Registered Nurse- Emergency Department, Per Diem Evenings

Registered Nurse Position

Position at Northern Dutchess Hospital Northwell is the largest not-for-profit health system in the Northeast, serving residents of New York and Connecticut with 28 hospitals, more than 1,000 outpatient facilities, 22,000 nurses and over 20,000 physicians. Northwell cares for more than three million people annually in the New York metro area, including Long Island, the Hudson Valley, Connecticut and beyond, thanks to philanthropic support from our communities. Northwell is New York State's largest private employer with over 104,000 employees including members of Northwell Health Physician Partners who are working to change health care for the better. Northern Dutchess Hospital is an 84-bed hospital located in picturesque Rhinebeck, New York. We are leaders in the Hudson Valley for maternity and orthopedic excellence and provide award-winning care in a wide range of specialties, from cancer and heart disease prevention to bariatric surgery and healthy aging services. Our accolades include the following:

• The Leapfrog Group - Grade A for quality and patient safety
• U.S. News & World Report - High performance in knee replacement
• Surgical Review Corporation (SRC) - Robotic Center of Excellence
• Center for Medicare and Medicaid Services (CMS) - 5 Star Rating

At Northern Dutchess Hospital, we pride ourselves on a culture of collaboration and teamwork, where every voice is valued and contributes to our shared success. When you step through our doors, you will feel a warm and welcoming atmosphere that makes our hospital a truly special place to work. Our staff is friendly, dedicated and deeply committed to the well-being of our patients and each other's success.

Summary:

The Registered Nurse provides direct patient care that is guided by the American Nurses Association (ANA) scope of practice. A Registered Nurse collaborates with patients, family/significant others, peers, physicians, and other members of the interdisciplinary healthcare team in the delivery of healthcare services to patients. The Registered Nurse assesses the patients needs, care plans, implements, and evaluates the medical and nursing regimens in accordance with the hospital and nursing philosophy, policies/procedures, and standards. They demonstrate leadership skills and commitment to professional accountability and growth.

Responsibilities:

1. Completes patient assessment and reassessment as clinically indicated:

a. Documents detailed information incorporating the plan of care, interventions and outcomes reflecting the patients physical, mental, and emotional status.

b. Ensures appropriate documentation based on the level of care the patient is receiving to include transfer/discharge documentation as indicated.

1. Follows the five Rights of Medication Administration. Verbalize to patients/family/significant other the medication they are receiving. Assesses the patient prior to administering medications noting allergies, parameters, potential side effects, effectiveness and intervening as needed. Reassesses and documents response according to hospital policy.
2. Coordinates and supervises the delivery of nursing care, including the delegation of tasks:
1. Maintains accountability for care delegated.
3. Actively works to promote a culture of safety:
1. Assesses patients for potential safety risks.
2. Adheres to hospital policies and procedures regarding patient safety. Initiates interventions related to the risk factors identified.
3. Conducts bedside shift report and bedside rounds with peer on assigned patients at change of shift.
4. Demonstrate quality by documenting the application of the nursing process in a responsible, accountable, and ethical manner.
5. Ensures patient hand-off as appropriate when leaving for breaks.
4. Assesses learning needs of patient/family/significant other. Plans and provides appropriate instruction using applicable teaching methods. Assesses and documents patient/family/significant other response to teaching.
5. Cares for specific patient populations, despite location, as necessary.
6. Deliver Patient Centered Care:
1. Embrace the cultural diversity and difference of patients and team members.
2. Respect the dignity of all individuals through the maintenance of the caring relationship.
3. Maintains open lines of communication inclusive of actively listening.
7. Meets accreditation, regulatory, and compliance responsibilities related to the position.
8. Works to promote a culture of learning and growth:
1. Seek experiences and formal and independent learning activities to maintain and develop clinical and professional skills and knowledge.
2. Teach others to succeed through mentorship.
9. Performs other duties as assigned within the state nursing scope of practice.

Education Skills Experience:

Graduated from an accredited school of nursing with an Associates Level Degree (required) or Bachelors Degree in Nursing (preferred).

Other Information:

Current and unobstructed New York State Registered Nurse (NY Hospitals)

Current and unobstructed Connecticut Registered Nurse License (CT Hospitals)

New graduates awaiting licensure at the discretion of the Chief Nursing Officer (CT only)

American Nurses Association endorsed Certifications or Academy of Medical-Surgical Nurses Certification Preferred (*Based on Certification specialty hours of work requirement).

o Association Training - please review grid below.

Training - Unit - Required / Preferred

BLS - All Nursing Care Areas - Required upon hire

ACLS - ED, ICU, CCU, SDU PCU, PACU, Cath Lab, GI, LDRP, IR, Float Pool- specific to individuals competency and location floatedCardiology focused units - Required by end of orientation period

PALS - ED, PACU, Pediatric Areas(Either PALS or ENPC) - Required by end of orientation period

NRP - MCH, NICU, LDRP, DR - Required by end of orientation period

EFM - LDRP - Within 1 year of hire

TNCC - ED (Required Danbury, Norwalk),ICU(Preferred, but may have TCAR)PACU(DH Preferred) - Within 1 year of hire

ENPC - ED RN(Either PALS or ENPC) - Within 1 year of hire

TCAR - ICU (VBMC- Preferred)ICU/PACU (NH) - Within 1 year of hire

CPI or other de-escalation technique training - Behavioral Health, ED (All hospitals)Float Pool Putnam6W, Float Pool (Norwalk)ICU, PCU, 9 tower (DH) - Within 6 months of hire

S.T.A.B.L.E - OB(NDH Only) - Within 6 months of hire

Chemotherapy Certification - Inpatient Oncology - Within 1 year of hire

ED: Emergency Department - NICU: Neonatal Intensive Care Unit

ICU: Intensive Care Unit - MCH: Maternal Child Health Unit

CCU: Critical Care Unit - LDRP: Labor Delivery Recovery Unit

OR: Operating Room - DR: Delivery Room

PCsecU: Progressive Care Unit - M/S: Medical Surgical Unit

SDU Step Down Unit - CPI: Crisis Prevention Intervention

PACU: Post Anesthesia Care Unit - IR: Interventional Radiology

BLS - Basic Life Support

ACLS - Advanced Cardiovascular Life Support

PALS - Pediatric Advanced Life Support

NRP - Neonatal Resuscitation Program

EFM - Electronic Fetal Monitoring

TNCC - Trauma Nursing Core Course

ENPC - Emergency Nurse Pediatric Course

TCAR - Transcarotid Artery Revascularization

CPI - Crisis Prevention Institute

S.T.A.B.L.E - Stabilization Care of Sick Infants

Working Conditions:

Manual: significant manual skills/motor coord & finger dexterity

Occupational: Some occupational risk

Physical Effort: Medium to Heavy effort. May exert up to 35 lbs. force

Physical Environment: Some exposure to dirt, odors, noise, human waste, etc.

Credentials: RN,BLS

Company: Northern Dutchess Hospital

Org Unit: 969

Department: Emergency Department

Exempt: