Registered Nurse - Skilled Nursing Facility

Northwell Health

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’ physical and psychosocial health, identifying care needs and outcomes, developing and documenting individualized plans, implementing treatments and medication regimens, monitoring patient safety and responses to care, and revising plans as needed. The nurse collaborates with the care team and physicians, supports patients and their significant others, participates in education and discharge planning, and contributes to evaluation and improvement of care systems.

Requirements

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

Nice To Haves

Bachelor’s Degree in Nursing preferred.

Responsibilities

Interview patients, explain policies and procedures, review charts, answer questions, assess physical health and functional status, assess pain, and communicate and document health status and the plan of care.
Assess psychosocial health, coping mechanisms, understanding, cultural and ethnic requirements, and expectations; document the psychological status and support plan.
Identify patient problems and teaching needs, establish measurable outcomes, and develop individualized patient goals.
Prioritize care activities and coordinate cost-effective use of supplies, equipment, and medication; document the care plan and collaborate with physicians and other health team members.
Implement and reassess plans of care; maintain patient safety; administer prescribed treatments; use equipment correctly; provide emotional support; perform procedures safely and efficiently; observe and report patient responses; document treatment, activity, condition, and responses; respond effectively to emergencies; support discharge planning and provide discharge instructions; evaluate care outcomes.
Measure and document care effectiveness, perform variance analysis for performance improvement, and design, implement, and evaluate systems to improve unit care.
Collaborate with care team members to plan and carry out treatment regimens, provide direction to team members, and coordinate with physicians on patient care plans.
Interpret and implement physician-prescribed treatment regimens, assist with treatments and diagnostic procedures, communicate changes in patient condition or treatment, and delegate assignments using clinical judgment while ensuring timely completion.
Provide grade I–IV decubitus care, preventive skin care, simple dressings using aseptic technique, warm and cold compresses, irrigations, and other skin-care procedures as necessary.
Administer and document medications safely and correctly; understand medication actions, dosages, side effects, and implications; meet medication-administration examination standards; prepare local solutions; and educate patients and significant others about drug and food interactions.
Participate in patient and family education, explain the patient’s condition as appropriate, communicate assessment information to care team members and agencies, use available teaching resources, plan for discharge and referrals, and evaluate and document teaching effectiveness.
Perform related duties as required.