Home Care Registered Nurse - Staten Island

Job Summary 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 and clinical judgment in coordinating patient care and directing/delegating activities of the patient care unit team. Responsibilities Conducts patient interview, explains policies and procedures to patient and 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 and documents patient’s physiologic health status and plan of care. 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. Identifies patient outcome, develops criteria for measurement of patient outcomes, identifies actual/potential patient problems, develops patient outcome statements and establishes individualized patient goals. Identifies care activities and establishes priorities necessary to achieve expected outcome; coordinates the cost‑effective use of supplies, equipment and medication; documents plan of care and collaborates with physicians and other health team members. Implements plan of care. Maintains constant vigilance over patient’s care to ensure safety precautions are followed; 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 safely and efficiently, makes accurate observations of patient’s condition during treatments/procedures, reports and records as appropriate. Acts rapidly and effectively during any emergency situation, manages self, patients and other employees, provides a calm, quiet, restful atmosphere, communicates effectively with patient’s family or caretakers. Participates in planning for discharge and coordinates referrals; provides discharge instructions to patient and significant other; evaluates care provided for patient outcome, demonstrates ability to measure effectiveness of care and documents same. Performs variance analysis related to outcome data for performance improvement; designs, implements and evaluates systems to improve care in unit. 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; uses clinical judgment in delegating assignments and ensures timely completion. Performs grade I–IV Decubitus Care; performs preventive skin care measures; applies simple dressings and maintains principles of aseptic technique; applies warm and cold compresses per facility procedure; performs irrigations and other skin care procedures as necessary. Administers medications correctly and safely; correctly identifies medication action, dosage, side effects and implications; meets standards on medication administration; demonstrates preparation of local solutions; administers and documents medication correctly; educates patients and significant others regarding drug and food interactions. Participates in patient and family education, explains patient’s condition, communicates assessment data to care team, utilizes health‑teaching opportunities, provides early discharge planning and referrals for post‑hospital care, evaluates effectiveness of teaching by feedback and documents same. 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. Qualifications Graduate 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. Minimum one year of current or recent acute/in‑patient care nursing experience preferred. Salary 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 such as location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity. #J-18808-Ljbffr Northwell Health