Registered Nurse - Ambulatory (OB/GYN)

Northwell Health

About The Position

The Registered Nurse performs an age-specific plan of care for a designated group of ambulatory OB/GYN 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 individualized outcomes, planning and implementing care, and evaluating its effectiveness. The nurse administers medications and treatments, provides wound and pressure-ulcer care, supports patients and families, documents care, responds to emergencies, and provides education and discharge planning. The nurse also collaborates with providers and care team members on treatment regimens, referrals, and follow-up resources.

Requirements

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

Nice To Haves

Bachelor’s Degree in Nursing preferred.
Previous experience in Labor and Delivery/Antepartum highly preferred.

Responsibilities

Assess patients’ physiologic health, including conducting interviews, reviewing charts, performing comprehensive health assessments, assessing mobility, sensory deficits, prostheses, skin condition, pain, and pain management, and documenting health status and the plan of care.
Assess patients’ psychosocial health, including expectations, coping mechanisms, knowledge and comprehension, and cultural or ethnic requirements; document psychological status and the care plan, and identify relevant support or counseling resources.
Identify actual and potential patient problems, determine teaching needs, establish criteria for measuring outcomes, and develop individualized outcome statements and goals.
Formulate and document plans of care, set priorities, coordinate cost-effective use of supplies, equipment, and medication, and collaborate with physicians and other health team members.
Implement plans of care, maintain patient safety, administer prescribed treatments, use patient-care equipment correctly, reassess patients, and revise care plans as needed.
Provide emotional support, perform procedures safely and efficiently, observe and document patient condition and responses, and act effectively during emergencies.
Communicate with patients, families, caretakers, providers, and care team members; participate in discharge planning; provide discharge instructions; coordinate referrals and follow-up resources; and educate patients and significant others using methods such as teach-back.
Evaluate care and patient outcomes, document effectiveness, perform variance analysis for performance improvement, and design, implement, and evaluate systems to improve unit care.
Collaborate with providers and care team members to plan and carry out treatment regimens; assist with treatments and diagnostic procedures; report changes in patient condition; and use clinical judgment when delegating assignments.
Provide wound care and care for pressure ulcers, perform preventive skin care, apply simple dressings using aseptic technique, apply warm and cold compresses, and perform irrigations and other skin-care procedures as needed.
Administer and document medications safely and correctly; demonstrate medication knowledge and preparation of local solutions and IV drips; administer IV push medication according to department policy; and educate patients about drug and food interactions.
Recognize patient and family education opportunities, communicate pertinent assessment information to care team members and appropriate agencies, coordinate referrals for post-procedural or operative care, and evaluate and document the effectiveness of teaching.
Perform related duties as required.