Registered Nurse (RN) - 3I Med/Surg

Northwell•New York, NY

3h•$60 - $78

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 Registered Nurse assesses patients’ physiological and psychosocial health, identifies patient outcomes and teaching needs, and develops individualized plans of care. The role implements and evaluates care, administers medications and treatments, supports patients and families, coordinates discharge planning and referrals, and collaborates with physicians and other care team members. It also includes skin and wound care, patient education, accurate documentation, and participation in unit care-improvement efforts.

Requirements

Graduate from an accredited School of Nursing.
Current license to practice as a Registered Professional Nurse in New York State.
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.
Meet the standard on the medication administration examination.

Nice To Haves

Bachelor’s degree in Nursing.
BCLS certification.
ACLS certification.
Telemetry experience.

Responsibilities

Assess patients’ physiological health, including gastrointestinal, cardiovascular, respiratory, renal, neurological, mobility, sensory, skin, pain, and pain-management status; communicate and document findings and the plan of care.
Assess patients’ psychosocial health, including their perceptions and expectations of care, coping mechanisms, knowledge and comprehension, and cultural or ethnic requirements; document status and coordinate support resources as appropriate.
Identify actual and potential patient problems, establish outcome measures, identify teaching needs, and develop individualized outcome statements and goals.
Formulate and document prioritized plans of care, coordinating the cost-effective use of supplies, equipment, and medication and collaborating with physicians and other health team members.
Implement and revise plans of care; maintain patient safety; administer prescribed treatments; use patient-care equipment; provide emotional support; and perform procedures safely and efficiently.
Observe and report patients’ conditions and responses to treatments and interventions, and maintain accurate documentation in accordance with departmental policy.
Respond effectively during emergencies and maintain a calm, restful care environment; communicate with patients’ families or caretakers.
Participate in discharge planning, coordinate referrals, and provide discharge instructions to patients and significant others.
Evaluate the effectiveness of care, document outcomes, 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 regimens; assist physicians with treatments and diagnostic procedures; and keep the Patient Care Manager/designee or physician informed of relevant changes.
Use clinical judgment to delegate work to Patient Care Associates, Support Care Associates, and Clerical Service Associates, and ensure assignments are completed in a timely manner.
Perform grade I–IV decubitus care and preventive skin care, including simple dressings, warm and cold compresses, irrigations, and other necessary skin-care procedures.
Administer medications safely and correctly, including IV-push medications according to policy; prepare local solutions and IV drips; document medication administration; and educate patients and significant others about drug and food interactions.
Provide patient and family education about patients’ conditions, communicate pertinent 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.