Registered Nurse - Ambulatory (Cardiology)

Northwell Health

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 nurse assesses patients’ physiologic and psychosocial health status, identifies needs and expected outcomes, develops individualized plans of care, implements treatments, and evaluates the effectiveness of care. The role includes medication administration, wound and pressure-ulcer care, patient and family education, discharge planning, documentation, emergency response, and collaboration with providers and other care team members. All responsibilities listed are considered essential job functions under the Americans with Disabilities Act; related duties not listed are not considered essential functions.

Requirements

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

Nice To Haves

Bachelor’s Degree in Nursing preferred.
Prior experience in Cardiology/Telemetry preferred.

Responsibilities

Assess patients’ physiologic health status through interviews, chart review, comprehensive assessment, and evaluation of pain, mobility, sensory deficits, prostheses use, and skin condition; communicate and document findings and plans of care.
Assess patients’ psychosocial health status, including perceptions, expectations, coping mechanisms, knowledge, comprehension, and cultural or ethnic requirements; communicate and document findings and care plans, and identify appropriate support services.
Identify actual and potential patient problems, teaching needs, outcome criteria, and individualized patient goals.
Formulate and document plans of care and 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 correctly, provide emotional support, and observe, report, and document patient conditions and responses.
Respond effectively to emergencies and maintain a calm, quiet, restful care environment.
Participate in discharge planning and coordinate referrals and follow-up resources; provide and evaluate patient and significant-other instructions about treatments, procedures, self-care, and ongoing health management.
Evaluate care outcomes, perform variance analysis for performance improvement, and design, implement, and evaluate systems to improve care in the unit.
Collaborate with physicians or providers and other care team members to plan and carry out treatment regimens; assist with treatments and diagnostic procedures, report changes in patient condition, and delegate assignments appropriately.
Provide wound and pressure-ulcer care, including preventive skin care, dressings, warm and cold compresses, and irrigations consistent with facility procedures.
Administer and document medications safely and correctly, including IVP medications according to department policy; demonstrate knowledge of medication actions, dosages, side effects, and patient implications; educate patients about drug and food interactions.
Participate in patient and family education, communicate pertinent assessment information to care team members and appropriate agencies, use available teaching resources, coordinate post-procedural or operative referrals, and evaluate and document teaching effectiveness.
Perform related duties as required.