Registered Nurse (RN) - PCU (Critical Care Step Down)

Northwell•Riverhead, NY

23h•$55 - $74

About The Position

The Registered Nurse provides age-specific care to a designated patient group using the nursing process: assessment, diagnosis, outcome identification, planning, implementation, and evaluation. The RN collaborates with physicians and other health team members to coordinate and implement procedures and treatments, and uses clinical judgment and leadership skills to coordinate patient care and direct or delegate activities of the patient care unit team. The position involves assessing patients’ physiologic and psychosocial health, identifying individualized outcomes and care needs, developing and implementing plans of care, administering medications and treatments, monitoring and documenting patient condition and responses, educating patients and families, and coordinating discharge planning and referrals. The RN also evaluates care outcomes and participates in improving care systems. Duties include pressure injury care and related skin procedures, and collaboration with physicians and other care team members. The schedule includes every other weekend and holidays.

Requirements

Graduate of an accredited School of Nursing.
Current license to practice as a Registered Professional Nurse in New York State.
BCLS certification required.
ACLS certification required.
At least 2 years of telemetry experience required.
If hired after January 1, 2018, must enroll in an accredited program within 24 months of employment and obtain a BSN within five years of the employment date.

Nice To Haves

Bachelor’s Degree in Nursing preferred.

Responsibilities

Assess patients’ physiologic health status, including gastrointestinal, cardiovascular, respiratory, renal, and neurological status, mobility, sensory deficits, prostheses use, skin condition, and pain.
Interview patients, explain policies and procedures, review charts, answer questions, and communicate and document patient status and plans of care.
Assess patients’ psychosocial health, coping mechanisms, knowledge, comprehension, cultural or ethnic requirements, and expectations of care; document needs and coordinate support services as appropriate.
Identify patient problems and educational needs, develop measurable outcomes, and establish individualized patient 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 plans as needed.
Observe, report, and document patient condition, treatments, activities, and responses to medical and nursing interventions using departmental documentation methods.
Respond effectively to emergency situations and provide emotional support while maintaining a calm, quiet, restful atmosphere.
Participate in discharge planning, coordinate referrals, and provide discharge instructions to patients and significant others.
Evaluate care effectiveness, document outcomes, perform variance analysis, and design, implement, and evaluate systems to improve unit care.
Collaborate with physicians and care team members, interpret and implement prescribed treatment regimens, assist with treatments and diagnostic procedures, and keep the Patient Care Manager/designee and physicians informed of relevant changes.
Use clinical judgment to delegate assignments to LPNs, Patient Care Technicians, Support Care Associates, and Nursing Unit Secretary Associates, and ensure timely completion.
Perform Grade I–IV pressure injury care, preventive skin care, simple dressings using aseptic technique, warm and cold compresses, irrigations, and other skin-care procedures as needed.
Administer and document medications safely, including IV push medications and standard IV infusions according to department policy; prepare local solutions and IV drips; and educate patients and significant others about drug and food interactions.
Educate patients and families about conditions, communicate pertinent assessment information to care team members and appropriate agencies, use available teaching resources, and evaluate and document teaching effectiveness.
Perform related duties as required.