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

Registered Nurse (RN) - Stepdown Unit (Contract)

Location: New York, NY
Shift: 7:00 PM – 7:30 AM
Hours per week: 34.5 hours (11 hours per day)
Contract Length: 13 weeks

Job Summary

Provide safe, competent, quality nursing care to a designated group of patients on a stepdown unit, applying nursing theory, research, and evidence-based practice. Collaborate with interdisciplinary teams to develop and implement patient care plans.

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.
• Educate patients and caregivers on care plans, health promotion, and disease prevention.
• Prioritize patient care activities including teaching, rounding, coaching, and discharge planning.
• Communicate effectively with patients, families, and healthcare team members.
• 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.
• Initiate service recovery for patient or family concerns as needed.
• Demonstrate empathy, respect, and active listening in all interactions.

Quality and Safety

• Practice safe, efficient, patient-centered care and escalate safety concerns appropriately.
• Participate in quality improvement projects, evidence-based practice activities, and nursing research.
• Implement high reliability principles to avoid high-risk behaviors.
• Document nursing practice accurately to support quality and performance improvement.

Operations

• Perform charge nurse duties as assigned.
• Coordinate supply and inventory management for patient care.
• Escalate material or staffing shortages to appropriate leadership.
• Facilitate patient throughput during shifts.
• Maintain compliance with documentation and regulatory standards.

Professional Development

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

Required Qualifications

• Valid Registered Nurse (RN) license in New York State
• Minimum 2 years of Progressive Care Unit (PCU) experience, including within the last year
• Advanced Cardiovascular Life Support (ACLS) certification
• Basic Life Support (BLS) certification issued by the American Heart Association
• Associate of Science in Nursing (ASN) / Associate Degree in Nursing
• Ventilator experience
• Ventricular Assist Device (VAD) experience
• Cardiology experience
• Telemetry experience
• Vascular Access experience