Frederick Health
Location
Frederick County, Maryland
Salary
$36 - $55 / HOUR
This Registered Nurse Float Pool position involves providing comprehensive, high-acuity medical-surgical care across diverse inpatient areas, including medical/surgical, progressive care, neurology, observation, and oncology units. Essential functions include performing thorough patient assessments, developing and implementing individualized plans of care, and ensuring seamless, evidence-based care delivery while adapting to shifting workforce needs.
Candidates must possess a Bachelor of Science in Nursing (BSN) or equivalent, along with at least one year of acute care experience, and be licensed as an RN in Maryland or a compact state. The role demands advanced clinical judgment, resilience, strong communication skills, and the ability to float between multiple high-acuity units while maintaining competency in various specialty certifications within specified timeframes.
Supports, and is responsible for incorporating into job performance, the Frederick Health (FH) mission, vision, core values and customer service philosophy and adheres to the FH Compliance Program, including following all regulatory requirements and the FH Standards of Behavior.
This Registered Nurse – Float Pool position is a highly skilled role requiring advanced clinical judgment, leadership, and comprehensive medical-surgical expertise to care for diverse, high-acuity patient populations across multiple units within our health system. Assignments include a wide range of inpatient care areas, such as medical/surgical, progressive care, neurology, observation and oncology, with the expectation of delivering seamless, evidence-based care in every setting.
Due to the scope and complexity of this position, the nurse must demonstrate advanced theoretical knowledge, evidence-based practice integration, leadership in care coordination, and strong interprofessional collaboration skills—competencies cultivated through BSN-level education or equivalent.
Float pool RNs are redeployed or shifted based upon workforce gaps requiring them to support our hospital, women’s and children’s division and emergency department, filling a vital role utilizing the nursing process to independently deliver nursing care to patients to achieve quality outcomes. Receive guidance/supervision as needed. Supports and participates in continuous quality improvement activities. Functions within the limits of the State and Federal licensing, regulatory bodies and hospital policies.
· Assesses the biophysical, psychosocial, environmental, self-care, educational and discharge planning of patients according to nursing standards.
· Use knowledge and experience in identifying patient needs and prioritizing treatment. Recognizes and accurately documents and communicates subtle changes in patient assessment.
· Provides initial assessment and reassessments according to current organizational and department standards for Assessment of Patients and Nursing Assessment and documents according to policy.
· Anticipates potential changes in patient’s condition and responds appropriately.
· Anticipates needs based on assessment findings and proposed procedure or course of care.
· Ensures an effective plan of care for assigned patients based upon the standards for planning and providing care.
· Initiates individualized plans of care using nursing diagnosis based on identified patient needs and includes all available resources, e.g., family, caregivers, other disciplines and community agencies.
· Efficiently organizes and prioritizes patient care and seeks assistance when necessary to meet the needs of individual patients.
· Actively participates in the development of standards of care according to departmental, organizational, professional or regulatory standards.
· Implements the plan of care in compliance with hospital and nursing policies in accordance with all appropriate standards.
· Completely and accurately implements and documents nursing interventions and patient response. Communicates pertinent information to patients and members of the health care team in a concise and timely manner utilizing an interdisciplinary approach.
· Assures that the patient/family are updated regarding the status of the patient and any changes in the patient or plan of care as they evolve.
· Demonstrates flexibility in giving and receiving patient assignments in the department and hospital-wide based on skill mix of the staff available and patient care demands.
· Evaluates nursing care, which includes tools and equipment related to patient care.
· Reviews, evaluates and documents effectiveness of interventions, making modifications as needed on the plan of care.
· Evaluates new and existing equipment, policies, procedures and programs.
· Anticipates patient’s response to interventions and collaborates with patient/family and health care team to revise treatment plan accordingly.
· Identifies variances from expected outcomes and makes appropriate recommendations.
· Provides patient/family education
· Current knowledge of health status, condition or disease process; barriers to learning; readiness, willingness and ability to learn
· Cultural, religious, financial and patient preference implications related to learning.
· Identifies learning needs and establishes goals using standardized or individualized teaching plans.
· Implements the plan through direct, interactive teaching with additional use of teaching aids and materials as appropriate. Evaluates effectiveness of teaching.
· Communicates patient/family progress toward learning goals and need for follow-up to other nurses and health care disciplines.
· Integrates discharge planning and referral into the teaching process. Documents teaching per policy.
· Independently offers support to less experienced staff to aid in patient/family teaching.
· Incorporates suggestions for self-development and/or performance into daily practice.
· Meets all requirements of clinical ladder level.
· Actively engages in department efforts to promote retention of staff and provide a high level of employee morale.
· Utilizes supplies, equipment, and technology to ensure quality of patient care.
· Floats to other nursing units in the hospital as requested
· Demonstrates leadership/accountability qualities.
· Consistently utilizes communication style that sets department tone for positive professional behavior. Promotes meaningful focused communication between all members of the healthcare team as appropriate.
· Encourages professional interactions between ancillary healthcare givers, including physicians.
· Demonstrates effective delegation skills as they pertain to nursing staff in the delivery of safe nursing care and communication to peers.
· Demonstrate effective precepting and mentoring skills for RN’s and ancillary staff. Adheres to program policies and participates in effective department orientation.
· Demonstrates accountability for the following which includes but is not limited to:
· Reviewing Quality Assurance report/data for accuracy and completeness according to departmental standards.
· Contributing to the evaluation/auditing process for CNA’s, Technicians, and peers, etc.
· Must complete all Hospital wide and Department specific competencies.
· Eligible for or currently licensed as a Registered Nurse in the State of Maryland or compact state.
· Bachelors degree in Nursing is required (or equivalent) with one year of experience in acute care.
· Certified in Cardiopulmonary Resuscitation (CPR) and BLS certification is required within 90-days of hire.
The following certifications are required for the nursing units that they are floating to. Each certification must be completed within 1 year of hire if support one of these units:
· ACLS: Emergency Department, Float NSG, 4B, 4A, ICU, 4G, Preop, Surgical Services, PACU, Endoscopy Room, Cardiac Cath
· PALS: Emergency Department, Pediatric Combined
· NRP: Labor & Delivery, Family Center, NICU, Women & Children Float
· Oncology/Thoracic-Chemotherapy: 2C
· Base Station: Emergency Department
· C-EFM: Labor & Delivery, Family Center (Antepartum assigned RNs)
· X Neonate (0 thru 30 days)
· X Infant (31 thru 12 months)
· X Child (13 months thru 12 years)
· X Adolescent (13 years thru 17 years)
· X Adult (18 years thru 65 years)
· X Geriatric (66+ years)
Medium-Heavy Work – Lifting up to 100 pounds on an infrequent basis (less than one lift every three minutes) and/or carrying up to 50 pounds while walking. Pushing or pulling up to 115 pounds infrequently or greater than 115 pounds occasionally (no more than once per hour).
Repeating the same motion repeatedly again places stress on the muscles and tendons. The severity of risk depends on how often the action is repeated, the speed of the movement, the required force and muscles involved.
The amount of physical effort required to perform a task (such as moving patients) or to maintain control of equipment or tools. The amount of force depends on the type of grip, the weight of an object or person, body posture, the type of activity and the duration of the task.
Posture is the position your body is in and its effect on the muscle groups that are involved in physical activity. Awkward postures include repeated or prolonged reaching, twisting, bending, kneeling, squatting, working overhead with your hands or arms, or holding fixed positions.
Pressing the body hard on sharp edges can result in placing too much pressure on nerves, tendons, and blood vessels. For example, using the palm of your hand to hit or stick objects can increase risk of musculoskeletal disorders.
Category A – WILL have exposure to blood or body fluids. Exposure to infectious diseases, hazardous materials and highly technical and heavy equipment.
Reports to Department Manager or the manager of the department for a long-term/float assignment. Also receives supervision from the department Director or Hospital Supervisor.
The content of this document reflects the general duties, responsibilities, minimum skills, abilities and competencies necessary to perform the essential functions of the job and should not be considered as an exhaustive detailed description of all the work requirements of the position.
• Variable shifts; minimum of 48 hrs per clinical schedule based on identified hospital needs; 24 of the 48 hours must be on the weekend. Must float to one or more clinical areas. One major and one minor holiday are required annually.
Pay is based on experience, skills and education. If position is part-time, salary will be pro-rated based on scheduled hours. The pay range may also vary within the stated range based on specialty if applicable. Non-Exempt positions may have shift differential and/or Overtime paid, if applicable.
Hourly Rate $36.07 Min -$55.17 Max
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