Registered Nurse - Emergency Department

Shift Details Every other weekend and holidays Job Description 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. Job Responsibilities Assess the patient’s physiologic health status Conduct patient interview, explain policies and procedures to patient/significant others, review patient’s chart and answer questions correctly and courteously. Assess gastrointestinal, cardiovascular, respiratory, renal and neurological health status. Determine mobility, sensory deficits, prostheses use, and skin condition and adjust plan of care, as appropriate. Assess level of pain and pain management. Communicate/document patient’s physiologic health status and plan of care. Assess patient’s psychosocial health status Elicit perception of medical/nursing care and the expectation of care. Determine coping mechanism, knowledge level, and ability to comprehend. Identify cultural/ethnic requirements to reduce anxiety and ensure patient satisfaction. Communicate and document psychological status and care plan; support group, counseling services, social services. Identify patient outcome Develop criteria for measurement of patient outcomes. Identify actual/potential patient problems. Identify patient’s need for teaching based on psychosocial and developmental assessment. Develop patient outcome statement(s) and establish individualized patient goals. Formulate the plan of care and establish priorities necessary to achieve expected outcome Identify care activities and establish the priorities necessary to achieve expected outcome. Coordinate the cost-effective use of supplies, equipment and medication to achieve expected outcome. Document the plan of care and collaborate with physicians and other health team members. Implement the plan of care Maintain constant vigilance over patient’s care to ensure that safety precautions/needs are followed (side rails up, call lights and bedside stand within reach, etc.). Exercise professional skills related to the plan of care. Reassess patients as needed and appropriately revise plan of care. Correctly administer prescribed treatments. Correctly use equipment necessary for patient care. Provide emotional support to patient and significant other. Apply scientific principles in performing procedures; carry them out safely, timely and efficiently. Make accurate observations of patient’s conditions during treatments/procedures. Report and record same as appropriate. Keep accurate documentation of patient’s treatment, activity and condition, as well as patient’s responses to medical and nursing interventions. Use appropriate methods of documentation according to departmental policy. Act rapidly and effectively during any emergency situation, managing self, patients and other employees. Provide a calm, quiet, restful atmosphere. Communicate effectively with the patient’s family or caretakers. Participate in planning for discharge and coordinate referrals, as appropriate. Provide discharge instructions to patient and significant other. Evaluate care provided for patient outcome Demonstrate ability to measure effectiveness of care provided and document same. Perform variance analysis related to outcome data for performance improvement. Design, implement, and evaluate systems to improve care in Unit. Keep accurate documentation of patient’s treatment, activity and condition. Use appropriate methods of documentation according to departmental policy. Collaborate with other care team members in planning and carrying out treatment regimen; provide direction to other members of the care team Collaborate with the appropriate physician on patient’s plan of care. Accurately interpret and implement treatment regimen as prescribed by the Physician. Assist the Physician during treatments and/or diagnostic procedures. Keep the Patient Care Manager/designee and/or physician abreast of changes in patient’s condition and/or treatments, as appropriate. Use clinical judgment in delegating assignments to the LPN, Patient Care Technician, Support Care Associate and Nursing Unit Secretary Associate in providing patient care, and ensure assignments are completed in a timely fashion. Perform grade I-IV Pressure Injury Care; preventive skin care measures Apply simple dressings, maintaining principles of aseptic technique. Apply warm & cold compresses, consistent with facility procedure. Perform irrigations, consistent with Facility procedure. Perform other procedures related to skin care, as necessary. Administer medications correctly and safely Correctly identify medication: action; dosage; side effects and implications for the patient. Meet standard on medication administration examination. Demonstrate preparation of local solutions. Demonstrate preparation of I.V. drips. Administer and document medication correctly. Administer IVP medication and IV standard infusions per department policy and procedure. Educate patients and significant others related to drug and food interactions. Participate in patient and family education Provide the patient with an explanation of his/her condition as indicated. Communicate assessment data in an orderly fashion by recording, updating and verbalizing pertinent information to care team members and to appropriate agencies. Recognize and utilize health teaching opportunities and resources/materials available for this teaching. Provide for early discharge planning and appropriate referrals for post-hospital care. Evaluate the effectiveness of teaching by feedback from patient/family and document same. Perform related duties, as required. Job Qualification Graduate from an accredited School of Nursing. Bachelor’s Degree in Nursing, preferred. Must be enrolled in an accredited program within 24 months of employment, if hired after January 1, 2018 and obtain a BSN Degree within five (5) years of employment date. Current license to practice as a Registered Professional Nurse in New York State. BCLS, ACLS, required. PALS within 6 months of hire date. Emergency Department experience, required. 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). #J-18808-Ljbffr Northwell Health