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. Assesses patients’ physical and psychosocial health, pain, mobility, sensory status, skin condition, coping mechanisms, knowledge, and learning needs. Develops individualized goals and care plans, implements and revises them as needed, and evaluates patient outcomes. Provides treatments, medications, procedures, patient and family education, emotional support, discharge planning, and referrals. Maintains accurate documentation and communicates relevant patient information to the care team. Applies clinical judgment in coordinating care and delegating assignments, assists physicians with treatments and diagnostic procedures, responds to emergencies, and contributes to performance improvement and systems that improve unit care. Performs related duties as required.

Requirements

  • Graduate from an accredited School of Nursing.
  • Current license to practice as a Registered Professional Nurse in New York State.
  • Must be enrolled in an accredited BSN program within two years and obtain a BSN degree within five years of job entry.
  • Specialized certifications as needed.

Nice To Haves

  • Bachelor’s Degree in Nursing preferred.
  • Minimum 1–2 years of RN Operating experience preferred.

Responsibilities

  • Conduct patient interviews, explain policies and procedures, review charts, and answer patient and significant-other questions.
  • Assess patients’ physical, psychosocial, developmental, and educational needs, including pain and pain management.
  • Develop individualized patient outcomes, goals, and care plans; prioritize care activities and revise plans as needed.
  • Coordinate cost-effective use of supplies, equipment, and medication.
  • Implement prescribed treatments and care plans, apply scientific principles, and use patient-care equipment correctly and safely.
  • Maintain patient safety and provide emotional support and a calm, restful environment.
  • Observe patients during treatments and procedures, report changes, and document treatment, activity, condition, and responses to interventions.
  • Collaborate with physicians and other care team members in planning and carrying out treatment regimens.
  • Assist physicians during treatments and diagnostic procedures and keep the Patient Care Manager/designee and/or physician informed of relevant changes.
  • Use clinical judgment to delegate assignments and direct other care team members; ensure assignments are completed in a timely manner.
  • Perform grade I-IV decubitus care, preventive skin care, simple dressings using aseptic technique, warm and cold compresses, irrigations, and other skin-care procedures as needed.
  • Administer and document medications correctly and safely; identify medication actions, dosages, side effects, and patient implications; prepare local solutions.
  • Educate patients and significant others about conditions, medications, drug and food interactions, and other relevant care topics; evaluate and document teaching effectiveness.
  • Plan for discharge, coordinate referrals for post-hospital care, and provide discharge instructions.
  • Evaluate care and patient outcomes, measure effectiveness, conduct variance analysis, and contribute to performance-improvement systems.
  • Perform related duties as required.
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