Clinical Nurse- Environmental Medicine

The Clinical Nurse is a Registered Professional Nurse who provides safe, competent quality care based on nursing theory and research to a designated group of patients and significant others.

Patient Care

• Delivers patient care by incorporating the tenets of the professional practice model of Relationship Centered Care and through the application of the nursing process based upon theory, research, evidence-based practice, and approved organizational nursing standards.
• Assesses and evaluates patient care needs and applies critical thinking skills in patient care management.
• Integrates relevant assessment and intervention skills in the delivery of nursing care.
• Collaborates with the interdisciplinary healthcare team in the development, implementation, and evaluation of the plan of care.
• Prioritizes all aspects of patient care including teaching, rounding, coaching, and planning after hospital care and delegating to others as appropriate.
• Educates patients and caregivers while anticipating needs and readiness to learn about their plan of care, transition of care, promotion of health, and prevention of disease.
• Communicates effectively and professionally with patients, family and all members of the Interdisciplinary Patient Care Team.
• Manages assignments within the Care Delivery Model of Modified Primary Nursing and demonstrates allocation of material resources effectively.

Patient Experience

• Role models the tenets of Mount Sinai Relationship Centered Care (MSHRCC) through facilitation of the following actions including, but not limited to, Admission Welcome, Bedside shift Report, HELP, AM/PM Care, 5 Minute Sit Down, Purposeful Hourly Rounding, Medication Review, Discharge Wrap Up, and MD/RN Unit Collaboration.
• Considers the patients values, preferences, expressed needs and knowledge in all aspects of care.
• Establishes and maintains a therapeutic relationship with the patient and family.
• Uses evidence-based practices to increase understanding of patients perceptions of care.
• Initiates service recovery for patients and family members who have concerns and escalates to Clinical Nurse Manager/Assistant Nurse Manager/Nursing Shift Manager or Patient Relations as needed.
• Demonstrates caring, respect, compassion, empathy and active listening through dialogue, body language and actions.
• Supports staff use of evidence-based practices to increase understanding of patients perceptions of care.
• Conducts Purposeful Hourly Rounding (PHR) on assigned patients addressing the 4 Ps.

Quality and Safety

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

Operations

• Performs charge nurse duties as assigned.
• Coordinates with the Clinical Coordinator/Clinical Nurse Manager/Assistant Nurse Manager/Nursing Shift Manager to ensure supplies are appropriately utilized and inventory is sufficient for patient care.
• Escalates material or staffing resource deficits to charge nurse, Clinical Nurse Manager/Assistant Nurse Manager or Nursing Shift Manager.
• Demonstrates patient focused and cost-effective approaches to patient care in terms of equipment, staff, supplies and all other resources.
• Documents in an accurate and thorough manner in compliance with hospital, regulatory and legal requirements and standards of care.

Professional Development

• Contributes to the environment of care to support clinical colleagues, patients and their families and members of the healthcare team.
• Advances clinical competence in nursing practice to progress from novice to expert.
• Projects a professional image to colleagues and communicates with styles and methods that demonstrate caring, respect, compassion and empathy.
• Incorporates ethical principles into decision making for patient and family.
• Encourages and demonstrates a spirit of scholarship, inquiry, life-long learning and innovation for self and others.
• Acquires knowledge and skills relative to the role, patient population, clinical specialty and local and/or global 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 through acting in the charge role, as a patient throughput facilitator and resource person for the unit/clinical service area.
• Articulates the values of research and evidence-based practice and its application to nursing practice and the environment of care.
• Contributes to the profession of nursing through participation in professional organizations.

• 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 area of nursing practice assigned; new graduates must possess current knowledge of the nursing process and its application.
• Licensing and Certification Requirements (if applicable)
•          License: Registered Nurse (current registration)
•          Issuing Agency: Department of Health/Office of Professions
•          Name: Basic Life Saver (BCLS) Issuing Agency: AHA
•          Certification: NRP (Labor and Delivery, NICU dept)
•          Certification: ACLS (in ED; PACU/ASU; ICUs; Telemetry Units; SDU; IR, Interventional Cardiology (CCL/EP/Echo); L&D; Endoscopy, and APN Adult Oncology
•          Certification: PALS (in ED; PACU; IR; Peds ICU, and APNs Pediatric Oncology depts.)

Collective bargaining unit: NYSNA-MSH