Registered Nurse - Pediatrics - Long Term Per Diem & Contract - Cohen Children’s Medical Center - Flexstaff

• Determines mobility, sensory deficits, prostheses use, and skin condition and adjusts plan of care, as appropriate;
• Conducts patient interview, explains policies and procedures to patient/significant others, reviews patient’s chart and answers questions correctly and courteously;
• Assesses gastrointestinal, cardiovascular, respiratory, renal and neurological health status;
• Communicates/documents patient’s physiologic health status and plan of care.
• Assesses level of pain and pain management;

• Communicates and documents psychological status and care plan; support group, counseling services, social services.
• Elicits perception of medical/nursing care and the expectation of care;
• Determines coping mechanism, knowledge level, and ability to comprehend;
• Identifies cultural/ethnic requirements to reduce anxiety and ensure patient satisfaction;

• Identifies patient’s need for teaching based on psychosocial and developmental assessment;
• Identifies actual/potential patient problems;
• Develops patient outcome statement (s) and establishes individualized patient goals.
• Develops criteria for measurement of patient outcomes;

• Documents the plan of care and collaborates with physicians and other health team members.
• Coordinates the cost-effective use of supplies, equipment and medication to achieve expected outcome;
• Identifies care activities and establishes the priorities necessary to achieve expected outcome;

• Uses appropriate methods of documentation according to departmental policy;
• Correctly uses equipment necessary for patient care;
• Keeps accurate documentation of patient’s treatment, activity and condition, as well as patient’s responses to medical and nursing interventions;
• Maintains constant vigilance over patients care to ensure that safety precautions/needs are followed. (Side rails up, call lights and bedside stand within reach, etc.);
• Participates in planning for discharge and coordinates referrals, as appropriate;
• Reassesses patients as needed and appropriately revises plan of care;
• Applies scientific principles in performing procedures; carries them out safely, timely and efficiently;
• Makes accurate observations of patient’s conditions during treatments/procedures. Reports and records same as appropriate;
• Provides emotional support to patient and significant other;
• Exercises professional skills related to the plan of care;
• Correctly administers prescribed treatments;
• Acts rapidly and effectively during any emergency situation, managing self, patients and other employees;
• Provides discharge instructions to patient and significant other.
• Provides a calm, quiet, restful atmosphere. Communicates effectively with the patient’s family or caretakers;

• Keeps accurate documentation of patient’s treatment, activity and condition;
• Uses appropriate methods of documentation according to departmental policy.
• Designs, implements, and evaluates systems to improve care in Unit;
• Demonstrates ability to measure effectiveness of care provided and documents same;
• Performs variance analysis related to outcome data for performance improvement;

• Collaborates with the appropriate physician on patient’s plan of care;
• Assists the Physician during treatments and/or diagnostic procedures;
• Keeps the Patient Care Manager/designee and/or physician, abreast of changes in patient’s condition and/or treatments, as appropriate;
• Accurately interprets and implements treatment regimen as prescribed by the Physician;
• Uses clinical judgment in delegating assignments to the Patient Care Associate, Support Care Associate and Clerical Service Associate in providing patient care, and ensures that assignments are completed in a timely fashion.

• Performs other procedures related to skin care, as necessary.
• Applies warm & cold compresses, consistent with facility procedure;
• Performs preventive skin care measures
• Applies simple dressings, maintaining principles of aseptic technique;
• Performs irrigations, consistent with Facility procedure;

• Meets standard on medication administration examination;
• Administers IVP medication as per department policy and procedure;
• Correctly identifies medication: action; dosage; side effects and implications for the patient;
• Administers and documents medication correctly;
• Demonstrates preparation of local solutions;
• Demonstrates preparation of I.V. drips;
• Educates patients and significant others related to drug and food interactions.

• Provides for early discharge planning and appropriate referrals for post-hospital care;
• Evaluates the effectiveness of teaching by feedback from patient/family and documents same.
• Provides the 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;

• ADA Essential Functions

REQUIRED EXPERIENCE AND QUALIFICATIONS

• Current license to practice as a Registered Professional Nurse in New York State.
• 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 September 1, 2010 and obtain a BSN Degree within five (5) years of employment date.

BCLS, ACLS, preferred.

• 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).