Senior Registered Nurse (RN), Surgical Acute Care

When you come to the University of Maryland St. Joseph Medical Center, you’re coming to more than simply a beautiful 37-acre, 218-bed suburban Baltimore, Maryland campus. You’re embarking on a professional journey that encourages opportunities, values a team atmosphere, and makes convenience and flexibility a priority. Joining our team of healthcare professionals means you’ll be contributing to a locally and nationally recognized institution. UM St. Joseph has been recognized by The Leapfrog Group as a grade ‘A’ hospital and by U.S. News & World Report as #3 in both the state and Baltimore Metro area, making UM St. Joseph the highest-ranking community hospital in Maryland. In addition, we’ve been consistently recognized as a top employer by Baltimore magazine. 

Nationally Recognized for Expertise in Orthopedics

UM St. Joseph has proudly been rated “High Performing” in Hip Replacement, Knee Replacement and Spinal Fusion by U.S. News & World Report for several consecutive years. Additionally, UM St. Joseph has been recognized as a #1 in the State for Orthopedic Surgery in 2025.

Spine surgery excellence award in 2025

Work Schedule:  3 (12-hour shifts) 7 a.m. 7:30 p.m, Every third weekend requirement

I.    General Summary

This role is designed for the nurse who is a clinical and professional leader at the unit level.  Demonstrates effective and consistent leadership behaviors in advancing evidence based practices, leading unit governance initiatives, and coaching others to achieve and grow in the role of the professional nurse.  Utilizes the institution’s care delivery and professional practice models as the frame of reference for practicing as a professional nurse.  Participates in activities to develop own practice, and to support group practice goals at the unit level.  Is accountable to patient, family and team members for care provided and to the nurse manager for totality of work performance. Is accountable to hold to the Service Standards and to the Nursing Mission, Vision and Values. 

II.        Principal Responsibilities and Tasks

            The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification.  These are not to be construed as an exhaustive list of all job duties performed by personnel so classified.
 

Clinical Practice:

1. Advances clinical practice on the unit; consistently integrates evidence into practice and uses this as a firm foundation for unit practice.
2. Serves as a clinical expert and professional resource for the unit nurses; mentors and coaches other nurses to advance their development.
3. Provides nursing leadership in the development and implementation of unit level evidenced based protocols/procedures.
4. Develops CNI and CNII to effectively function in unit-based roles.
5. Models collaboration with interdisciplinary team to plan and coordinate care; models independent advocacy for patient/family needs.
6. Enhances practice consistent with unit operations to ensure safe, timely, effective, efficient, equitable, patient-centered care.

Professional Development: 

1. Actively engaged in advancing own practice and models that practice in the development of others at the unit level.
2. Mentors and coaches others to achieve and maintain competency required for the patient population served at the unit level.
3. Develops, implements, and evaluates unit based staff development activities.
4. Demonstrates the ability to serve as trained preceptor and coaches CNIIs.
5. Leads development, implementation, and evaluation of unit based orientation and other education activities.
6. Develops, implements, and evaluates the skills and development of nurse support personnel.
7. Completes CE’s on an annual basis based on facility minimum requirements.
8. Member of a Professional Organization.

Service/Quality:

1. Analyze and interpret unit-based outcomes associated with National Hospital Quality Measures, 
2. National Patient Safety Goals, Quality Indicators, Nursing Sensitive Quality Indicators, and Facility 
3. Annual Operating Plan.
4. Develops, implements, and evaluates unit efforts to improve quality, safety, service and satisfaction measures.
5. Provides unit leadership and produces some or all elements of research/EBP/QI.
6. Provides high quality, safe, patient centered care with focus on exceeding service expectations.
7. Accountable for compliance with regulatory requirements and holds others accountable; participates in tracer activities when requested.

Patient Safety

1. Takes action to correct observed risks to patient safety.
2. Reports adverse events and near misses to appropriate management authority.
3. Implements policies, procedures, and guidelines consistently in the performance of assigned duties.
4. Develops effective working relationships and maintains good communication with other team members.
5. Identifies possible risks in processes, procedures, devices and communicates the same to those in charge.
6. Participates in hospital, departmental and/or unit patient safety initiatives.  

Operations:

1. Mentors and coaches others in the function of the charge nurse role.
2. Provides unit leadership in development of teamwork.
3. Leads unit briefings/staff meetings as directed by the unit manager.
4. Leads and fully participates in unit-level governance.
5. Develops, implements and evaluates recruitment and retention strategies at the unit level.
6. Develops, implements, and evaluates peer review at the unit level.  Provides direct performance feedback at the direction of the nurse manager.

Unit Description

The 6th floor is a Surgical unit specializing in the care of the patients before and after surgical procedures. Also supports medical overflow.

Ratio: 4:1 - 5:1

• The surgical patient population we serve includes but is not limited to:
• Hepatobiliary
• Colorectal
• General Surgery
• General orthopaedics (Total Knee, Total Hip, TMA, BKA, etc)
• Ortho spine
• GU (Cystectomy, Prostatectomy, Ileal Conduit, etc)
• GYN
• Head and Neck

Overview of Department Services

The 6th floor Team includes RNs, student nurses, PCTs and Exercise Technicians. We work closely with our rehab partners and have a dedicated therapy gym on the unit. Each service line has dedicated advanced practice providers as part of the surgical team to support enhanced recovery and complex patient needs.

• Licensure as a Registered Nurse in the state of Maryland, or eligible to practice due to Compact state agreements outlined through the MD Board of Nursing, is required.
• BSN or Specialty Certification required.
• Current AHA BLS certification required.
• Must meet all unit specific certification requirements (ACLS, PAL, NRP)
• Relevant clinical work experience related to practice on the unit.

Compensation Pay Range: $39- $53.51
Other Compensation (if applicable): Shift Differential 

All your information will be kept confidential according to EEO guidelines.

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