Registered Nurse - Psych

Northwell Health

About The Position

Performs an age-specific plan of care for a designated group of patients using the nursing process: 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, formulating and implementing individualized plans of care, and evaluating the effectiveness of care. The nurse provides safe medication administration and treatments, patient and family education, discharge planning, documentation, and support. The position also involves collaboration with the care team and delegation of assignments to Behavioral Health Associates and unit staff.

Requirements

  • Bachelor of Science in Nursing (BSN) degree.
  • Current license to practice as a Registered Professional Nurse in New York State.
  • American Heart Association Basic Life Support (BLS) certification.

Nice To Haves

  • One year of medical-surgical experience.
  • One year of psychiatric experience.

Responsibilities

  • Assess patients’ physiologic health, including relevant body systems, mobility, sensory deficits, skin condition, pain, and response to pain management; document health status and the plan of care.
  • Assess patients’ psychosocial health, coping mechanisms, understanding, cultural and ethnic requirements, and expectations of care; document psychological status and care plans and maintain American Nurses Association Mental Health standards of nursing.
  • Identify actual and potential patient problems, determine teaching needs, establish individualized patient goals, and develop criteria for measuring patient outcomes.
  • Formulate and document plans of care, set priorities, coordinate cost-effective use of supplies, equipment, and medication, 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, reassess patients, and revise plans as appropriate.
  • Observe, report, and document patient condition, treatment, activity, and responses to interventions; act effectively during emergencies and use nonviolent behavioral interventions and appropriate behavioral limits.
  • Provide a calm, quiet, restful atmosphere; communicate with patients’ families or caretakers; participate in discharge planning, coordinate referrals, and provide discharge instructions.
  • Evaluate care effectiveness and patient outcomes, document findings, perform variance analysis, and design, implement, and evaluate systems to improve unit care.
  • Collaborate with physicians and other care team members, interpret and implement prescribed treatment regimens, assist with treatments and diagnostic procedures, and keep the Patient Care Manager/designee and physician informed of relevant changes.
  • Use clinical judgment to delegate assignments to Behavioral Health Associates and unit staff.
  • Perform grade I–IV decubitus care, preventive skin care, simple dressing applications using aseptic technique, warm and cold compresses, irrigations, and other skin-related procedures.
  • Administer and document medications safely, demonstrate medication knowledge and preparation of local solutions and IV drips, administer IV push medications according to department policy, and educate patients and significant others about drug and food interactions.
  • Educate patients and families about conditions, communicate pertinent assessment information to the care team and appropriate agencies, use available teaching resources, arrange referrals for post-hospital care, and evaluate and document teaching effectiveness.
  • Perform related duties as required.
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