Registered Nurse - Ambulatory (Internal Medicine)
About The Position
Performs an age-specific plan of care for a designated group of ambulatory internal medicine 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 role includes assessing patients’ physiologic and psychosocial health, identifying individualized outcomes and care needs, formulating and implementing plans of care, administering treatments and medications, providing wound and pressure-ulcer care, and evaluating care outcomes. The nurse supports patient and family education, discharge planning, referrals, and follow-up, while documenting care and collaborating with the broader care team.
Requirements
- Graduate from an accredited School of Nursing.
- Current license to practice as a Registered Professional Nurse in New York State.
- Must enroll 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, including comprehensive health status, mobility, sensory deficits, prosthesis use, skin condition, and pain; communicate and document findings and the plan of care.
- Assess psychosocial health, including care expectations, coping mechanisms, knowledge and comprehension, and cultural or ethnic needs; document status and coordinate support resources as appropriate.
- Identify actual and potential patient problems, develop measurable outcome criteria, establish individualized patient goals, and identify teaching needs.
- Formulate and document prioritized plans of care, coordinate cost-effective use of supplies, equipment, and medications, and collaborate with physicians and other health team members.
- Implement and reassess plans of care; maintain patient safety; administer prescribed treatments; use patient-care equipment correctly; document treatment, activity, condition, and responses; respond effectively to emergencies.
- Provide emotional support, communicate with families or caretakers, participate in discharge planning, provide discharge instructions, coordinate referrals and follow-up resources, and educate patients and significant others using teach-back and other evidence-based methods.
- Evaluate care effectiveness and patient outcomes, document results, analyze variances for performance improvement, and contribute to systems that improve unit care.
- Collaborate with physicians or providers and other care team members to plan and carry out treatment; assist with treatments and diagnostic procedures; report changes in patient condition; and delegate assignments using clinical judgment.
- Provide wound and pressure-ulcer care, including preventive skin care, simple dressings using aseptic technique, warm and cold compresses, irrigations, and other skin-care procedures as needed.
- Administer and document medications safely and correctly, demonstrate knowledge of medication actions, dosages, side effects, and implications, prepare local solutions and IV drips, administer IV push medications according to policy, and educate patients about drug and food interactions.
- Participate in patient and family education, communicate pertinent assessment information to the care team and appropriate agencies, use available teaching resources, coordinate discharge and follow-up referrals, and evaluate and document teaching effectiveness.
- Perform related duties as required.
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What This Job Offers
Job Type
Full-time
Education Level
Associate degree
