RN Med/Surg 7p-7:30a
Frederick Health, Frederick, MD, United States
Experienced nurses may be eligible for a $30,000.00 sign on bonus for night shift positions.
Unit Description
The 3B patient population is adult/Geriatric generalized Medical/Surgical unit. It manages a wide range of patient conditions, including pre and post‑op care of patients undergoing surgical procedures, and ongoing conditions of complex patients with numerous co‑morbidities and generalized medical complaints. Surgical focus includes general surgery and gynecology.
Schedule
Full time: (3) 12‑hour shifts 7:00 p.m.–7:30 a.m. with weekend and holiday commitment required.
Job Summary
Supports, and is responsible for incorporating the Frederick Health (FH) mission, vision, core values and customer service philosophy into job performance. Adheres to the FH Compliance Program, follows all regulatory requirements, and upholds the FH Standards of Behavior.
Independently provides patient care using the nursing process and performs leadership and teaching duties necessary to support effective patient care. Supports continuous quality improvement activities. Functions within the limits of state and federal licensing, regulatory bodies and hospital policies.
Essential Functions
Assesses the biophysical, psychosocial, environmental, self‑care, educational, and discharge planning needs of patients according to nursing standards.
Uses knowledge and experience in identifying patient needs, prioritizing treatment, and accurately documenting and communicating subtle changes in patient assessment.
Provides initial assessment and reassessments according to current organizational and department standards, documenting according to policy.
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 based on standards for planning and providing care.
Initiates individualized care plans using nursing diagnoses based on identified patient needs, incorporating resources such as family, caregivers, other disciplines and community agencies.
Efficiently organizes and prioritizes patient care, seeking assistance when necessary to meet patient needs.
Actively participates in developing standards of care according to departmental, organizational, professional or regulatory standards.
Implements plans of care in compliance with hospital and nursing policies.
Completely and accurately implements and documents nursing interventions and patient responses, communicating pertinent information in a concise and timely manner.
Updates patients/families regarding status and changes in care as they evolve.
Demonstrates flexibility in assigning and receiving patient assignments on the department and hospital‑wide based on skill mix and patient care demands.
Evaluates nursing care, including equipment related to patient care.
Reviews, evaluates and documents effectiveness of interventions, modifying plans as needed.
Evaluates new and existing equipment, policies, procedures and programs.
Anticipates patient responses to interventions and collaborates with patients/families and the health care team to revise treatment plans accordingly.
Identifies variances from expected outcomes and makes appropriate recommendations.
Provides patient/family education.
Assesses patient/family knowledge of health status, condition, disease process, barriers to learning, readiness, willingness, and ability to learn.
Considers cultural, religious, financial and personal preferences related to learning.
Develops learning goals using standardized or individualized teaching plans.
Implements teaching through direct interactive methods and appropriate teaching aids.
Evaluates teaching effectiveness and communicates progress to nursing and health care disciplines.
Integrates discharge planning and referral into the teaching process, documenting teaching per policy.
Provides support to less experienced staff in patient/family teaching.
Demonstrates professional expectations by incorporating suggestions for self‑development and performance.
Meets all clinical ladder level requirements.
Actively engages in department efforts to promote staff retention and morale.
Utilizes supplies, equipment and technology to ensure quality patient care.
Floats to other units at request.
Demonstrates leadership and accountability qualities.
Promotes positive professional communication within the healthcare team.
Encourages interaction between ancillary health care givers, including physicians.
Delegates effectively within nursing staff, promoting safe nursing care and communication.
Mentors RN’s and ancillary staff, adhering to program policies and effective orientation.
Ensures quality assurance through reviewing reports, auditing peers, and completing all required competencies.
Required Knowledge, Skills and Abilities
Clinical competency in departmental area of practice.
Ability to use technology and equipment in job duties.
Effective interpersonal and communication skills.
Proficient body mechanics during patient, supply, and equipment handling.
Physical stamina for the demanding environment.
Ability to meet qualifications of the FH Clinical Ladder annually.
Maintains confidentiality of patient and employee information.
Competency in operating equipment required for patient care.
Minimum Education, Training and Experience Requirements
Registered Nurse licensure in Maryland or compact state.
Associate degree in Nursing required; Bachelor of Science preferred or obtained within five years.
Certified in Cardiopulmonary Resuscitation (CPR).
Basic Life Support (BLS) certification required for all nurses within 90 days of hire.
Required Certifications
2C (Oncology/Thoracic) – Chemotherapy
4B, 4A, 4G, 2G (Telemetry) – Advanced Cardiac Life Support (ACLS)
L&D, OB/OR – Neonatal Resuscitation (NRP) & C‑EFM within 3 years
Family Center – NRP
NICU – NRP
ICU – ACLS
Peds/Peds ED – Pediatric Advanced Life Support (PALS)
OR – ACLS
Cath Lab – ACLS
PACU – ACLS
ENDO – ACLS
Pre‑Op – ACLS
Emergency Dept – ACLS, PALS, Base Station
Patient Contact
Neonate (0–30 days)
Infant (31 days–12 months)
Child (13 months–12 years)
Adolescent (13–17 years)
Adult (18–65 years)
Geriatric (66+ years)
Physical Demands
Medium‑Heavy Work – Lifting up to 100 pounds infrequently (less than one lift every three minutes) and/or carrying up to 50 pounds while walking. Pushing or pulling up to 115 pounds infrequently or greater than 115 pounds occasionally (no more than once per hour).
Ergonomic Risk Factors
Repetition:
Repeating the same motion over and over stress the muscles and tendons, depending on frequency, speed, force and muscle involvement.
Forceful Exertion:
The amount of physical effort required to move patients or maintain control of equipment or tools.
Awkward Posture:
Reaching, twisting, bending, kneeling, squatting, working overhead or holding fixed positions.
Contact Stress:
Pressing the body on sharp edges can increase risk of musculoskeletal disorders.
Working Conditions
Bloodborne Pathogens Exposure Risk: Category A – Exposure to blood or body fluids, infectious diseases, hazardous materials and highly technical and heavy equipment.
Reporting Relationship
Reports to Department Manager. Also receives supervision from Director or Hospital Supervisor.
Disclaimer
The content of this document reflects the general duties, responsibilities, minimum skills, abilities and competencies necessary to perform the essential functions of the job and should not be considered as an exhaustive detailed description of all the work requirements.
Benefits
Frederick Health offers a comprehensive and affordable benefits package: Health, Dental and Vision insurance after 30 days of employment for employees working at least 20 hours per week. Life insurance, short‑term income replacement and long‑term disability are employer paid for eligible employees. A robust Paid Time Off program, a 403(b) retirement plan with employer match, free financial planning sessions, educational assistance program and an employee assistance program are also provided.
Pay
Pay range: hourly rate $36.07 minimum – $55.17 maximum. Non‑exempt positions may have shift differential and/or overtime paid if applicable.
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Unit Description
The 3B patient population is adult/Geriatric generalized Medical/Surgical unit. It manages a wide range of patient conditions, including pre and post‑op care of patients undergoing surgical procedures, and ongoing conditions of complex patients with numerous co‑morbidities and generalized medical complaints. Surgical focus includes general surgery and gynecology.
Schedule
Full time: (3) 12‑hour shifts 7:00 p.m.–7:30 a.m. with weekend and holiday commitment required.
Job Summary
Supports, and is responsible for incorporating the Frederick Health (FH) mission, vision, core values and customer service philosophy into job performance. Adheres to the FH Compliance Program, follows all regulatory requirements, and upholds the FH Standards of Behavior.
Independently provides patient care using the nursing process and performs leadership and teaching duties necessary to support effective patient care. Supports continuous quality improvement activities. Functions within the limits of state and federal licensing, regulatory bodies and hospital policies.
Essential Functions
Assesses the biophysical, psychosocial, environmental, self‑care, educational, and discharge planning needs of patients according to nursing standards.
Uses knowledge and experience in identifying patient needs, prioritizing treatment, and accurately documenting and communicating subtle changes in patient assessment.
Provides initial assessment and reassessments according to current organizational and department standards, documenting according to policy.
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 based on standards for planning and providing care.
Initiates individualized care plans using nursing diagnoses based on identified patient needs, incorporating resources such as family, caregivers, other disciplines and community agencies.
Efficiently organizes and prioritizes patient care, seeking assistance when necessary to meet patient needs.
Actively participates in developing standards of care according to departmental, organizational, professional or regulatory standards.
Implements plans of care in compliance with hospital and nursing policies.
Completely and accurately implements and documents nursing interventions and patient responses, communicating pertinent information in a concise and timely manner.
Updates patients/families regarding status and changes in care as they evolve.
Demonstrates flexibility in assigning and receiving patient assignments on the department and hospital‑wide based on skill mix and patient care demands.
Evaluates nursing care, including equipment related to patient care.
Reviews, evaluates and documents effectiveness of interventions, modifying plans as needed.
Evaluates new and existing equipment, policies, procedures and programs.
Anticipates patient responses to interventions and collaborates with patients/families and the health care team to revise treatment plans accordingly.
Identifies variances from expected outcomes and makes appropriate recommendations.
Provides patient/family education.
Assesses patient/family knowledge of health status, condition, disease process, barriers to learning, readiness, willingness, and ability to learn.
Considers cultural, religious, financial and personal preferences related to learning.
Develops learning goals using standardized or individualized teaching plans.
Implements teaching through direct interactive methods and appropriate teaching aids.
Evaluates teaching effectiveness and communicates progress to nursing and health care disciplines.
Integrates discharge planning and referral into the teaching process, documenting teaching per policy.
Provides support to less experienced staff in patient/family teaching.
Demonstrates professional expectations by incorporating suggestions for self‑development and performance.
Meets all clinical ladder level requirements.
Actively engages in department efforts to promote staff retention and morale.
Utilizes supplies, equipment and technology to ensure quality patient care.
Floats to other units at request.
Demonstrates leadership and accountability qualities.
Promotes positive professional communication within the healthcare team.
Encourages interaction between ancillary health care givers, including physicians.
Delegates effectively within nursing staff, promoting safe nursing care and communication.
Mentors RN’s and ancillary staff, adhering to program policies and effective orientation.
Ensures quality assurance through reviewing reports, auditing peers, and completing all required competencies.
Required Knowledge, Skills and Abilities
Clinical competency in departmental area of practice.
Ability to use technology and equipment in job duties.
Effective interpersonal and communication skills.
Proficient body mechanics during patient, supply, and equipment handling.
Physical stamina for the demanding environment.
Ability to meet qualifications of the FH Clinical Ladder annually.
Maintains confidentiality of patient and employee information.
Competency in operating equipment required for patient care.
Minimum Education, Training and Experience Requirements
Registered Nurse licensure in Maryland or compact state.
Associate degree in Nursing required; Bachelor of Science preferred or obtained within five years.
Certified in Cardiopulmonary Resuscitation (CPR).
Basic Life Support (BLS) certification required for all nurses within 90 days of hire.
Required Certifications
2C (Oncology/Thoracic) – Chemotherapy
4B, 4A, 4G, 2G (Telemetry) – Advanced Cardiac Life Support (ACLS)
L&D, OB/OR – Neonatal Resuscitation (NRP) & C‑EFM within 3 years
Family Center – NRP
NICU – NRP
ICU – ACLS
Peds/Peds ED – Pediatric Advanced Life Support (PALS)
OR – ACLS
Cath Lab – ACLS
PACU – ACLS
ENDO – ACLS
Pre‑Op – ACLS
Emergency Dept – ACLS, PALS, Base Station
Patient Contact
Neonate (0–30 days)
Infant (31 days–12 months)
Child (13 months–12 years)
Adolescent (13–17 years)
Adult (18–65 years)
Geriatric (66+ years)
Physical Demands
Medium‑Heavy Work – Lifting up to 100 pounds infrequently (less than one lift every three minutes) and/or carrying up to 50 pounds while walking. Pushing or pulling up to 115 pounds infrequently or greater than 115 pounds occasionally (no more than once per hour).
Ergonomic Risk Factors
Repetition:
Repeating the same motion over and over stress the muscles and tendons, depending on frequency, speed, force and muscle involvement.
Forceful Exertion:
The amount of physical effort required to move patients or maintain control of equipment or tools.
Awkward Posture:
Reaching, twisting, bending, kneeling, squatting, working overhead or holding fixed positions.
Contact Stress:
Pressing the body on sharp edges can increase risk of musculoskeletal disorders.
Working Conditions
Bloodborne Pathogens Exposure Risk: Category A – Exposure to blood or body fluids, infectious diseases, hazardous materials and highly technical and heavy equipment.
Reporting Relationship
Reports to Department Manager. Also receives supervision from Director or Hospital Supervisor.
Disclaimer
The content of this document reflects the general duties, responsibilities, minimum skills, abilities and competencies necessary to perform the essential functions of the job and should not be considered as an exhaustive detailed description of all the work requirements.
Benefits
Frederick Health offers a comprehensive and affordable benefits package: Health, Dental and Vision insurance after 30 days of employment for employees working at least 20 hours per week. Life insurance, short‑term income replacement and long‑term disability are employer paid for eligible employees. A robust Paid Time Off program, a 403(b) retirement plan with employer match, free financial planning sessions, educational assistance program and an employee assistance program are also provided.
Pay
Pay range: hourly rate $36.07 minimum – $55.17 maximum. Non‑exempt positions may have shift differential and/or overtime paid if applicable.
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