Northwell Health
Emergency Department RN - Contract & Per Diem -Nassau County at Northwell Health
Northwell Health, Kensington Village Mobile Home Park, New York, United States...
**Req Number** 136922
Responsibilities:
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 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.
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.
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, required.
* BLS/ACLS/PALS/TNCC required, plus specialized certifications as needed.
The salary range for this position is $52-$100/hour
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 exp
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Responsibilities:
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 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.
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.
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, required.
* BLS/ACLS/PALS/TNCC required, plus specialized certifications as needed.
The salary range for this position is $52-$100/hour
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 exp
#J-18808-Ljbffr