About The Position

Performs an age-specific plan of care for a designated group of patients using the nursing process of assessment, diagnosis, outcome identification, planning, implementation, and evaluation. Collaborates with physicians and other health team members to coordinate and implement procedures and treatments. Uses leadership skills and clinical judgment to coordinate patient care and direct or delegate activities of the patient care unit team. The role assesses patients’ physiologic and psychosocial health, identifies outcomes and individualized goals, formulates and implements plans of care, and evaluates results. Responsibilities include administering treatments and medications, assisting with diagnostic procedures, providing wound and pressure-ulcer care, maintaining accurate documentation, ensuring patient safety, and supporting patient and family education, discharge planning, and referrals. The nurse collaborates with the care team and uses clinical judgment when delegating assignments.

Requirements

  • Graduate from an accredited School of Nursing.
  • Must be enrolled in an accredited BSN program within two years and obtain a BSN degree within five years of the job entry date.
  • Current license to practice as a Registered Professional Nurse in New York State.
  • Specialized certifications as needed.
  • One or more years of previous RN experience is highly preferred.

Nice To Haves

  • Bachelor’s Degree in Nursing preferred.
  • One or more years of previous RN experience highly preferred.

Responsibilities

  • Assess patients’ physiologic health, including conducting interviews, reviewing charts, performing comprehensive assessments, evaluating pain, and documenting status and plans of care.
  • Assess patients’ psychosocial health, including coping mechanisms, knowledge, comprehension, cultural and ethnic requirements, and expectations of care; document findings and care plans.
  • Identify patient problems and teaching needs, develop measurable outcomes, and establish individualized patient goals.
  • Formulate and document plans of care, prioritize actions, coordinate resources, and collaborate with physicians and other health team members.
  • Implement plans of care, maintain patient safety, administer prescribed treatments, use necessary equipment, provide emotional support, observe and document patient responses, and respond effectively to emergencies.
  • Participate in discharge planning, provide discharge and self-care instructions, coordinate referrals and follow-up resources, and evaluate patient and family understanding through teach-back and other evidence-based methods.
  • Evaluate the effectiveness of care, document outcomes, perform variance analysis, and design, implement, and evaluate systems to improve care in the unit.
  • Collaborate with physicians or providers and care team members to plan and carry out treatment regimens; assist with treatments and diagnostic procedures; communicate changes in patient condition; and delegate assignments appropriately.
  • Provide preventive skin care and wound care for pressure ulcers, including applying dressings and compresses and performing irrigations according to facility procedures.
  • Administer and document medications safely and correctly, including IV push medications according to department policy; prepare local solutions and IV drips; and educate patients about drug and food interactions.
  • Provide patient and family education, communicate assessment information to the care team and appropriate agencies, use available teaching resources, coordinate post-procedural or operative referrals, and document teaching effectiveness.
  • Perform related duties as required.
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