Nursing Position
Performs an age specific plan of care for a designated group of patients using the nursing process of assessment, diagnosis, outcome identification, planning, implementation, and evaluation of patient care. Collaborates with physicians and other health team members in coordinating and implementing procedures and treatments. Uses leadership skills/clinical judgment in coordinating patient care and directing/delegating activities of the patient care unit team. Responsibilities include:
Assessing the patient's physiologic health status + Conducting patient interview, explaining policies and procedures to patient/significant others, reviewing patient's chart and answering questions correctly and courteously; + Assessing gastrointestinal, cardiovascular, respiratory, renal, and neurological health status; + Determining mobility, sensory deficits, prostheses use, and skin condition and adjusting plan of care, as appropriate; + Assessing level of pain and pain management; + Communicating/documenting patient's physiologic health status and plan of care.Assessing patient's psychosocial health status + Elicits perception of medical/nursing care and the expectation of care; + Determining coping mechanism, knowledge level, and ability to comprehend; + Identifying cultural/ethnic requirements to reduce anxiety and ensure patient satisfaction; + Communicating and documenting psychological status and care plan; support group, counseling services, social services.Identifying patient outcome + Developing criteria for measurement of patient outcomes; + Identifying actual/potential patient problems; + Identifying patient's need for teaching based on psychosocial and developmental assessment; + Developing patient outcome statement(s) and establishing individualized patient goals.Formulating the plan of care and establishing the priorities necessary to achieve expected outcome + Identifying care activities and establishing the priorities necessary to achieve expected outcome; + Coordinating the cost-effective use of supplies, equipment, and medication to achieve expected outcome; + Documenting the plan of care and collaborating with physicians and other health team members.Implementing the plan of care + Maintaining constant vigilance over patients care to ensure that safety precautions/needs are followed. (Side rails up, call lights and bedside stand within reach, etc.); + Exercising professional skills related to the plan of care; + Reassessing patients as needed and appropriately revising plan of care; + Correctly administering prescribed treatments; + Correctly using equipment necessary for patient care; + Providing emotional support to patient and significant other; + Applying scientific principles in performing procedures; carrying them out safely, timely, and efficiently; + Making accurate observations of patient's conditions during treatments/procedures. Reports and records same as appropriate; + Keeping accurate documentation of patient's treatment, activity, and condition, as well as patient's responses to medical and nursing interventions; + Using appropriate methods of documentation according to departmental policy; + Acting rapidly and effectively during any emergency situation, managing self, patients, and other employees; + Providing a calm, quiet, restful atmosphere. Communicating effectively with the patient's family or caretakers; + Participating in planning for discharge and coordinating referrals, as appropriate; + Providing discharge instructions to patient and significant other.Evaluating care provided for patient outcome + Demonstrating ability to measure effectiveness of care provided and documents same; + Performing variance analysis related to outcome data for performance improvement; + Designing, implementing, and evaluating systems to improve care in Unit; + Keeping accurate documentation of patient's treatment, activity, and condition; + Using appropriate methods of documentation according to departmental policy.Collaborating with other care team members in planning and carrying out treatment regimen; provides direction to other members of the care team + Collaborating with the appropriate physician on patient's plan of care; + Accurately interpreting and implementing treatment regimen as prescribed by the Physician; + Assisting the Physician during treatments and/or diagnostic procedures; + Keeping the Patient Care Manager/designee and/or physician, abreast of changes in patient's condition and/or treatments, as appropriate; + Using clinical judgment in delegating assignments to the Patient Care Associate, Support Care Associate, and Clerical Service Associate in providing patient care, and ensuring that assignments are completed in a timely fashion.Performs grade I-IV Decubitus 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.Qualifications:
- Graduate from an accredited School of Nursing. Associate's Degree in Nursing, required. Bachelor's Degree in Nursing, preferred.
- Minimum 1-2 years of professional nursing experience in the related specialty.
- Current license to practice as a Registered Professional Nurse in New York State and/or CT state, required.
- BLS required, plus specialized certifications as needed.
The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget, and internal equity). The salary range for this position is $3,083-$3,803/week.
It is Northwell Health's policy to provide equal employment opportunity and treat all applicants and employees equally regardless of their age, race, creed/religion, color, national origin, immigration status or citizenship status, sexual orientation, military or veteran status, sex/gender, gender identity, gender expression, disability, pregnancy, genetic information or genetic predisposition or carrier status, marital or familial status, partnership status, victim of domestic violence, sexual or other reproductive health decisions, or other characteristics protected by applicable law.
