Registered Nurse - PD

Northwell Health•Plainview, NY

About The Position

The Registered Nurse 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. 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 patient outcomes and educational needs, developing and documenting individualized plans of care, implementing and evaluating care, and communicating changes in patient condition. The nurse administers medications and treatments safely, supports patients and families, assists with discharge planning and referrals, and collaborates with other care team members. Related duties may also be assigned.

Requirements

  • Graduate from an accredited School of Nursing.
  • Current license to practice as a Registered Professional Nurse in New York State.
  • If hired after September 1, 2010, must enroll in an accredited program within 24 months of employment and obtain a BSN degree within five years of the employment date.

Nice To Haves

  • Bachelor’s Degree in Nursing.
  • BCLS certification.
  • ACLS certification.

Responsibilities

  • Assess patients’ physiologic health status, including gastrointestinal, cardiovascular, respiratory, renal, and neurological health; mobility, sensory deficits, prostheses use, skin condition, pain, and pain management.
  • Interview patients, explain policies and procedures, review charts, answer questions, and communicate and document health status and the plan of care.
  • Assess patients’ psychosocial health, coping mechanisms, comprehension, cultural and ethnic requirements, and perceptions and expectations of care; document psychological status and care plans and identify appropriate support services.
  • Identify actual and potential patient problems, determine teaching needs, establish individualized patient goals, and develop criteria for measuring outcomes.
  • Formulate and document plans of care, establish 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, perform procedures, administer prescribed treatments, use patient-care equipment correctly, reassess patients, and revise plans as needed.
  • Provide emotional support, communicate with patients’ families or caretakers, participate in discharge planning, coordinate referrals, and provide discharge instructions.
  • Document patient treatment, activity, condition, and responses to interventions according to departmental policy; report observations and changes as appropriate.
  • Respond rapidly and effectively during emergencies and maintain a calm, quiet, restful atmosphere.
  • Evaluate the effectiveness of care, document outcomes, perform variance analysis, 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; assist physicians during treatments and diagnostic procedures; and keep the Patient Care Manager or designee and/or physician informed of relevant changes.
  • Use clinical judgment to delegate assignments to Patient Care Associates, Support Care Associates, and Clerical Service Associates, and ensure assignments are completed in a timely manner.
  • Perform grade I–IV decubitus care, preventive skin care, simple dressing changes using aseptic technique, warm and cold compresses, irrigations, and other necessary skin-care procedures.
  • Administer medications correctly and safely, including IV push medications according to department policy; prepare local solutions and IV drips; document medication administration; and educate patients and significant others about drug and food interactions.
  • Provide patient and family education, communicate pertinent assessment data to care team members and appropriate agencies, use available teaching resources, arrange early discharge planning and referrals, and evaluate and document the effectiveness of teaching.
  • Perform related duties as required.
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