Registered Nurse (RN) - PACU Per Diem

Northwell Health•New York, NY

About The Position

The Registered Nurse provides age-specific care to an assigned group of patients using the nursing process: assessment, diagnosis, outcome identification, planning, implementation, and evaluation. The nurse collaborates with physicians and other members of the health team to coordinate and implement procedures and treatments, and uses clinical judgment and leadership skills to coordinate care and direct or delegate activities of the patient care unit team. The role includes assessing patients’ physiological and psychosocial health, identifying expected outcomes and individualized goals, formulating and implementing care plans, and evaluating the effectiveness of care. The nurse provides treatments and medications, monitors and documents patient conditions and responses, supports patients and their significant others, participates in discharge planning and education, and collaborates with the care team to deliver safe, effective care.

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 be enrolled 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.
BCLS certification.
ACLS certification.
Minimum of 2 years of critical care, PACU, or ED experience.

Responsibilities

Assess patients’ physiological health, including gastrointestinal, cardiovascular, respiratory, renal, and neurological status, 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 patient status and plans of care.
Assess patients’ psychosocial health, coping mechanisms, knowledge, comprehension, cultural and ethnic requirements, and expectations of care; document psychological status and care plans.
Identify actual and potential patient problems, teaching needs, and measurable outcomes; establish individualized patient goals.
Formulate and prioritize plans of care, coordinate cost-effective use of supplies, equipment, and medication, and collaborate with physicians and other health team members.
Implement care plans, maintain patient safety, administer prescribed treatments, use patient-care equipment correctly, reassess patients, and revise care plans as needed.
Apply scientific principles and perform procedures safely, timely, and efficiently; observe, report, and document patient conditions and responses to interventions.
Respond effectively to emergency situations and maintain a calm, quiet, restful environment.
Communicate with patients’ families or caretakers, participate in discharge planning, coordinate referrals, and provide discharge instructions.
Evaluate care effectiveness, document outcomes, perform variance analysis, and contribute to systems that improve unit care.
Collaborate with physicians and care team members to plan and carry out treatment; assist physicians during treatments and diagnostic procedures and keep the Patient Care Manager/designee and physician informed of changes.
Use clinical judgment to delegate assignments to Patient Care Associates, Support Care Associates, and Clerical Service Associates, and ensure assignments are completed promptly.
Perform grade I–IV decubitus care, preventive skin care, simple dressing changes, warm and cold compresses, irrigations, and other related skin-care procedures.
Administer medications safely, including IV push medications according to department policy; prepare local solutions and IV drips; document medications 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 health-teaching resources, arrange referrals for post-hospital care, and evaluate and document teaching effectiveness.
Perform related duties as required.