Registered Nurse - Ambulatory (Internal Medicine)

Northwell Health•Garden City, KS

About The Position

Performs an age-specific plan of care for a designated group of ambulatory internal medicine patients using the nursing process: assessment, diagnosis, outcome identification, planning, implementation, and evaluation. Collaborates with physicians and other health team members to coordinate and implement procedures and treatments. Uses leadership skills and clinical judgment to coordinate patient care and direct or delegate activities of the patient care team. The role includes assessing patients’ physiologic and psychosocial health, identifying expected outcomes and individualized goals, formulating and implementing plans of care, administering medications and treatments, and evaluating care effectiveness. The nurse provides wound and pressure-ulcer care, supports patient safety, responds to emergencies, maintains accurate documentation, and participates in discharge planning, referrals, patient education, and follow-up coordination. The nurse also collaborates with providers and directs care-team members as appropriate.

Requirements

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

Nice To Haves

Bachelor’s degree in Nursing preferred.

Responsibilities

Assess patients’ physiologic health, including conducting interviews and comprehensive assessments, evaluating mobility, sensory deficits, prostheses use, skin condition, pain, and pain management, and documenting health status and the plan of care.
Assess patients’ psychosocial health, including coping mechanisms, knowledge, comprehension, cultural and ethnic requirements, and perceptions and expectations of care; document psychological status and care plans and connect patients with support or counseling resources as appropriate.
Identify actual and potential patient problems, determine teaching needs, develop outcome measures, and establish individualized patient goals.
Formulate and document prioritized plans of care, coordinate cost-effective use of supplies, equipment, and medications, and collaborate with physicians and other health team members.
Implement and revise plans of care; maintain patient safety; administer prescribed treatments; use patient-care equipment correctly; provide emotional support; perform procedures safely and efficiently; observe and document patient responses; respond effectively to emergencies; and maintain a calm environment.
Communicate with patients, families, caretakers, and care-team members; participate in discharge planning; provide discharge instructions and patient education; coordinate referrals and follow-up resources; and evaluate patient and family understanding and education outcomes.
Evaluate care and patient outcomes, document effectiveness, perform variance analysis for performance improvement, and design, implement, and evaluate systems to improve care in the unit.
Collaborate with physicians or providers and other care-team members to plan and carry out treatment regimens; assist with treatments and diagnostic procedures; communicate changes in patient condition; and delegate assignments and ensure timely completion.
Provide wound and pressure-ulcer care, including preventive skin care, simple dressings using aseptic technique, warm and cold compresses, irrigations, and other skin-care procedures as needed.
Administer and document medications safely and correctly; demonstrate knowledge of medication actions, dosages, side effects, and implications; prepare local solutions and IV drips; administer IV push medications according to policy; and educate patients about drug and food interactions.
Perform related duties as required.