Registered Nurse - Ambulatory

Northwell Health

About The Position

The Registered Nurse performs an age-specific plan of care for a designated group of ambulatory 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 unit team. The role includes assessing patients’ physiologic and psychosocial health, identifying desired outcomes, and developing individualized care plans. The nurse implements and evaluates care, administers medications and treatments, supports patient safety, provides wound and pressure-ulcer care, and documents care and patient responses. The nurse also collaborates with the care team, assists providers with treatments and diagnostic procedures, and provides patient and family education, discharge instructions, referrals, and follow-up coordination.

Requirements

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

Nice To Haves

Bachelor’s Degree in Nursing preferred.

Responsibilities

Assess patients’ physiologic health status, including health history, body systems, mobility, sensory deficits, prostheses use, skin condition, pain, and pain management; communicate and document assessments and plans of care.
Assess patients’ psychosocial health status, including care expectations, coping mechanisms, knowledge, comprehension, and cultural or ethnic requirements; communicate and document findings and care plans.
Identify actual and potential patient problems, determine teaching needs, develop measurable patient outcomes, and establish individualized goals.
Formulate and document plans of care, establish priorities, coordinate supplies, equipment, and medications, and collaborate with physicians and other health team members.
Implement and revise plans of care; maintain patient safety; administer prescribed treatments; use equipment correctly; provide emotional support; perform procedures safely and efficiently; observe, report, and document patient conditions and responses.
Respond effectively to emergency situations and help maintain a calm, quiet, restful atmosphere.
Participate in discharge planning and provide discharge instructions; coordinate referrals and follow-up resources; educate patients and significant others about treatments, procedures, self-care, and ongoing health management; evaluate understanding and education effectiveness.
Evaluate care outcomes, document effectiveness, conduct variance analysis for performance improvement, and design, implement, and evaluate 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; communicate changes in patient condition; delegate assignments and ensure timely completion.
Provide wound and pressure-ulcer care, including preventive skin care, simple dressings using aseptic technique, warm and cold compresses, irrigations, and other necessary skin-care procedures.
Administer and document medications safely and correctly, including IV push medication according to department policy; prepare local solutions and IV drips; educate patients and significant others about drug and food interactions.
Provide patient and family education, communicate pertinent assessment information to care team members and appropriate agencies, use available teaching resources, arrange post-procedural or operative care referrals, and document teaching effectiveness.
Perform related duties as required.