Home Care Registered Nurse

Job TitleDirect Patient Care NursingJob DescriptionPerforms 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.Job Responsibility1. Conducts patient interview, explains policies and procedures to patient/significant others, reviews patient's chart and answers questions correctly and courteously. 2. 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. 3. Communicates and documents patient's physiologic health status and plan of care. 4. Assesses patient's psychosocial health status. Elicits perception of medical/nursing care and 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 of support groups, counseling services, and social services. Identifies patient's need for teaching based on psychosocial and developmental assessment. 6. Identifies patient outcome. Develops criteria for measurement of patient outcomes. Identifies actual/potential patient problems. Develops patient outcome statement(s) and establishes individualized patient goals. 7. Identifies care activities and establishes priorities necessary to achieve expected outcome. Coordinates the cost-effective use of supplies, equipment and medication to achieve expected outcome. Documents plan of care and collaborates with physicians and other health team members. 8. Implements plan of care. Maintains constant vigilance over patients care to ensure 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. 9. 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, carrying them out safely, timely and efficiently. Makes accurate observations of patient's conditions during treatments/procedures. Reports and records same as appropriate. 10. 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. 11. Acts rapidly and effectively during any emergency situation, managing self, patients and other employees. Provides a calm, quiet, restful atmosphere. Communicates effectively with patient's family or caretakers. 12. Participates in planning for discharge and coordinates referrals, as appropriate. Provides discharge instructions to patient and significant other. Evaluates care provided for patient outcome. Demonstrates ability to measure effectiveness of care provided and documents same. 13. Performs variance analysis related to outcome data for performance improvement. Designs, implements, and evaluates systems to improve care in unit. 14. Keeps accurate documentation of patient's treatment, activity and condition. Uses appropriate methods of documentation according to departmental policy. 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. 15. Accurately interprets and implements treatment regimen as prescribed by Physician. Assists Physician during treatments and/or diagnostic procedures. Keeps 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 in providing patient care, and ensures assignments are completed in a timely fashion. 16. Performs grade I-IV Decubitus Care; performs preventive skin care measures. Applies simple dressings, maintaining principles of aseptic technique. Applies warm and cold compresses, consistent with facility procedure. Performs irrigations, consistent with facility procedure. Performs other procedures related to skin care, as necessary. 17. Administers medications correctly and safely; correctly identifies medication in terms of action, dosage, side effects, and implications for the patient. Meets standard on medication administration examination. Demonstrates preparation of local solutions. Administers and documents medication correctly. Educates patients and significant others related to drug and food interactions. 18. Participates in patient and family education. Provides 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 effectiveness of teaching by feedback from patient/family and documents same. 19. Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions.Job QualificationGraduate from an accredited School of Nursing, required. Bachelor's Degree in Nursing, preferred. Must be enrolled in an accredited BSN program within two (2) years and obtain a BSN Degree within five (5) years of job entry date. Current License to practice as a Registered Professional Nurse in New York State required, plus specialized certifications as needed. Valid Driver's License in New York State required may be required depending on area of assignment.*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).About UsNorthwell HealthAt Northwell Health, we're a network of collaborators, research pioneers, entrepreneurs and educators—74,000+ strong—each year caring for millions of individuals and their families who share our neighborhoods and communities where we live, love and work.Northwell is a Fortune 100 Best Companies to Work for, the only health care provider in New York State to be recognized. As New York State's largest healthcare provider and employer, Northwell has many career opportunities across our 23 hospitals, nearly 800 outpatient facilities, our laboratories, and our world-class research facility with locations spanning across Long Island, Manhattan, Queens, Staten Island and Westchester.Together, with each patient and caregiver, our ability to serve the community grows. And so does your opportunity to advance your career with us. While we are committed to improving the lives of millions, we never lose sight of you and your career aspirations. Our team members have limitless opportunities for career growth, learning and development with a rewarding and inclusive culture that supports and nurtures their professional journey at every step of the way.From the smallest gesture to life-changing treatments and research, we are redefining health care and strengthening the health of our neighborhoods far and wide. Join us and embark on a fulfilling career journey as you help deliver on our mission.A Northwell career is a career well cared for.About the TeamNorthwell Health At Home is the region's largest integrated home care organization, bringing Northwell's outstanding, innovative and award-winning care right to the patient's home. At Home services and careers span across Nassau and Suffolk County, Queens, Brooklyn, Manhattan, Staten Island and Westchester. We specialize in caring for a number of acute and chronic conditions, including cancer, COPD, diabetes, heart failure, high-risk pregnancy, infusion, joint replacement, pediatric conditions, psychiatric conditions, stroke and more. We are also certified in both heart failure and palliative care by the Joint Commission– one of only a few organizations in New York State to achieve heart failure distinction.