Registered Nurse - Ambulatory (Internal Medicine)

Northwell•Bellmore, NY

6h•$68,000 - $115,000

About The Position

The Registered Nurse provides age-specific care to a designated group of ambulatory internal medicine patients using the nursing process: assessment, diagnosis, outcome identification, planning, implementation, and evaluation. The nurse collaborates with physicians and other health team members to coordinate and implement procedures and treatments, and uses leadership skills and clinical judgment to coordinate patient care and direct or delegate activities of the patient care team. Responsibilities include assessing patients’ physiologic and psychosocial health, identifying needs and desired outcomes, developing individualized care plans, carrying out and evaluating care, administering medications and treatments, providing wound and pressure-ulcer care, and supporting patient and family education. The nurse also documents care and patient responses, coordinates discharge planning and referrals, communicates changes in patients’ conditions, and contributes to performance improvement and safe, effective care.

Requirements

Graduate of 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 the job entry date.
Current license to practice as a Registered Professional Nurse in New York State.
Specialized certifications as needed.
At least one year of Registered Nurse experience is highly preferred.

Nice To Haves

Bachelor’s Degree in Nursing is preferred.
At least one year of Registered Nurse experience is highly preferred.

Responsibilities

Assess patients’ physiologic health, including comprehensive health status, mobility, sensory deficits, prostheses use, skin condition, and pain; communicate and document findings and plans of care.
Assess patients’ psychosocial health, including expectations, coping mechanisms, knowledge and comprehension, and cultural or ethnic requirements; document psychological status and care plans and connect patients with support services as appropriate.
Identify actual and potential patient problems, teaching needs, measurable outcomes, and individualized goals.
Develop and document prioritized plans of care; coordinate cost-effective use of supplies, equipment, and medication and collaborate with physicians and other health team members.
Implement and reassess plans of care, maintain patient safety, administer prescribed treatments, use equipment correctly, document care and patient responses, provide emotional support, and respond effectively to emergencies.
Participate in discharge planning; provide discharge and self-care instructions; coordinate referrals and follow-up resources; assess patient and family understanding and evaluate the effectiveness of education.
Evaluate patient outcomes and effectiveness of care, document results, conduct variance analysis, and contribute to designing, implementing, and evaluating systems to improve unit care.
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; delegate assignments and ensure timely completion.
Provide wound and pressure-ulcer care, including preventive skin care, simple dressings, warm and cold compresses, and irrigations in accordance with facility procedures.
Administer and document medications safely and correctly, including IV push medications in accordance with department policy; prepare local solutions and IV drips; educate patients about drug and food interactions.
Provide patient and family education, communicate relevant assessment data to care team members and appropriate agencies, use available teaching resources, arrange referrals for post-procedural or operative care, and evaluate and document teaching effectiveness.
Perform related duties as required.