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Mount Sinai Medical Center · 20 hours ago

Registered Nurse Intern-Acute Care

Miami Beach, FL

Internship

Onsite

Intern

Mount Sinai Medical Center is committed to providing high-quality healthcare and training top healthcare workers. They are seeking a Registered Nurse Intern to assist in the acute care setting, responsible for patient assessments, monitoring, and implementing care plans under supervision.

Health CareHealth DiagnosticsMedical

Responsibilities

Assesses clinical and diagnostic data of the surgical population served

Troubleshoots unit specific equipment

Monitors patient hemodynamic response to interdisciplinary plan of care and intervenes appropriately

Performs tracheostomy care according to hospital policy and procedure

Provides individualized teaching to patients/family requiring surgical procedures, telemetry monitoring, and vasoactive medication administration

Interprets ABG results and intervenes appropriately

Administers medications via PCA or Epidural pumps competently

Assess, monitor, and document patient response to chest tube management

Assesses clinical, diagnostic, and laboratory data of the population served

Prepares surgical patient and demonstrates care post operatively

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

Prepares intravenous solutions using aseptic technique

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 actual or potential skin breakdown

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 as per policy

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/needs, internal or community resources, and support systems

Professional and Staff Development

Obtains 100% mandatory hospital and unit specific inservices annually, prior to evaluation date

Plans, presents, and documents unit inservice 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

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

Qualification

Current FL Nursing LicenseBasic Life SupportAdvanced Cardiac Life SupportPatient AssessmentMedication AdministrationPatient EducationInterpersonal CommunicationTeam Collaboration