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 status, identifies individualized patient outcomes, and formulates and implements plans of care. It monitors and documents treatment and patient responses, evaluates care outcomes, contributes to performance improvement, and collaborates with other care team members. The nurse also performs skin and decubitus care, administers medications, and participates in patient and family education and discharge planning.

Requirements

  • Graduate from an accredited School of Nursing.
  • Current license to practice as a Registered Professional Nurse in New York State.
  • BCLS, ACLS, or PALS required.
  • If hired after September 1, 2010, must be enrolled in an accredited program within 24 months of employment and obtain a BSN within five years of the employment date.

Nice To Haves

  • Bachelor’s degree in Nursing preferred.
  • Endoscopy experience preferred.

Responsibilities

  • Assess patients’ physiologic health status, including gastrointestinal, cardiovascular, respiratory, renal, and neurological status; mobility, sensory deficits, prosthesis use, skin condition, and pain.
  • Interview patients, explain policies and procedures, review charts, answer questions, and communicate and document health status and plans of care.
  • Assess patients’ psychosocial health status, including expectations, coping mechanisms, knowledge, comprehension, and cultural or ethnic needs; document psychological status and relevant support services.
  • Identify actual and potential patient problems, develop outcome measures and individualized goals, and identify patient teaching needs.
  • Formulate and document prioritized plans of care; coordinate the cost-effective use of supplies, equipment, and medication; collaborate with physicians and other health team members.
  • Implement plans of care, maintain patient safety, reassess patients and revise plans as needed, administer treatments, use patient-care equipment, provide emotional support, and perform procedures safely and efficiently.
  • Observe, report, and document patient condition, treatment, activity, and responses to interventions according to departmental policy.
  • Respond effectively to emergencies and maintain a calm, restful environment; communicate with patients’ families or caretakers.
  • Participate in discharge planning, coordinate referrals as appropriate, and provide discharge instructions.
  • Measure and document the effectiveness of care, perform variance analysis, and design, implement, and evaluate systems to improve unit care.
  • Collaborate with physicians and other care team members to plan and carry out treatment; assist physicians during treatments or diagnostic procedures and communicate changes in patient condition or treatment.
  • Use clinical judgment to delegate assignments to patient care, support care, and clerical service associates and ensure timely completion.
  • Perform grade I–IV decubitus care, preventive skin care, simple dressing application, warm and cold compresses, irrigations, and other skin-care procedures as necessary.
  • Administer medications safely and correctly, including IV push medications according to departmental policy; prepare local solutions and IV drips; document medication administration and educate patients and significant others about drug and food interactions.
  • Educate patients and families about conditions as indicated, communicate assessment data to care team members and appropriate agencies, use available teaching resources, and evaluate and document the effectiveness of teaching.
  • Perform related duties as required.
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