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 includes assessing patients’ physiologic and psychosocial health status; identifying patient outcomes and individualized goals; formulating and documenting plans of care; implementing and evaluating care; collaborating with physicians and care-team members; and providing patient and family education. The nurse also performs decubitus and other skin care, administers medications safely, supports discharge planning, and performs related duties as required.

Requirements

  • Graduate from an accredited School of Nursing.
  • Associate’s Degree in Nursing required.
  • Minimum 1–2 years of professional nursing experience in the related specialty.
  • Current license to practice as a Registered Professional Nurse in New York State and/or Connecticut required.
  • BLS required, plus specialized certifications as needed.

Nice To Haves

  • Bachelor’s Degree in Nursing preferred.

Responsibilities

  • Assess patients’ physiologic health status, including relevant body systems, mobility, sensory deficits, prostheses, skin condition, and pain; communicate and document findings and the plan of care.
  • Assess patients’ psychosocial health status, including coping mechanisms, knowledge, comprehension, cultural and ethnic requirements, and perceptions and expectations of care; document psychological status and care plans and identify support services as appropriate.
  • Identify patient problems and teaching needs, develop criteria for measuring outcomes, and establish individualized patient goals.
  • Formulate and document plans of care and priorities; coordinate cost-effective use of supplies, equipment, and medication; collaborate with physicians and other health team members.
  • Implement the plan of care, maintain patient safety, administer prescribed treatments, use necessary equipment, reassess patients, and revise plans as appropriate.
  • Apply scientific principles and perform procedures safely, efficiently, and on time; observe and report patient conditions and responses to treatments and interventions, and maintain accurate documentation.
  • Respond effectively to emergencies and help maintain a calm, quiet, restful atmosphere.
  • Communicate with patients’ families or caretakers, participate in discharge planning, coordinate referrals, and provide discharge instructions.
  • Evaluate care outcomes, document effectiveness, conduct variance analysis for performance improvement, and design, implement, and evaluate systems to improve unit care.
  • Collaborate with physicians and other care-team members to plan and carry out treatment regimens; interpret and implement physician orders, assist with treatments and diagnostic procedures, and report changes in patient condition or treatment.
  • Use clinical judgment to delegate assignments to patient care, support care, and clerical associates and ensure assignments are completed in a timely manner.
  • Perform grade I–IV decubitus care and preventive skin care, including dressings, warm and cold compresses, irrigations, and other skin-care procedures as necessary.
  • Administer and document medications safely and correctly, including IV push medications according to departmental policy; prepare local solutions and IV drips; and educate patients and significant others about drug and food interactions.
  • Provide patient and family education, identify teaching opportunities and resources, communicate pertinent assessment data to care-team members and appropriate agencies, and evaluate and document teaching effectiveness.
  • Perform related duties as required.
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