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 includes assessing patients’ physiologic and psychosocial health, identifying patient outcomes, and developing individualized care plans and priorities. The nurse implements and evaluates care, administers medications and treatments safely, documents patient status and response, supports patients and families, and collaborates with other care team members. The position also includes skin and decubitus care, patient and family education, discharge planning, and related duties as required.

Requirements

  • Graduate from an accredited School of Nursing.
  • Associate’s Degree in Nursing required.
  • Minimum 1–2 years of professional nursing experience in the related specialty.
  • Current license to practice as a Registered Professional Nurse in New York State required.
  • BLS required, plus specialized certifications as needed.
  • Meet the standard on the medication administration examination.

Nice To Haves

  • Bachelor’s Degree in Nursing preferred.

Responsibilities

  • Assess patients’ physiologic health, including gastrointestinal, cardiovascular, respiratory, renal, and neurological status; mobility, sensory deficits, prosthesis use, skin condition, and pain.
  • Assess patients’ psychosocial health, coping mechanisms, knowledge, comprehension, cultural and ethnic requirements, and expectations of care; communicate and document findings and care plans.
  • Identify actual and potential patient problems, teaching needs, outcome criteria, and individualized patient goals.
  • Formulate and document plans of care, establish priorities, and coordinate cost-effective use of supplies, equipment, and medication.
  • Implement plans of care, maintain patient safety, administer prescribed treatments, use patient-care equipment, reassess patients, and revise care plans as needed.
  • Observe, report, and document patients’ conditions, treatments, activities, and responses to medical and nursing interventions according to departmental policy.
  • Respond effectively to emergency situations and provide emotional support to patients and significant others.
  • Participate in discharge planning, coordinate referrals, and provide discharge instructions.
  • Evaluate care outcomes, perform variance analysis for performance improvement, and design, implement, and evaluate systems to improve unit care.
  • Collaborate with physicians and other care team members on treatment plans, interpret and implement prescribed regimens, assist with treatments and diagnostic procedures, and report changes in patient condition or treatment.
  • Use clinical judgment to delegate assignments to patient care associates and clerical service associates and ensure work is completed in a timely manner.
  • Perform grade I–IV decubitus care, preventive skin care, simple dressings, warm and cold compresses, irrigations, and other skin-care procedures as needed.
  • Administer and document medications safely, including IV-push medications and IV drips; understand medication actions, dosages, side effects, and implications; and educate patients about drug and food interactions.
  • Educate patients and families about conditions, communicate assessment data to the care team and appropriate agencies, use health-teaching resources, and evaluate and document the effectiveness of teaching.
  • Perform related duties as required.
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