Registered Nurse (Rn) - Nicu 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

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

• 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.

*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).