Registered Nurse (RN) - 3A Med/Surg

Northwell Health•Staten Island, NY

About The Position

The Registered Nurse provides age-specific nursing care to a designated group of patients through assessment, diagnosis, outcome identification, planning, implementation, and evaluation. The nurse collaborates with physicians and other healthcare team members to coordinate and carry out procedures and treatments, and uses clinical judgment and leadership skills to coordinate patient care and direct or delegate unit team activities. The role includes assessing patients’ physiologic and psychosocial health, identifying patient problems and desired outcomes, and developing individualized plans of care. The nurse implements and evaluates care, administers medications and treatments, maintains accurate documentation, supports patients and families, contributes to patient education and discharge planning, and delegates appropriate assignments to other care team members. The position also includes skin and wound care procedures and participation in performance improvement activities.

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.
  • Additional site-specific qualifications may apply.

Responsibilities

  • Assess patients’ physiologic health, including gastrointestinal, cardiovascular, respiratory, renal, and neurological status; mobility, sensory deficits, prosthesis use, skin condition, and pain.
  • Assess patients’ psychosocial health, coping mechanisms, knowledge, comprehension, cultural and ethnic needs, and expectations of care; document findings and care plans.
  • Identify actual and potential patient problems, teaching needs, measurable outcomes, and individualized patient goals.
  • Develop and document prioritized plans of care, coordinate supplies, equipment, and medication use, and collaborate with physicians and other health team members.
  • Implement plans of care, maintain patient safety, reassess patients, revise care plans as needed, administer prescribed treatments, use patient-care equipment correctly, and document care and patient responses.
  • Respond rapidly and effectively to emergencies, provide emotional support, maintain a restful environment, communicate with families or caretakers, and contribute to discharge planning and instructions.
  • Evaluate care effectiveness, document outcomes, conduct variance analysis, and design, implement, and evaluate systems to improve unit care.
  • Collaborate with physicians and other care team members on treatment regimens; assist with treatments and diagnostic procedures; communicate changes in patients’ conditions; and delegate tasks appropriately to patient care and clerical staff.
  • 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 necessary.
  • Administer and document medications safely, including IV push medications 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 and care, use available teaching resources, plan for discharge and referrals, and evaluate and document the effectiveness of teaching.
  • Perform related duties as required.
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