Registered Nurse - Emergency Department

Northwell•Riverhead, NY

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’ physiological and psychosocial health, identifying desired outcomes, formulating and implementing individualized plans of care, evaluating care effectiveness, and collaborating with the care team. The nurse provides pressure injury and other skin care, safely administers medications, supports patient and family education, and participates in discharge planning and referrals. This is a per diem position with varied days and shifts.

Requirements

Graduate of an accredited School of Nursing.
Current license to practice as a Registered Professional Nurse in New York State.
BCLS and ACLS certifications are required.
PALS certification is required within six months of the hire date.
At least 2 years of medical/surgical experience is required.
If hired after January 1, 2018, 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 preferred.
Emergency department experience preferred.

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 psychosocial health, coping mechanisms, knowledge and comprehension, cultural and ethnic needs, and expectations of care; document psychological status and coordinate support services as appropriate.
Identify actual and potential patient problems, develop criteria for measuring outcomes, identify teaching needs, and establish individualized patient goals.
Formulate and document plans of care, set priorities, coordinate the cost-effective use of supplies, equipment, and medications, and collaborate with physicians and other health team members.
Implement plans of care, maintain patient safety, reassess patients and revise plans as needed, administer prescribed treatments, use patient-care equipment correctly, and provide emotional support.
Perform procedures safely and efficiently; observe, report, and document patient conditions and responses to treatments and interventions.
Respond effectively to emergency situations, 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 design, implement, and evaluate systems to improve unit care.
Collaborate with physicians and other care team members, assist with treatments and diagnostic procedures, report changes in patient condition, and use clinical judgment to delegate and oversee assignments to other care team members.
Perform Grade I–IV pressure injury care, preventive skin care, simple dressings, warm and cold compresses, irrigations, and other skin-care procedures as needed.
Administer and document medications safely, including IV push medications and standard IV infusions per department policy; prepare local solutions and IV drips; and educate patients and significant others about drug and food interactions.
Provide patient and family education, communicate pertinent assessment information to care team members and appropriate agencies, use available teaching resources, plan for discharge and referrals, and evaluate and document teaching effectiveness.
Perform related duties as required.