Registered Nurse - Ambulatory (Cardiology)

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 nurse assesses patients’ physiologic and psychosocial health, identifies patient needs and desired outcomes, and develops individualized plans of care. The role includes implementing and evaluating care, administering medications and treatments safely, supporting patients and families, providing education and discharge planning, coordinating referrals and follow-up resources, and collaborating with physicians and other care team members. The nurse also provides wound and pressure-ulcer care, maintains accurate documentation, and participates in performance improvement activities. All responsibilities listed are considered essential functions of the job under the Americans with Disabilities Act. Related duties not listed are not considered essential functions.

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 is preferred.
Previous Cardiology/Telemetry experience is highly preferred.

Responsibilities

Assess patients’ physiologic health status through interviews, chart review, comprehensive health assessments, evaluation of mobility and other needs, pain assessment, and documentation of status and care plans.
Assess patients’ psychosocial health status, including expectations, coping mechanisms, knowledge, comprehension, and cultural or ethnic requirements; document findings and identify support or counseling resources.
Identify actual and potential patient problems, teaching needs, outcome criteria, and individualized patient goals.
Formulate and document prioritized plans of care, 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, document care and responses, respond to emergencies, and provide emotional support.
Participate in discharge planning and provide patients and significant others with clear instructions on treatments, procedures, self-care, and ongoing health management; coordinate referrals and follow-up resources and evaluate understanding.
Evaluate care outcomes, document effectiveness, conduct variance analysis, and design, implement, and evaluate systems to improve unit care.
Collaborate with physicians or providers and other care team members to carry out treatment regimens; assist with treatments and diagnostic procedures, communicate changes in patient condition, and delegate assignments appropriately.
Provide wound care and care for Stage I–IV pressure ulcers, including preventive skin care, dressings, compresses, and irrigations in accordance with facility procedures.
Identify, prepare, administer, and document medications safely; administer IV push medication according to department policy and educate patients and significant others about drug and food interactions.
Participate in patient and family education, communicate relevant assessment information to care team members and appropriate agencies, and evaluate and document the effectiveness of teaching.
Perform related duties as required.