Registered Nurse (RN-PD)- Emergency Room

Northwell Health•New York, NY

About The Position

The Registered Nurse provides age-specific care to a designated group of Emergency Room patients using the nursing process: assessment, diagnosis, outcome identification, planning, implementation, and evaluation. The nurse collaborates with physicians and other members of the healthcare team to coordinate and carry out procedures and treatments, and uses clinical judgment and leadership skills to coordinate care and direct or delegate unit activities. The role includes assessing patients’ physiological and psychosocial status; identifying patient needs and desired outcomes; developing and implementing individualized plans of care; administering medications and treatments safely; documenting care and patient responses; educating patients and families; planning for discharge; and evaluating care outcomes. The nurse also assists physicians with treatments and diagnostic procedures, monitors changes in patient condition, and delegates appropriate tasks to other care team members.

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 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.
BCLS preferred.
ACLS preferred.
Minimum of one year of Emergency Department experience preferred.

Responsibilities

Assess patients’ physiological health, 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 status, coping mechanisms, knowledge, comprehension, cultural and ethnic requirements, and expectations of care; document findings and identify support resources as appropriate.
Identify actual and potential patient problems, determine teaching needs, establish individualized goals, and define criteria for measuring patient outcomes.
Develop and document prioritized plans of care, coordinating cost-effective use of supplies, equipment, and medication in collaboration with physicians and other healthcare team members.
Implement and reassess plans of care, administer prescribed treatments, use patient-care equipment correctly, maintain safety precautions, and provide emotional support.
Apply scientific principles when performing procedures; observe, report, and document patient condition and responses to treatments and interventions accurately.
Respond rapidly and effectively to emergency situations and maintain a calm, quiet, and restful atmosphere.
Communicate with patients’ families or caretakers, participate in discharge planning, coordinate referrals, and provide discharge instructions.
Evaluate care effectiveness, document outcomes, perform variance analysis for performance improvement, and help 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 and diagnostic procedures and report changes in patient condition.
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, preventive skin care, simple dressing changes, warm and cold compresses, irrigations, and other skin-care procedures as necessary.
Administer medications safely, including IV push medications according to department policy; prepare local solutions and IV drips; document medication administration; and educate patients and significant others about drug and food interactions.
Provide patient and family education, communicate relevant assessment information to care team members and appropriate agencies, use available teaching resources, arrange referrals for post-hospital care, and evaluate and document teaching effectiveness.
Perform related duties as required.