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, including the LPN, CNA, and Unit Secretary. The role includes assessing patients’ physiologic and psychosocial health, identifying patient outcomes and teaching needs, formulating and implementing individualized plans of care, and evaluating care effectiveness. The RN administers treatments and medications, provides skin and decubitus care, maintains accurate documentation, supports patients and families, coordinates discharge planning, and collaborates with physicians and other care team members. The RN also delegates care activities appropriately and helps maintain patient safety and improve care systems.

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 the employment date.

Nice To Haves

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

Responsibilities

Assess patients’ physiologic health status, including gastrointestinal, cardiovascular, respiratory, renal, and neurological status; mobility, sensory deficits, prostheses use, skin condition, pain, and pain management.
Conduct patient interviews, explain policies and procedures, review charts, answer questions, and communicate and document patient status and the plan of care.
Assess patients’ psychosocial health, including perceptions and expectations of care, coping mechanisms, knowledge and comprehension, and cultural or ethnic needs; communicate and document assessments and care plans.
Identify actual and potential patient problems, develop criteria and outcome statements, establish individualized goals, and identify patient teaching needs.
Formulate and document plans of care, set priorities, coordinate cost-effective use of supplies, equipment, and medications, and collaborate with physicians and other health team members.
Implement and reassess plans of care, revise them as needed, administer prescribed treatments, use equipment correctly, provide emotional support, and perform procedures safely and efficiently.
Maintain patient safety and a calm, restful atmosphere; respond effectively to emergencies; observe and report patient conditions and responses to treatments and procedures; and maintain accurate documentation according to departmental policy.
Communicate with patients’ families or caretakers, participate in discharge planning, coordinate referrals, and provide discharge instructions.
Evaluate the effectiveness of care, document outcomes, perform variance analysis for performance improvement, and design, implement, and evaluate systems to improve care in the unit.
Collaborate with physicians on plans of care, interpret and implement prescribed treatment regimens, assist with treatments and diagnostic procedures, and keep the Patient Care Manager/designee and/or physician informed of changes in patient condition or treatment.
Use clinical judgment to delegate assignments to patient care and clerical team members and ensure assignments are completed in a timely manner.
Perform grade I–IV decubitus care, preventive skin care, simple dressings using aseptic technique, warm and cold compresses, irrigations, and other necessary skin-care procedures.
Administer and document medications safely and correctly, including IV push medication according to departmental policy; prepare local solutions and IV drips; and educate patients and significant others about drug and food interactions.
Educate patients and families about conditions, communicate pertinent assessment information to care team members and appropriate agencies, use health-teaching opportunities and resources, plan for discharge and referrals, and evaluate teaching effectiveness.
Perform related duties as required.