RN - PD (Float)

Northwell Career Site•Valley Stream, NY

About The Position

Performs an age specific plan of care for designated group of residents using the nursing process of assessment, diagnosis, outcome identification, planning, implementation, and evaluation of resident care. Collaborates with physicians and other team members in coordinating and implementing procedures and treatments. Uses leadership skills and clinical judgment in coordinating resident care and directing and delegating activities of the resident care team, specifically the LPN, CAN and Unit Secretary.

Requirements

Graduate from an accredited School of Nursing.
Current license to practice as a Registered Professional Nurse in New York State.

Nice To Haves

Bachelor's Degree in Nursing, preferred. Must be enrolled in an accredited program within 24 months of employment, if hired after September 1, 2010 and obtain a BSN degree within five (5) years of employment date.
BCLS, ACLS, preferred.

Responsibilities

Assesses the patient’s physiologic health status
Conducts patient interview, explains policies and procedures to patient/significant others, reviews patient’s chart and answers questions correctly and courteously
Assesses gastrointestinal, cardiovascular, respiratory, renal and neurological health status
Determines mobility, sensory deficits, prostheses use, and skin condition and adjusts plan of care, as appropriate
Assesses level of pain and pain management
Communicates/documents patient’s physiologic health status and plan of care.
Assesses patient’s psychosocial health status
Elicits perception of medical/nursing care and the expectation of care
Determines coping mechanism, knowledge level, and ability to comprehend
Identifies cultural/ethnic requirements to reduce anxiety and ensure patient satisfaction
Communicates and documents psychological status and care plan; support group, counseling services, social services.
Identifies patient outcome
Develops criteria for measurement of patient outcomes
Identifies actual/potential patient problems
Identifies patient’s need for teaching based on psychosocial and developmental assessment
Develops patient outcome statement (s) and establishes individualized patient goals.
Formulates the plan of care and establishes the priorities necessary to achieve expected outcome
Identifies care activities and establishes the priorities necessary to achieve expected outcome
Coordinates the cost-effective use of supplies, equipment and medication to achieve expected outcome
Documents the plan of care and collaborates with physicians and other health team members.
Implements the plan of care
Maintains constant vigilance over patients care to ensure that safety precautions/needs are followed. (Side rails up, call lights and bedside stand within reach, etc.)
Exercises professional skills related to the plan of care
Reassesses patients as needed and appropriately revises plan of care
Correctly administers prescribed treatments
Correctly uses equipment necessary for patient care
Provides emotional support to patient and significant other
Applies scientific principles in performing procedures; carries them out safely, timely and efficiently
Makes accurate observations of patient’s conditions during treatments/procedures. Reports and records same as appropriate
Keeps accurate documentation of patient’s treatment, activity and condition, as well as patient’s responses to medical and nursing interventions
Uses appropriate methods of documentation according to departmental policy
Acts rapidly and effectively during any emergency situation, managing self, patients and other employees
Provides a calm, quiet, restful atmosphere. Communicates effectively with the patient’s family or caretakers
Participates in planning for discharge and coordinates referrals, as appropriate
Provides discharge instructions to patient and significant other.
Evaluates care provided for patient outcome
Demonstrates ability to measure effectiveness of care provided and documents same
Performs variance analysis related to outcome data for performance improvement
Designs, implements, and evaluates systems to improve care in Unit
Keeps accurate documentation of patient’s treatment, activity and condition
Uses appropriate methods of documentation according to departmental policy.
Collaborates with other care team members in planning and carrying out treatment regimen; provides direction to other members of the care team
Collaborates with the appropriate physician on patient’s plan of care
Accurately interprets and implements treatment regimen as prescribed by the Physician
Assists the Physician during treatments and/or diagnostic procedures
Keeps the Patient Care Manager/designee and/or physician, abreast of changes in patient’s condition and/or treatments, as appropriate
Uses clinical judgment in delegating assignments to the Patient Care Associate, Support Care Associate and Clerical Service Associate in providing patient care, and ensures that assignments are completed in a timely fashion.
Performs grade I-IV Decubritus Care
Performs preventive skin care measures
Applies simple dressings, maintaining principles of aseptic technique
Applies warm & cold compresses, consistent with facility procedure
Performs irrigations, consistent with Facility procedure
Performs other procedures related to skin care, as necessary.
Administers medications correctly and safely
Correctly identifies medication: action; dosage; side effects and implications for the patient
Meets standard on medication administration examination
Demonstrates preparation of local solutions
Demonstrates preparation of I.V. drips
Administers and documents medication correctly
Administers IVP medication as per department policy and procedure
Educates patients and significant others related to drug and food interactions.
Participates in patient and family education
Provides the patient with an explanation of his/her condition as indicated
Communicates assessment data in an orderly fashion by recording, updating and verbalizing pertinent information to care team members and to appropriate agencies
Recognizes and utilizes health teaching opportunities and resources /materials available for this teaching
Provides for early discharge planning and appropriate referrals for post-hospital care
Evaluates the effectiveness of teaching by feedback from patient/family and documents same.
Performs related duties, as required.