Medical/Surgical 4-North: This forty-bed unit could be a great choice for you, whether you are looking to continue an already established career in med-surg, or just beginning your career path. This unit offers an opportunity to sharpen your nursing and assessment skills, as they see a variety of patients of varying age groups, illnesses, and conditions. The unit has both post-surgical patients and medical patients, ranging from bariatric, thoracic, and gastrointestinal surgical patients to patients with conditions such as pneumonia, pancreatitis, and diverticulitis. An appealing nurse to patient ratio offers the opportunity for an individualized focus on patient care. Join a unit that respects your free time by being sensitive to accommodating PTO use, and whose culture is defined by kindness and compassion.

CentraState Medical Center has an employment opportunity available for a Clinical Leader. The Clinical Leader facilitates culturally sensitive patient care from pre-admission to post discharge by managing, coordinating and monitoring resources to achieve optimal clinical and financial outcomes, resource utilization and quality service. Assists the Nurse Manager in planning, directing and supervising the overall operation of the assigned nursing unit on a 24-hour basis. Functions as a clinical resource and educator to unit/department staff members in area of expertise. Works within the department and as a part CSHS management team to operationalize the patient care and service goals and objectives established by senior management. Bases clinical decisions on evidence-based practice in nursing to achieve desirable outcomes. A patient focused care model utilizing a multidisciplinary approach is used as the method to deliver patient care in the department.

• Assists the Department Head in the continuing effort made by the department to improve the quality of patient care and services.
• Provides considerate respectful care focused upon the patients' individual needs.
• Affirms the patient's right to make decisions regarding his/her medical care, including the decision to discontinue treatment, to the extent permitted by law.
• Demonstrates the ability to obtain information and interpret information in terms of the needs of the age of the patients cared for. Demonstrates an understanding of the range of care needed based on the age of the patients cared for. Successfully completes life-span education as appropriate.
• Successfully completes life-span education as appropriate.
• Obtains a complete nursing history and baseline assessment that is systematic, consistent, and continuous. This assessment is communicated effectively and documented.
• Appropriately analyzes health status data to determine nursing diagnosis and needs for appropriate nursing care, medical intervention or services of other clinical professionals.
• Identifies patient problems and formulates nursing diagnosis according to physical, psychological, spiritual/cultural and educational needs in conjunction with a multi-disciplinary approach.
• Consistently includes patient and family in the development of an individualized plan of care.
• Administers medications as needed following CSHS policies and manufacturer's instructions.
• Takes immediate and appropriate actions in the event of a medication variance occurrence.
• Attends and participates in the multi-disciplinary discharge planning meetings and identifies the need for further services following discharge.
• Provides appropriate education based upon teaching plan.
• Conducts unit based education programs on a routine basis in collaboration with professional development.
• Meets standards for documentation regarding patient education.
• Documents results of patient assessment, nursing diagnosis, care plan nursing interventions and evaluation and patient progress in Medical Records, Nursing Standards of Care/Practice for the specific patient type.
• Recognizes changes in patient condition and/or emergencies situations and takes immediate and appropriate actions.
• Delegates components of care to non-professional caregivers as appropriate and evaluates outcomes.
• Makes decisions that demonstrate knowledge of nursing practice. Utilizes sound nursing judgment in clinical and patient care management situations.
• Demonstrates critical thinking skills in the care of patients and in the coordination of care to assure the achievement of maximum outcome.
• Develops new clinical pathways, monitors patient progress on current clinical pathways, reviews variances with Patient Care Reviewers, reviews variances from Quality Management with Nurse Manager, staff and reports to Nursing Quality Council.
• Follows the clinical progress of all patients. Participates in the development of unit protocols as needed.
• Conducts unit conferences to discuss quality issues and quality improvement strategies.
• Quality Referrals - unit based, follows up on nursing referrals, investigates problem, develops action plan, reviews with Nurse Manager, responds to Quality Management in writing, implements action plan.
• Follows up on patient complaints or concerns, keeps Nurse Manager informed.
• Provides or coordinates at a minimum, 1 formal in-service per year to address unit specific needs.
• Monitors appropriate usage of speciality and Zonaire beds.
• Consistently adheres to hospital policy regarding the insertion, maintenance and removal of foley catheters.
• Able to verbalize and demonstrate proper rationale and techniques surrounding all aspects of indwelling urinary catheter care as per policy # 4668.
• Fulfills the requirements for competencies and completion of annual mandatories surrounding indwelling urinary catheters.
• Takes a patient assignment when necessary.

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• Bachelor’s Degree in Nursing Required
• Master’s Degree in Nursing must be obtained within 3 years from date of hire (or internal transfer) as a condition of employment
• 2 Years of  Inpatient Nursing Experience Required
• 2 Years of Supervisory/Charge Experience Preferred
• RN License / New Jersey Required
• BLS Certification Required
• Certification in specialty must be obtained within two (2) years of hire/promotion
• Strong professional, organizational, and interpersonal skills 

Working Conditions:

• Works in a normal hospital environment with frequent exposure to sick or injured patients.

Exposure:

• Daily exposure to blood and/or body fluids.

Physical Demands:

Sitting –                  Occasionally

Standing/Walking – Frequently

Kneeling/Stooping – Rarely

Bending/Climbing – Rarely

Reaching above shoulder, at waist or below waist – Rarely

Lifting/Pushing or Pulling up to 40 pounds – Rarely

Lifting/Pushing or Pulling over 40 pounds – Occasionally

Typing/Filing – Occasionally

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.