Registered Nurse - Emergency Department
Company: Northwell Health
Location: Riverhead
Posted on: February 22, 2021
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Job Description:
Peconic Bay Medical Center, Riverhead, NY The Registered Nurse
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. 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. - 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. - Develops criteria for
measurement of patient outcomes; - 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 LPN, Patient Care Technician, Support Care
Associate and Nursing Unit Secretary Associate in providing patient
care, and ensures that assignments are completed in a timely
fashion. 8. Performs grade I-IV Pressure Injury Care - 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 and IV standard infusions
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. *ADA Essential Functions
--Qualifications:
If you are an individual with a disability requesting an
accommodation for the application process, please click the contact
us link above to request assistance.
-- 2021 - Northwell Health
Click here to view the "EEO is the law" poster. 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.
Northwell Health reserves the right to amend all terms of
employment.
Keywords: Northwell Health, New Haven , Registered Nurse - Emergency Department, Healthcare , Riverhead, Connecticut
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