Registered Nurse- Emergency Room (Nights (FH)

Northwell•New York, NY

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, identifies outcomes and teaching needs, establishes individualized goals, and formulates and implements prioritized plans of care. The nurse monitors patient safety and condition, administers prescribed treatments and medications, documents care and responses, provides emotional support and discharge instructions, and evaluates outcomes to help improve care. The nurse collaborates with physicians and other care team members, assists with treatments and diagnostic procedures, and delegates assignments appropriately. Responsibilities also include skin and wound care, medication education, and patient and family education.

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.
Two years of Med/Surg or Telemetry experience is highly preferred.

Nice To Haves

Bachelor’s Degree in Nursing preferred.
BCLS preferred.
ACLS preferred.
Two years of Med/Surg or Telemetry experience highly preferred.

Responsibilities

Assess patients’ physiologic health, including gastrointestinal, cardiovascular, respiratory, renal, and neurological status; mobility, sensory deficits, prosthesis use, skin condition, and pain.
Assess patients’ psychosocial status, coping mechanisms, knowledge and comprehension, cultural or ethnic needs, and expectations of care; communicate and document findings and care plans.
Identify actual and potential patient problems, establish individualized goals and outcome measures, and determine patient teaching needs.
Formulate and document prioritized plans of care, coordinating cost-effective use of supplies, equipment, and medication with physicians and other health team members.
Implement plans of care, maintain patient safety, reassess patients and revise plans as needed, administer treatments, use equipment correctly, and document observations, interventions, and patient responses.
Respond rapidly and effectively to emergency situations and maintain a calm, restful atmosphere while communicating 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 care team members on treatment regimens, assist with treatments and diagnostic procedures, communicate changes in patient condition, and delegate assignments appropriately.
Perform grade I–IV decubitus care and other skin care procedures, including preventive measures, simple dressings, warm and cold compresses, and irrigations.
Administer and document medications safely, including IV push medications; prepare local solutions and IV drips; and educate patients and significant others about medication and food interactions.
Provide patient and family education, identify teaching opportunities and resources, communicate pertinent assessment data, arrange appropriate post-hospital referrals, and evaluate and document teaching effectiveness.
Perform related duties as required.