Registered Nurse - PEDS Med/Surg

Northwell•New York, NY

About The Position

The Registered Nurse provides age-specific care to a designated group of pediatric medical-surgical 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 clinical judgment and leadership skills to coordinate patient care and direct or delegate activities of the patient care unit team. The role includes assessing patients’ physical, psychosocial, and developmental needs; developing and documenting individualized plans of care and patient outcomes; administering medications and treatments safely; monitoring patient conditions and responses; providing emotional support and patient and family education; coordinating discharge planning and referrals; and evaluating the effectiveness of care. The nurse also contributes to unit quality improvement and supports safe, timely, and cost-effective care.

Requirements

Graduate from an accredited School of Nursing.
Current New York State license to practice as a Registered Professional Nurse.
Specialized certifications as needed.
One to two years of medical-surgical nursing experience.
Must enroll in an accredited BSN program within two years and obtain a BSN degree within five years of the job entry date.

Nice To Haves

Bachelor’s Degree in Nursing preferred.
Pediatrics experience preferred.

Responsibilities

Interview patients, explain policies and procedures, review charts, and answer patient and family questions.
Assess patients’ gastrointestinal, cardiovascular, respiratory, renal, neurological, mobility, sensory, skin, pain, psychosocial, and developmental status, and adjust care plans as appropriate.
Identify coping mechanisms, comprehension and knowledge levels, cultural and ethnic needs, patient problems, teaching needs, and expected outcomes.
Develop individualized patient goals, outcome measures, care activities, and priorities; document plans of care and collaborate with physicians and other health team members.
Coordinate cost-effective use of supplies, equipment, and medications, and maintain patient safety precautions.
Implement and reassess plans of care, revise them as needed, administer prescribed treatments, use patient-care equipment, and provide emotional support.
Perform procedures safely and efficiently, observe and report patient condition during treatments, and maintain accurate documentation according to departmental policy.
Respond rapidly and effectively to emergencies and help maintain a calm, quiet, and restful environment.
Communicate effectively with patients, families, caretakers, physicians, and other care team members.
Participate in discharge planning, coordinate referrals, provide discharge instructions, and evaluate care and patient outcomes.
Measure and document care effectiveness, conduct variance analysis related to outcomes, and design, implement, and evaluate systems to improve unit care.
Interpret and implement physician-prescribed treatment regimens, assist physicians with treatments and diagnostic procedures, and keep the Patient Care Manager or designee and physician informed of relevant changes.
Use clinical judgment to delegate care assignments and ensure their timely completion.
Perform grade I-IV decubitus care, preventive skin care, simple dressing changes using aseptic technique, warm and cold compresses, irrigations, and other skin-care procedures as needed.
Administer and document medications safely; understand medication actions, dosages, side effects, and patient implications; and educate patients and significant others about drug and food interactions.
Prepare local solutions and meet the standard on the medication administration examination.
Participate in patient and family education, identify teaching opportunities and resources, and evaluate and document teaching effectiveness.
Perform related duties as required.