RN - Pd

Northwell Health•Valley Stream, NY

About The Position

Performs an age-specific plan of care for a designated group of residents using the nursing process of assessment, diagnosis, outcome identification, planning, implementation, and evaluation. Collaborates with physicians and other team members to coordinate and implement procedures and treatments. Uses leadership skills and clinical judgment to coordinate resident care and direct and delegate activities of the resident care team, specifically the LPN, CAN, and Unit Secretary. Assesses patients’ physiologic and psychosocial health, identifies desired outcomes, establishes individualized goals, and formulates and implements plans of care. Monitors patient safety and response to treatment, documents care and outcomes, and evaluates the effectiveness of care. Collaborates with physicians and care team members, supports patient and family education, and participates in discharge planning and referrals. Performs skin and wound care procedures and administers medications safely and correctly. Responds effectively to emergencies and performs related duties as required.

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 be enrolled in an accredited program within 24 months of employment and obtain a BSN within five years of employment.

Nice To Haves

Bachelor’s Degree in Nursing preferred.
BCLS preferred.
ACLS preferred.

Responsibilities

Assess patients’ physiologic health, including gastrointestinal, cardiovascular, respiratory, renal, and neurological status; mobility, sensory deficits, prostheses use, skin condition, and pain.
Assess patients’ psychosocial health, coping mechanisms, knowledge, comprehension, cultural and ethnic requirements, and expectations of care; communicate and document findings and care plans.
Identify actual and potential patient problems, develop outcome measures and individualized goals, and identify patient teaching needs.
Formulate and document prioritized plans of care, coordinate cost-effective use of supplies, equipment, and medication, and collaborate with physicians and other health team members.
Implement plans of care, maintain patient safety, administer prescribed treatments, use patient-care equipment correctly, provide emotional support, and reassess patients and revise care plans as needed.
Observe and document patients’ conditions and responses to treatments and interventions using departmental documentation methods.
Respond rapidly and effectively to emergency situations and maintain a calm, quiet, restful atmosphere.
Communicate with patients’ families or caretakers; participate in discharge planning, coordinate referrals, and provide discharge instructions.
Evaluate care outcomes, document effectiveness, conduct variance analysis for performance improvement, and design, implement, and evaluate systems to improve unit care.
Collaborate with physicians and care team members to plan and carry out treatment regimens; assist physicians with treatments and diagnostic procedures and report changes in patient condition or treatment.
Use clinical judgment to delegate assignments to care team members and ensure assignments are completed in a timely manner.
Perform grade I–IV decubitus care and other skin-care procedures, including preventive care, dressings, compresses, and irrigations, in accordance with facility procedures.
Administer and document medications safely and correctly, including IV push medications in accordance with department policy; prepare local solutions and IV drips; educate patients and significant others about drug and food interactions.
Educate patients and families about conditions and care, communicate relevant assessment information to the care team and appropriate agencies, use available teaching resources, and evaluate the effectiveness of teaching.
Perform related duties as required.