RN (SI) Registered Nurse - 3C/Telemetry

Company: Northwell Health
Location: Staten Island
Posted on: January 27, 2023

Job Description:

Job Description

Job Description
1. 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.
2. 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.
3. 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.
4. 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.
5. 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.
6. 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.
7. 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.
8. 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.
9. 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.
10. 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.
11. Performs related duties, as required.
PHYSICAL DEMANDS:
Constant * standing, walking, stooping, bending, stretching, lifting, pulling, pushing and turning.
Frequent * Lifts objects from 10 lbs to 150 lbs. Pushes objects up to 200 lbs.
Occasional * Sitting. Lifts with assistance objects greater than 150 lbs. and carries objects weighing up to 50 lbs.
*ADA Essential Functions

Job Responsibility

Job Qualification
* Graduate from an accredited School of Nursing. 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.
* Current license to practice as a Registered Professional Nurse in New York State.
* BCLS, ACLS, preferred.


*Additional Salary Detail
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).

Keywords: Northwell Health, New York , RN (SI) Registered Nurse - 3C/Telemetry, Healthcare , Staten Island, New York