Registered Nurse MedSurg, Per Diem
$41 - $76 per hourNorthwell Health
Description
Position at Northern Dutchess Hospital
Northwellis the largest not-for-profit health system in the Northeast serving residents of New York and Connecticut with 28 hospitals more than 1000 outpatient facilities 22000 nurses and over 20000 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 States largest private employer with over 104000 employees including members ofNorthwell Health Physician Partners who are working to change health care for the better
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 patientï½s 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 patientï½s 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.
- 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.
- Coordinates and supervises the delivery of nursing care including the delegation of tasks:
- Maintains accountability for care delegated.
- Actively works to promote a culture of safety:
- Assesses patients for potential safety risks.
- Adheres to hospital policies and procedures regarding patient safety. Initiateï½s interventions related to the risk factors identified.
- Conducts bedside shift report and bedside rounds with peer on assigned patients at change of shift.
- Demonstrate quality by documenting the application of the nursing process in a responsible accountable and ethical manner.
- Ensures patient hand-off as appropriate when leaving for breaks.
- 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.
- Cares for specific patient populations despite location as necessary.
- Deliver Patient Centered Care:
- Embrace the cultural diversity and difference of patients and team members.
- Respect the dignity of all individuals through the maintenance of the caring relationship.
- Maintains open lines of communication inclusive of actively listening.
- Meets accreditation regulatory and compliance responsibilities related to the position.
- Works to promote a culture of learning and growth:
- Seek experiences and formal and independent learning activities to maintain and develop clinical and professional skills and knowledge.
- Teach others to succeed through mentorship.
- Performs other duties as assigned within the state nursing scope of practice.
Education Skills Experience:
ï½ Graduated from an accredited school of nursing with an Associateï½s Level Degree (required) or Bachelorï½s Degree in Nursing (preferred).
Other Information:
ï½ Current and unobstructed New York State Registered Nurse (NY Hospitals)
ï½ Current and unobstructed Connecticut Registered Nurse License (CT Hospitals)
ï½ New graduates awaiting licensure at the discretion of the Chief Nursing Officer (CT only)
ï½ 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 individualsï½ competency and location floated Cardiology 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 ï½ 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 Putnam 6W 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 ï½ 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:BLSRN
Company: Northern Dutchess Hospital
Org Unit: 1195
Department: General Medicine 1
Exempt: No
Salary Range: $41.00 - $76.16 Hourly
Required Experience:
IC
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