Registered Nurse Rehab
Mount Sinai Medical Center, Miami Beach, FL, United States
Med Surg Rehabilitation Responsibilities
Successfully completed FIM Training program.
Understands functional activities of daily living and is able to assess level at which patient performs specific activity.
Documents the patient's level of function in terms of level of assistance needed.
Able to provide education on rehab equipment.
Able to provide education on safety precautions for patients with post hip surgery, knee surgery, back surgery, and CVA.
Assessment
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 systems assessment at the beginning of each shift.
Responds to diagnostic data and initiates appropriate action or intervention.
Assesses patient education needs on admission and daily.
Assesses psychosocial needs specific to patient's age, growth, and development.
Planning
Initiates an interdisciplinary plan of care within eight hours of admission.
Establishes priorities for patient care based on patient needs as evidenced by completion of assigned duties within shift.
Implementation
Verbalizes understanding of patient diagnosis and interdisciplinary plan of care.
Safely and correctly initiates and documents nursing interventions in emergency situations.
Performs 24‑hour chart check at the beginning of each shift.
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 instruction for each assigned surgical patient during shift.
Adheres to standard precautions including hand hygiene guidelines at all times.
Documents specific patient valuables on designated form when received and immediately arranges for 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 feedings via NG tube, G tube, and/or J tube.
Reports all abnormal findings immediately to physician.
Initiates wound and skin protocol upon identification of risk.
Performs ostomy care to include irrigation, appliance usage, and reinforcement of teaching.
Inserts intermittent or indwelling urinary catheter using aseptic technique.
Administers oxygen therapy according to physician order.
Transfers patients in/out of the unit in an efficient manner, by obtaining a complete and correct set of physician's orders. Completes documentation of transfer summary. Ensures appropriate completed referral forms accompany intra‑facility transfers including giving/receiving of report.
Demonstrates safe and correct use of restraints.
Evaluation
Documents/reports patient responses or outcomes resulting from nursing interventions, treatments/procedures, interpersonal interactions, and patient/family education.
Evaluates and documents patient's progress towards established goals/objectives every shift.
Updates/revises patient care problem list and individualized patient care standards based on patient/family responses, progress towards goals, and/or change in medical status every shift.
Evaluates patient length of stay and related transfer/discharge planning needs based on anticipated problems, internal or community resources, and support systems.
Professional and Staff Development
Obtains 100% of mandatory hospital and unit specific in‑services annually, prior to evaluation date.
Plans, presents, and documents unit in‑service as required by level.
Documents competency in clinical skills annually.
Attends staff meetings as required.
Uses established lines of communication for resolution of problems and interpersonal conflict.
Leadership
Ensures productivity daily by delegating assignments to immediate subordinates at the beginning of the shift and evaluates completion of duties assigned.
Participates in PI program by identifying PI indicators of major aspects of care at the unit level.
Collects PI data as assigned.
Documents and charges supplies used daily.
Qualifications
License/Registration/Certification
Current FL Nursing License, Current Basic Life Support Certification. Current Advanced Cardiac Life Support required
Education
None
Experience
Level I: Entry level.
Benefits
Health benefits
Life insurance
Long‑term disability coverage
Healthcare spending accounts
Retirement plan
Paid time off
Pet Insurance
Tuition reimbursement
Employee assistance programWellness program
On‑site housing for select positions and more!
#J-18808-Ljbffr
Successfully completed FIM Training program.
Understands functional activities of daily living and is able to assess level at which patient performs specific activity.
Documents the patient's level of function in terms of level of assistance needed.
Able to provide education on rehab equipment.
Able to provide education on safety precautions for patients with post hip surgery, knee surgery, back surgery, and CVA.
Assessment
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 systems assessment at the beginning of each shift.
Responds to diagnostic data and initiates appropriate action or intervention.
Assesses patient education needs on admission and daily.
Assesses psychosocial needs specific to patient's age, growth, and development.
Planning
Initiates an interdisciplinary plan of care within eight hours of admission.
Establishes priorities for patient care based on patient needs as evidenced by completion of assigned duties within shift.
Implementation
Verbalizes understanding of patient diagnosis and interdisciplinary plan of care.
Safely and correctly initiates and documents nursing interventions in emergency situations.
Performs 24‑hour chart check at the beginning of each shift.
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 instruction for each assigned surgical patient during shift.
Adheres to standard precautions including hand hygiene guidelines at all times.
Documents specific patient valuables on designated form when received and immediately arranges for 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 feedings via NG tube, G tube, and/or J tube.
Reports all abnormal findings immediately to physician.
Initiates wound and skin protocol upon identification of risk.
Performs ostomy care to include irrigation, appliance usage, and reinforcement of teaching.
Inserts intermittent or indwelling urinary catheter using aseptic technique.
Administers oxygen therapy according to physician order.
Transfers patients in/out of the unit in an efficient manner, by obtaining a complete and correct set of physician's orders. Completes documentation of transfer summary. Ensures appropriate completed referral forms accompany intra‑facility transfers including giving/receiving of report.
Demonstrates safe and correct use of restraints.
Evaluation
Documents/reports patient responses or outcomes resulting from nursing interventions, treatments/procedures, interpersonal interactions, and patient/family education.
Evaluates and documents patient's progress towards established goals/objectives every shift.
Updates/revises patient care problem list and individualized patient care standards based on patient/family responses, progress towards goals, and/or change in medical status every shift.
Evaluates patient length of stay and related transfer/discharge planning needs based on anticipated problems, internal or community resources, and support systems.
Professional and Staff Development
Obtains 100% of mandatory hospital and unit specific in‑services annually, prior to evaluation date.
Plans, presents, and documents unit in‑service as required by level.
Documents competency in clinical skills annually.
Attends staff meetings as required.
Uses established lines of communication for resolution of problems and interpersonal conflict.
Leadership
Ensures productivity daily by delegating assignments to immediate subordinates at the beginning of the shift and evaluates completion of duties assigned.
Participates in PI program by identifying PI indicators of major aspects of care at the unit level.
Collects PI data as assigned.
Documents and charges supplies used daily.
Qualifications
License/Registration/Certification
Current FL Nursing License, Current Basic Life Support Certification. Current Advanced Cardiac Life Support required
Education
None
Experience
Level I: Entry level.
Benefits
Health benefits
Life insurance
Long‑term disability coverage
Healthcare spending accounts
Retirement plan
Paid time off
Pet Insurance
Tuition reimbursement
Employee assistance programWellness program
On‑site housing for select positions and more!
#J-18808-Ljbffr