Registered Nurse (RN) - 3I Med/Surg

Northwell•New York, NY

4h•$60 - $78

About The Position

The Registered Nurse performs an age-specific plan of care for a designated group of 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 desired outcomes, formulating individualized plans of care, implementing and evaluating care, and coordinating treatment with other care team members. The nurse provides patient and family education, discharge planning, medication administration, and skin and wound care, while maintaining accurate documentation and following departmental and facility procedures.

Requirements

Graduate from an accredited School of Nursing.
Hold a current license to practice as a Registered Professional Nurse in New York State.
If hired after September 1, 2010, be enrolled in an accredited program within 24 months of employment and obtain a BSN within five years of the employment date.
Meet the standard on the medication administration examination.
Be able to meet the stated physical demands, including frequent lifting of objects from 10 to 150 pounds and pushing objects up to 200 pounds; lifting objects over 150 pounds with assistance; and carrying objects weighing up to 50 pounds.

Nice To Haves

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

Responsibilities

Assess patients’ physiologic health, including gastrointestinal, cardiovascular, respiratory, renal, neurological, mobility, sensory, skin, pain, and prosthesis-related status; communicate and document findings and the plan of care.
Assess patients’ psychosocial health, coping mechanisms, knowledge, ability to comprehend, cultural and ethnic requirements, expectations, and support needs; document psychological status and care plans.
Identify actual and potential patient problems, teaching needs, and patient outcomes; develop measurable outcome criteria and individualized 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, exercise professional nursing skills, reassess patients and revise care plans, administer prescribed treatments, use patient-care equipment, and document treatment, activity, condition, and responses.
Provide emotional support, maintain a calm and restful atmosphere, communicate with patients’ families or caretakers, respond effectively to emergencies, and report changes in patient condition or treatment.
Participate in discharge planning, coordinate appropriate referrals, and provide discharge instructions to patients and significant others.
Evaluate care effectiveness and patient outcomes, document results, perform variance analysis for performance improvement, 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 or diagnostic procedures and interpret and implement prescribed regimens.
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 and preventive skin care, apply simple dressings using aseptic technique, apply warm and cold compresses, perform irrigations, and carry out other skin-care procedures as necessary.
Administer medications safely and correctly, understand medication actions, dosages, side effects, and patient implications, prepare local solutions and IV drips, administer IV push medication according to policy, document medication administration, and educate patients about drug and food interactions.
Provide patient and family education, identify teaching opportunities and resources, communicate pertinent assessment information to care team members and appropriate agencies, arrange referrals for post-hospital care, and evaluate and document the effectiveness of teaching.
Perform related duties as required.