, coaching, planning post-hospital care, and delegating appropriately.
• Educates patients and caregivers on their plan of care, transition of care, health promotion, and disease prevention, anticipating their needs and readiness to learn.
• Communicates effectively and professionally with patients, families, and all members of the Interdisciplinary Patient Care Team.
• Manages assignments within the Modified Primary Nursing Care Delivery Model and effectively allocates material resources.

Patient Experience Focus

• Role models Mount Sinai Relationship Centered Care tenets through actions like Admission Welcome, Bedside Shift Report, HELP (High Risk Medications, Equipment, Lines, Drains, Airway, Pain, Plan of Care), AM/PM Care, 5 Minute Sit Down, Purposeful Hourly Rounding, Medication Review, Discharge Wrap Up, and MD/RN Unit Collaboration.
• Considers patient values, preferences, expressed needs, and knowledge in all aspects of care.
• Establishes and maintains therapeutic relationships with patients and families.
• Uses evidence-based practices to enhance understanding of patient perceptions of care.
• Initiates service recovery for patient and family concerns, escalating to management or Patient Relations as needed.
• Demonstrates caring, respect, compassion, empathy, and active listening through dialogue, body language, and actions.
• Supports staff in using evidence-based practices to improve understanding of patient perceptions.
• Conducts Purposeful Hourly Rounding (PHR) on assigned patients, addressing the 4 Ps.

Quality and Safety Contributions

• Practices safe and efficient patient-centered care, identifying and escalating barriers and improvement opportunities.
• Demonstrates clinical skills and knowledge crucial for quality and safety in the patient population.
• Implements process improvement strategies based on institutional, evidence-based practices and procedures.
• Engages in formal and informal peer and institutional review processes.
• Collaborates with interdisciplinary teams on quality improvement projects, evidence-based practice activities, and nursing research studies.
• Contributes to quality and safety practices and required compliance measures.
• Implements high reliability principles to identify and avoid high-risk behaviors for a safe patient environment.
• Escalates potential safety hazards or gaps from best practice following institutional chain of command.
• Utilizes institutional information technology for documenting nursing practice to support quality and performance improvement initiatives.

Operations & Resource Management

• Performs charge nurse duties as assigned.
• Coordinates with Clinical Coordinator/Nurse Manager to ensure appropriate supply utilization and sufficient inventory.
• Escalates material or staffing resource deficits to charge nurse or management.
• Demonstrates patient-focused and cost-effective approaches to patient care regarding equipment, staff, supplies, and other resources.
• Documents accurately and thoroughly in compliance with hospital, regulatory, and legal requirements.
• Facilitates patient throughput on a shift basis.

Professional Development & Growth

• Contributes to a supportive environment for colleagues, patients, and healthcare team members.
• Advances clinical competence in nursing practice from novice to expert.
• Projects a professional image and communicates with caring, respect, compassion, and empathy.
• Incorporates ethical principles into decision-making for patients and families.
• Encourages a spirit of scholarship, inquiry, lifelong learning, and innovation for self and others.
• Acquires knowledge and skills relevant to the role, patient population, clinical specialty, and health community needs.
• Participates in shared decision-making through specialty practice councils, nursing department committees, and unit initiatives.
• Serves as a professional role model and preceptor for new staff and students.
• Advances as a clinical leader by acting in the charge role, as a patient throughput facilitator, and a resource person.
• Articulates the values of research and evidence-based practice and its application to nursing practice.
• Contributes to the nursing profession through participation in professional organizations.

Qualifications

Candidates for the Adult ICU New Graduate Fellowship Clinical Nurse position must meet the following criteria:

• Graduation from an accredited Nursing program.
• Bachelor’s Degree in Nursing (BSN).
• Associate’s Degree in Nursing (ADN) RN who is matriculated in a BSN Program with a graduation date within the year.
• Any Associate’s Degree in Nursing (ADN) RN with Nursing experience must be approved by the CNO.
• Relevant clinical competence in the assigned nursing practice area; new graduates must possess current knowledge of the nursing process and its application.
• Licensed as a registered nurse with current registration in New York State.
• Certifications required: Basic Life Saver (BCLS) from AHA. ACLS certification is required for ICU units.

Key skills/competency

• Nursing Process Application
• Patient-Centered Care
• Critical Thinking
• Interdisciplinary Collaboration
• Evidence-Based Practice
• Patient Education
• Quality Improvement
• Safety Protocols
• Relationship-Centered Care
• Professional Development