Registered Nurse - Ambulatory (Internal Medicine)

Northwell Health•Bellmore, 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. Responsibilities include assessing patients’ physiologic and psychosocial health status; identifying expected patient outcomes and educational needs; formulating and documenting individualized plans of care; implementing and evaluating care; collaborating with providers and other care team members; providing wound and pressure-ulcer care; administering medications safely; and educating patients and families. The nurse also maintains accurate documentation, supports discharge planning and referrals, monitors patient safety, and responds effectively to emergencies. All listed responsibilities are considered essential functions under the Americans with Disabilities Act.

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.
At least one year of Registered Nurse experience highly preferred.

Responsibilities

Assess patients’ physiologic health status, including health history, body systems, mobility, sensory deficits, prostheses, skin condition, pain, and pain management; communicate and document findings and the plan of care.
Assess patients’ psychosocial health status, including expectations, coping mechanisms, knowledge and comprehension, and cultural or ethnic requirements; document status and care plans and identify support resources as appropriate.
Identify actual and potential patient problems, educational needs, and measurable outcomes; establish individualized patient goals.
Formulate and document plans of care and priorities, 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 patient-care equipment correctly; provide emotional support; perform procedures safely and efficiently; document treatment, activity, condition, and responses; respond effectively to emergencies; communicate with families and caregivers; support discharge planning, education, referrals, and follow-up.
Evaluate care and patient outcomes, document effectiveness, perform variance analysis for performance improvement, and design, implement, and evaluate systems to improve care in the unit.
Collaborate with physicians or providers and other care team members to plan and carry out treatment; assist with treatments and diagnostic procedures; communicate changes in patient condition; and delegate assignments using clinical judgment and ensure their timely completion.
Provide wound care and care for Stage I–IV pressure ulcers, including preventive skin care, simple dressings using aseptic technique, warm and cold compresses, irrigations, and other skin-care procedures as necessary.
Administer medications safely and correctly; identify medication actions, dosages, side effects, and implications; prepare local solutions and IV drips; administer and document medications, including IV push medication according to departmental policy; and educate patients about drug and food interactions.
Participate in patient and family education, communicate pertinent assessment information to care team members and appropriate agencies, use health-teaching resources, coordinate discharge and follow-up referrals, and evaluate and document the effectiveness of teaching.
Perform related duties as required.