Registered Nurse - Pediatrics/Med Surg Float

Northwell•Town of Huntington, NY

20h•$57 - $79

About The Position

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. 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 unit team. The position floats between pediatrics and adult medical-surgical care, with OB/Med-Surg float also noted. The nurse assesses patients’ physiologic and psychosocial health, identifies patient outcomes, establishes individualized goals and priorities, implements and evaluates care, and collaborates with the care team. Responsibilities include medication administration, skin and decubitus care, patient and family education, discharge planning, documentation, and providing direction to other care team members. Hours and days vary. The schedule includes every other weekend and holidays. Shifts may start between 6:00 p.m. and 9:00 p.m. and end between 6:30 a.m. and 9:30 a.m.

Requirements

Graduate of an accredited School of Nursing.
Current license to practice as a Registered Professional Nurse in New York State.
BLS, ACLS, and PALS certifications required.
Documented pediatric experience required.
If hired after January 1, 2013, 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.
Documented adult medical-surgical experience preferred.

Responsibilities

Assess patients’ physiologic health status, including gastrointestinal, cardiovascular, respiratory, renal, and neurological status, mobility, sensory deficits, prosthesis use, skin condition, and pain.
Interview patients, explain policies and procedures, review charts, answer questions, and communicate and document health status and the plan of care.
Assess psychosocial health, including patients’ perceptions and expectations, coping mechanisms, knowledge, comprehension, and cultural or ethnic requirements; document relevant status and care plans and identify support resources.
Identify actual and potential patient problems, develop outcome criteria and individualized goals, and identify patient teaching needs based on psychosocial and developmental assessments.
Formulate and document plans of care, establish priorities, coordinate cost-effective use of supplies, equipment, and medication, 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; and perform procedures safely and efficiently.
Observe, report, and document patients’ conditions, treatment, activity, and responses to medical and nursing interventions according to departmental policy.
Respond effectively to emergencies and provide a calm, restful atmosphere; communicate with patients’ families or caretakers.
Participate in discharge planning, coordinate referrals, and provide discharge instructions to patients and significant others.
Evaluate care effectiveness and patient outcomes, conduct variance analysis, and design, implement, and evaluate systems to improve unit care.
Collaborate with physicians on care plans, interpret and implement prescribed treatment regimens, assist with treatments and diagnostic procedures, and keep the Patient Care Manager/designee and/or physician informed of relevant changes.
Use clinical judgment to delegate assignments to Patient Care Associates, Support Care Associates, and Clerical Service Associates and ensure assignments are completed promptly.
Perform grade I–IV decubitus care, preventive skin care, simple dressing application, warm and cold compresses, irrigations, and other necessary skin-care procedures.
Administer medications safely and correctly; demonstrate knowledge of medication actions, dosages, side effects, local solutions, and IV drips; administer and document medications, including IV push medications according to policy; and educate patients about drug and food interactions.
Educate patients and families about conditions, recognize and use teaching opportunities and resources, communicate pertinent assessment data, plan referrals for post-hospital care, and evaluate and document the effectiveness of teaching.
Perform related duties as required.