RN Float – Per Diem


To provide optimal patient/resident care according to current nursing standards. The RN Float is accountable to the Chief Nursing Officer.


The RN Float is accountable and responsible for the provision and coordination of clinically competent care of assigned group of patients/residents that includes assessment, planning, intervention and evaluation. As a member of the clinical care and unit team, the RN participates in decision-making, teaching, leadership functions, research and quality improvement activities that enhance patient/resident care outcomes and unit operations.


The RN Float will float as assigned to two or more departments and is a professional care giver who assumes responsibility and accountability for a group of patients/residents for a designated time frame and provides care to these patients/residents via therapeutic use of self, the nursing process, the therapeutic environment, treatment, and modalities and interdisciplinary collaboration within the scope set forth for Registered Nurses. The RN Float provides high risk nursing care or performs high-risk procedures. This individual may function as team leader of an assigned unit or area and shift. Where nursing care is provided, the nursing process of assessing, diagnosing, outcome identification, planning, implementing and evaluating is the basis for care delivered. The RN Float supports professional nursing care across practice setting and continuum of care to meet the needs of the patient/resident and family. This RN Float provides staffing coverage in any area of the hospital. This individual must possess a high degree of personal flexibility and well-developed communication skills to accommodate mid-day assignment changes.


For Department:

1. Continual implementation of excellent care that assures rapid and optimal recovery.
2. Helps patients/residents understand the aging process and how it affects their health and lifestyles.
3. Monitors the care delivered by the CNA as they assist patients/residents with such basic needs as dressing, eating and bathing, and encourages patients/residents to do things for themselves to retain feelings of independence and self-esteem.

For Operations:

1. Works directly with other departments and medical staff to assure provision of highest standard for total patient/resident care.
2. Patient/resident and family teaching to enhance patients/residents understanding of his/her needs and potentially accelerate recovery; finding ways of maximizing function and maintaining comfort.
3. Liaison activities (e.g., rounds with medical staff) to promote a better understanding between patients/residents, nursing staff and medical staff thus assuring continued quality of communication and care.
4. Meeting individual need through administration and maintenance of comfort, treatment, medication, intravenous infusion and health care.
5. Accurate documentation, reporting and in-depth nursing observation to assure continuity of total patient/resident care.
6. Thorough evaluation of the patient/resident during admission, stay and through discharge.
7. Working knowledge of hospital-wide Order Entry and EHR for each department worked.

For Personnel:

1. Knowledge of and cooperation with personnel policies regarding the staff nurse position.
2. Provide moral support to nursing staff, co-workers and medical staff.
3. Possesses the following qualities: flexibility with scheduling; positive attitudes; easy adjustment to work load increase and demands; maintenance of good physical health.

For Staff Development:

1. Actively participates in hospital programs.
2. Each licensed nursing personnel shall have 30 contact hours of continuing education as required by licensure of the State of Nevada. This will be documented and should include workshops outside the facility.

For Fiscal Responsibility:

1. Work within staffing pattern set by the Chief Nursing Officer, Acute Care Manager and LTC Director.
2. Accountable for classifying each patient/resident according to acuity.

For Quality Assurance:

1. Report to supervisor deviations in quality of care as outlined by current nursing standards.
2. Cooperate with quality assurance programs and actively participate in ongoing concurrent Quality Assurance Monitoring.
3. Ability to pass high Efficiency Respirator Fit and Use Program as required by OSHA Vol. 58 No. 195.
4. Is in compliance with the State of Nevada’s Nurse Practice Act, hospital policies and rules/ regulations.


1. Graduate from an accredited School of Nursing.
2. Current Licensure by the Nevada State Board of Nursing.
3. Current ACLS Certification.
4. Current BLS Certification.
5. Capable both physically and mentally for:
a. Close work with patients/residents, their families, nursing staff and medical staff.
b. Demands of walking and standing most of duty time as well as lifting of patients/residents while caring for their needs.
6. Performs other reasonable related duties as assigned by immediate supervisor and other management as required.