Float Pool Registered Nurse II- FT/Nights

Job Title: Float RN II – Float Pool RN II: Competent to float to any unit in the facility/organization – Full Time: 3 shifts per week, weekend availability required

Base Rate: $49.87 to $73.32

12‑hour shifts – paid overtime after 8 hours, resulting in an average rate of $58.18 - $85.54

Sign‑on/Retention Bonus: $10,000 / Full Time Only

Job Summary

The Float Pool Registered Nurse (RN) can be assigned to any unit within the floating cluster assigned, per the competency without any exception. The Float Pool RN is responsible for the provision and coordination of patient‑centered care in the assigned area and follows the nursing process in the safe delivery of patient care. The Float Pool RN coordinates care to achieve desired outcomes, participates in patient and family teaching and provides leadership by delegating and working cooperatively and collaboratively with ancillary, nursing and other patient team members to maintain standards for professional nursing practice and performance in the clinical setting. The Float Pool RN must be able to demonstrate knowledge and skills necessary to provide care and service to all patients in the assigned unit. Works in close coordination with the House Supervisors and Nursing Directors to troubleshoot staffing issues to ensure safe staffing throughout the hospital. Delivers comprehensive, regulatory‑compliant nursing care across diverse acute care units, including Medical/Surgical, Telemetry, Behavioral Health, ED, ICU, PACU, as assigned. Actively and consistently contributes to the delivery of patient care, operations and communications, behaves in a manner consistent with the mission, vision, and values of Pipeline Health, upholding standards of AIDET patient communication.

Essential Functions

• Competent practicing in all units assigned within the float pool cluster
• Float Pool RN II: Competent to float to any unit in the facility/organization
• Change dressings, insert catheters, and start IVs.
• Accurately obtain & record results of assessment, care delivery, medication and administration, treatments, responses in the electronic medical record or on design documents.
• Adjust specialized medical equipment as needed, interpret and record measurements.
• Monitor patients' vital signs and report adverse reactions to medication in a timely manner.
• Answer questions and educate patients and families on surgical procedures and post‑surgery care.
• Maintain and update patient files, medical charts, and health records.
• Collect current symptoms, detailed patient history and consults and coordinate with healthcare team members to assess, plan, implement & evaluate patient care plans.
• Organize and plan care of patients, with the ability to assess, determine treatment rationale and delivery, follow protocols, administer medications with accuracy and knowledge, educate patients.
• Attend and/or complete monthly, annual, and assigned training.
• Perform daily checks of and clean equipment such as monitors, code equipment, crash cart checks and oxygen cylinders.
• Prepare and administer medications using the rights established by the State Board of Nursing and facility policies and procedures.
• Use clear, concise, professional communication with coworkers, patients, and all customers internal and external.
• Use AIDET in interactions with patients and family members. Utilize white boards for patient communication.
• Collaborate across disciplines to coordinate patient care, including patient transfer, discharge, referrals, and spiritual/psychosocial support needs.
• Monitor patients using proper equipment as ordered.
• Triage patients appropriately using the ESI (Emergency Severity Index) system.
• Arrive to work prepared to receive patient report on time.
• Provide discharge instructions, follow up care and education to patients and family members.
• Abide by HIPAA regulations.
• Utilize SBAR when communicating with oncoming shift, physician communication, and giving reports to ancillary or other nursing services.
• Utilize the Nursing Process ADPIE to secure individualized and methodical patient care.
• Speak up to stop the line and escalates potential safety events if necessary.
• Act quickly, appropriately and with a sense of urgency in the delivery of patient care.
• Stabilize patients by coordinating with medical staff providers, EMS, coworkers, patients, and family members in a professional, calm manner.
• Stock assigned rooms and keep work areas clean.
• Other duties as assigned.

Wound Care

• Conduct comprehensive wound assessments to determine the etiology, depth, and extent of wounds.
• Develop and implement individualized wound care plans based on patient needs and evidence‑based practices.
• Select and apply appropriate wound dressings and therapies, including negative pressure wound therapy, hyperbaric oxygen therapy, and bioengineered skin substitutes.
• Monitor wound progression and document healing at regular intervals.
• Educate patients and their families on wound care techniques, self‑management strategies, and signs of infection.
• Stay up to date with the latest wound care research and clinical practice guidelines.

Emergency Department

• Collect current symptoms, detailed patient history and consult and coordinate with healthcare team members to assess, plan, implement & evaluate patient care plans.
• Organize and plan care in the emergency department with the ability to assess, determine treatment rationale and delivery, follow protocols, administer medications with accuracy and knowledge, and educate patients.
• Perform daily checks of and clean equipment such as monitors, code equipment, crash cart checks and oxygen cylinders.
• Maintain care standards established by the Emergency Nurses Association (ENA) and facility policies and procedures.
• Stabilize patients by coordinating with medical staff providers, EMS, coworkers, patients, and family members in a professional, calm manner.

Behavioral Health

• Provide direct patient care to a specified patient population.
• Appropriately manage the care of mental health patients, maintaining department standards of quality.
• Perform basic nursing procedures, specific unit‑based procedures and/or standardized procedures safely, accurately, and efficiently per policy and procedure.
• Incorporate interventions that communicate acceptance of the patients' beliefs, culture, religion, and socioeconomic background.
• Interact with patients on a one‑to‑one basis in a therapeutic manner.
• Monitor the safety of the therapeutic milieu and assist in managing the assaultive patient.
• Participate in monitoring patient outcomes to evaluate effectiveness of care provided and to identify organizational performance improvement opportunities.
• Understand the legal aspects of nursing and the importance of accurate and timely documentation according to standards and policy and procedure.
• Document evaluated findings in the patient record.
• Demonstrate efforts to maintain and improve knowledge and skills through in‑service and continuing education.
• Attend weekly multidisciplinary meetings to update and individualize master treatment plans according to patient needs.

Telemetry

• Monitor EKG output and keep doctors informed of any changes.
• Record vital signs, including oxygen levels, blood pressure, breathing patterns.

ICU

• Care for patient needs throughout their recovery in the ICU unit.
• Deliver regular updates to doctors, patients, and their families.
• Manage ventilators and artificial airways.
• Respond to medical emergencies.
• Participate in quality improvement initiatives to enhance wound care outcomes.

PACU

• Assess, plan, intervene and evaluate the care of pre‑ and post‑operative patients.
• Instruct patients and families regarding medications and treatment instructions.
• Maintain and review patients' records including posting tests and examination results.
• Administer medications in accordance with physician orders.
• Provide and evaluate patients prior to surgery, during surgery, and after surgery.
• Discharge outpatients per protocol.
• Document in the electronic medical records and logbooks.
• Stock assigned area and maintain clean work areas.
• Participate in department performance improvement initiatives.
• Provide care throughout the continuum.

Behavioral Standards

• Treat everyone as a customer; utilize scripting and other tools to ensure consistency in customer service; express recognition and show appreciation to others; fully utilize AIDET principles; respond quickly to handle requests, complaints, and questions; display a positive attitude.
• Demonstrate the highest level of professionalism, passion and care when interacting with patients, families, physicians, and hospital staff members.
• Use a lens of equity in all aspects of patient care delivery, education, and research to promote policies and practices that allow opportunities for all to thrive and reach their potential, embracing ingenuity to serve our customers.

Communication / Knowledge

• Wear nametag properly; follow dress code policy; answer phone correctly and promptly; be prepared for meetings; meet deadlines; avoid gossip; act ethically and treat others with respect; respect customers' and co‑workers' time; establish and maintain effective relationships with customers and co‑workers.

Collaboration / Teamwork

• Attend staff meetings; follow HIPAA guidelines; follow patient rights policy; comply with the compliance program; demonstrate knowledge of role in a disaster; demonstrate knowledge of fire and fire drill procedures; working knowledge of hospital emergency codes; always utilize standard precautions in the clinical setting; safely manage the environment of care by demonstrating a working knowledge of the requirements of Life Safety, Utilities Management, Hazardous Materials, Emergency Preparedness, Safety Management, Medical Equipment Management, and Security Management programs.

Qualifications / Experience

All Float Pool RNs:

• Minimum one (1) year experience in a Float Pool unit of the expertise applied for; two (2) years preferred.
• In‑depth knowledge of best practices in the area/specialty applied for.
• Adaptable to changing departments, work schedules, and patient needs.
• Critical thinking, service excellence and good interpersonal communication skills, ability to read and comprehend written instructions, strong organizational skills, ability to follow verbal instructions, and PC skills.
• A capacity to learn, synthesize, make critical judgments, work independently, place patients and families first, and collaborate with the team members who are recognized leaders within healthcare.