Stepdown Registered Nurse
New York City, New York
The Mount Sinai Hospital

Registered Nurse - Stepdown (Contract)

Location: New York, NY
Shift: 7:00 PM – 7:30 AM
Hours per Week: 34.5 hours
Contract Length: 13 weeks

Job Summary

Provide safe, competent, quality nursing care to a designated group of patients using evidence-based practice and nursing theory. Collaborate with interdisciplinary teams to develop and implement patient care plans, prioritize patient needs, and educate patients and caregivers.

Key Responsibilities

Patient Care

• Deliver nursing care based on professional practice models and nursing process.
• Assess and evaluate patient care needs using critical thinking.
• Integrate assessment and intervention skills in nursing care delivery.
• Collaborate with healthcare team members on care planning and evaluation.
• Prioritize patient care including teaching, rounding, coaching, and discharge planning.
• Educate patients and caregivers on care plans, health promotion, and disease prevention.
• Communicate effectively with patients, families, and care teams.
• Manage assignments within a Modified Primary Nursing care delivery model.

Patient Experience

• Facilitate patient-centered care activities such as bedside shift reports, purposeful hourly rounding, medication reviews, and discharge wrap-ups.
• Respect patient values, preferences, cultural diversity, and expressed needs.
• Establish therapeutic relationships with patients and families.
• Use evidence-based practices to improve patient perceptions of care.
• Address patient and family concerns and escalate as needed.
• Demonstrate empathy, respect, and active listening.

Quality and Safety

• Practice safe, efficient, patient-centered care and identify barriers to improvement.
• Demonstrate clinical skills essential to patient safety and quality.
• Participate in quality improvement projects, evidence-based practice activities, and nursing research.
• Follow institutional protocols to avoid high-risk behaviors and ensure a safe environment.
• Document nursing practice accurately to support quality initiatives.

Operations

• Perform charge nurse duties as assigned.
• Coordinate supply and inventory management for patient care.
• Escalate material or staffing shortages appropriately.
• Promote cost-effective patient care resource utilization.
• Facilitate patient throughput during shifts.
• Maintain thorough and compliant documentation.

Professional Development

• Support colleagues, patients, families, and healthcare team members.
• Advance clinical competence from novice to expert.
• Demonstrate professionalism, ethical decision-making, and effective communication.
• Encourage lifelong learning, scholarship, and innovation.
• Participate in specialty practice councils, committees, and unit initiatives.

Required Qualifications

• Valid Registered Nurse (RN) license in New York State.
• Bachelor of Science in Nursing (BSN).
• Basic Life Support (BLS) certification.
• Advanced Cardiovascular Life Support (ACLS) certification.
• Minimum 2 years of experience in cardiac stepdown nursing, including experience within the last year.
• Minimum 2 years of cardiology experience.
• Minimum 2 years of ventricular assist device (VAD) experience.
• Experience in telemetry nursing.