Registered Nurse (Rn) - Float Per Diem

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 Responsibility

• Assesses gastrointestinal, cardiovascular, respiratory, renal and neurological health status;
• Participates in planning for discharge and coordinates referrals, as appropriate; Provides discharge instructions to patient and significant other.
• Documents the plan of care and collaborates with physicians and other health team members.
• Identifies patient outcome
• Develops patient outcome statement (s) and establishes individualized patient goals.
• Identifies patients need for teaching based on psychosocial and developmental assessment;
• 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.);
• Exercises professional skills related to the plan of care;
• Identifies actual/potential patient problems;
• Correctly administers prescribed treatments;
• Administers and documents medication correctly;
• Evaluates care provided for patient outcome
• Evaluates the effectiveness of teaching by feedback from patient/family and documents same.
• Applies simple dressings, maintaining principles of aseptic technique;
• Determines mobility, sensory deficits, prostheses use, and skin condition and adjusts plan of care, as appropriate;
• Makes accurate observations of patients conditions during treatments/procedures. Reports and records same as appropriate;
• Communicates assessment data in an orderly fashion by recording, updating and verbalizing pertinent information to care team members and to appropriate agencies;
• Assists the Physician during treatments and/or diagnostic procedures;
• Provides a calm, quiet, restful atmosphere. Communicates effectively with the patients family or caretakers;
• Communicates/documents patients physiologic health status and plan of care.
• Uses appropriate methods of documentation according to departmental policy;
• Identifies care activities and establishes the priorities necessary to achieve expected outcome;
• Develops criteria for measurement of patient outcomes;
• Provides for early discharge planning and appropriate referrals for post-hospital care;
• Performs preventive skin care measures
• Administers IVP medication as per department policy and procedure;
• Demonstrates ability to measure effectiveness of care provided and documents same;
• Performs other procedures related to skin care, as necessary.
• Communicates and documents psychological status and care plan; support group, counseling services, social services.
• Collaborates with the appropriate physician on patients plan of care;
• Identifies cultural/ethnic requirements to reduce anxiety and ensure patient satisfaction;
• Accurately interprets and implements treatment regimen as prescribed by the Physician;
• Correctly identifies medication: action; dosage; side effects and implications for the patient;
• Demonstrates preparation of I.V. drips;
• Keeps the Patient Care Manager/designee and/or physician, abreast of changes in patients condition and/or treatments, as appropriate;
• Demonstrates preparation of local solutions;
• Formulates the plan of care and establishes the priorities necessary to achieve expected outcome
• Participates in patient and family education
• Applies warm & cold compresses, consistent with facility procedure;
• Performs related duties, as required.
• Elicits perception of medical/nursing care and the expectation of care;
• Assesses the patients physiologic health status
• Determines coping mechanism, knowledge level, and ability to comprehend;
• Coordinates the cost-effective use of supplies, equipment and medication to achieve expected outcome;
• Performs irrigations, consistent with Facility procedure;
• Performs variance analysis related to outcome data for performance improvement;
• Applies scientific principles in performing procedures; carries them out safely, timely and efficiently;
• Acts rapidly and effectively during any emergency situation, managing self, patients and other employees;
• Educates patients and significant others related to drug and food interactions.
• 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.
• Keeps accurate documentation of patients treatment, activity and condition, as well as patients responses to medical and nursing interventions;
• Assesses level of pain and pain management;
• Designs, implements, and evaluates systems to improve care in Unit;
• Performs grade I-IV Decubitus Care
• Provides emotional support to patient and significant other;
• Meets standard on medication administration examination;
• Keeps accurate documentation of patients treatment, activity and condition;
• Collaborates with other care team members in planning and carrying out treatment regimen; provides direction to other members of the care team
• Reassesses patients as needed and appropriately revises plan of care;
• Implements the plan of care
• Assesses patients psychosocial health status
• Correctly uses equipment necessary for patient care;
• Conducts patient interview, explains policies and procedures to patient/significant others, reviews patients chart and answers questions correctly and courteously;
• Uses appropriate methods of documentation according to departmental policy.
• Recognizes and utilizes health teaching opportunities and resources /materials available for this teaching;
• Administers medications correctly and safely
• Provides the patient with an explanation of his/her condition as indicated;

• ADA Essential Functions

Job Qualification

• Current license to practice as a Registered Professional Nurse in New York State.
• Graduate from an accredited School of Nursing. Bachelors 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.