Stepdown Unit RN
New York City, New York
The Mount Sinai Hospital

Registered Nurse (RN) - Stepdown - Contract

Location: New York, NY
Employment Type: Contract
Shift: Day Shift (7:00 AM – 7:30 PM), every other week required
Contract Length: 13 weeks
Hours: Approximately 11 hours per day, 34.5 hours per week

Job Summary

Provide safe, competent, quality nursing care to a designated group of patients using nursing theory, research, and evidence-based practice. Collaborate with interdisciplinary teams to assess, plan, implement, and evaluate patient care.

Key Responsibilities

Patient Care

• Deliver nursing care based on professional practice models and nursing process.
• Assess and evaluate patient needs using critical thinking.
• Integrate assessment and intervention skills in care delivery.
• Collaborate with healthcare team on care plans.
• Prioritize patient care including teaching, rounding, coaching, and discharge planning.
• Educate patients and caregivers on care plans, health promotion, and disease prevention.
• Communicate professionally 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 review, and discharge wrap-up.
• Respect patient values, preferences, cultural diversity, and expressed needs.
• Establish therapeutic relationships with patients and families.
• Use evidence-based practices to improve patient perception of care.
• Address patient and family concerns and escalate as needed.
• Demonstrate caring, respect, empathy, 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, and nursing research.
• Follow institutional protocols to avoid high-risk behaviors and ensure safety.
• 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.
• Use resources cost-effectively.
• Facilitate patient throughput during shifts.
• Maintain accurate documentation in compliance with regulatory and legal standards.

Professional Development

• Support clinical colleagues, patients, families, and healthcare team members.
• Advance clinical competence from novice to expert.
• Demonstrate professional communication and ethical decision-making.
• Encourage lifelong learning, inquiry, and innovation.
• Participate in shared decision-making through committees and councils.

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 issued by the American Heart Association
• Minimum 2 years of ventilator (vent) experience
• Minimum 2 years of ventricular assist device (VAD) experience
• Minimum 1 year of Progressive Care Unit (PCU) experience within the last year
• Experience in cardiology and telemetry
• Minimum 1 year of travel nursing experience