Sorry, this job is no longer accepting applications. See below for more jobs that match what you’re looking for!

RN (Registered Nurse)-Southside- Medical-Surgical Unit/ Full-Time/ Various Shifts

Expired Job

Northern Westchester Hospital Bay Shore , NY 11706

Posted 4 months ago

Job Description:

Performs the duties of a Professional Nurse in assessing, planning, implementing and evaluating the care of all assigned patients. Records comprehensive documentation of patient care and demonstrates professional competence according to established Southside Hospital Standards of Care.

Responsibilities Include:
1.Assessment:

  • Collects and organizes, systematically, patient data using all possible resources.

  • Examines patient to determine physical status including interview, observation, and inspection.

  • Identifies and records patient's physical, psycho-social condition including history, health habits and patient perception.
    2.Planning:

  • Formulates a care plan which identifies patient needs in priority order, including patient and/or family participation, and expected outcomes.

  • Collaborates with health team.

  • Identifies patient's educational needs and coping mechanisms.

  • Anticipates work-flow, and completes tasks.

  • Responds to schedule changes and/or emergencies.
    3.Implementation:

  • Delivers care that communicates the worth and dignity of patient.

  • Adapts nursing procedures when possible to meeting individual needs of patients.

  • Meets patient's needs for daily hygiene and acceptable appearance

  • Involves patient and family in the care when it is therapeutic to do so.

  • Identifies physical symptoms and changes; and takes appropriate action.

  • Administers medications and treatments according to established policies and procedures.

  • Observes behavioral and physiological changes due to medications and takes appropriate action.

  • Uses good medical and surgical asepsis in delivery of care.

  • Demonstrates skill using equipment necessary to delivery of patient care.

  • Helps patient accept dependence/independence appropriate to condition.

  • Protects patients from environmental hazards.

  • Takes action to meet patient's needs for adequate hydration and elimination.

  • Takes action in response to anticipated or manifest patient anxiety or distress.

  • Provides for mental and social stimulation in appropriate amounts on the basis of patient's potential.

  • Implements teaching plan using principles of teaching and learning.
    4.Evaluation:

  • Uses current data to measure progress toward goal achievement.

  • Initiates Nursing actions if patient fails to progress toward pre-set goals.

  • Evaluates teaching done by obtaining patient or \u201csignificant other\u201d verbalization of instructions.

  • Refers patient's needs which cannot be met to appropriate personnel and obtains feedback.
    5.Documentation:

  • Writes admission notes which reflect a clear picture of the patient's physical and psychological status.

  • Records patient data on the Nursing Care Plan.

  • Writes Nurse's Notes demonstrating progress or lack of progress toward patient goals; presenting a clear and current picture of the patient's status; indicating a knowledge of and appreciation for legal and ethical aspects of charting; and reflecting Nursing Intervention and Patient Response.

  • Uses graphic/flow sheets correctly when pertinent to patient's condition.

  • Writes discharge notes which clearly reflect the patient's status with regard to health, activity, and knowledge at the time of discharge.
    6.Professional Implications:

  • Makes decisions which reflect sound judgment based upon knowledge of facts

  • Suggests constructive changes in delivery or monitoring of patient care.

  • Participates in review and revision of Policies and Procedures as directed by Head Nurse, Supervisor or Assistant Director of Nursing.

  • Serves on committees.

  • Utilizes and enforces Universal Precautions.
    7.Performs related duties, as required.

Qualifications

  • 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.

  • Current license to practice as a Registered Professional Nurse in New York State.

See if you are a match!

See how well your resume matches up to this job - upload your resume now.

Find your dream job anywhere
with the LiveCareer app.
Download the
LiveCareer app and find
your dream job anywhere
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Registered Nurse RN Dialysis

Fresenius Medical Care

Posted 3 weeks ago

VIEW JOBS 9/20/2018 12:00:00 AM 2018-12-19T00:00 PURPOSE AND SCOPE: Functions as part of the hemodialysis health care team as a Staff Registered Nurse to ensure provision of quality patient care on a daily basis in accordance with FMS policies, procedures, and training. Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FMCNA Quality Enhancement Goals (QEP). Supports the FMCNA's mission, vision, values, and customer service philosophy. Adheres to all requirements of the FMCNA Compliance Program, and FMS patient care and administrative policies. DUTIES / ACTIVITIES: CUSTOMER SERVICE: * Responsible for driving the FMS culture through values and customer service standards. * Accountable for outstanding customer service to all external and internal customers. * Develops and maintains effective relationships through effective and timely communication. * Takes initiative and action to respond, resolve and follow up regarding customer service issues with all customers in a timely manner. PRINCIPAL RESPONSIBILITIES AND DUTIES STAFF RELATED: * Directs Patient Care Technician's provision of safe and effective delivery of chronic hemodialysis therapy to patients in compliance with standards outlined in the facility policy procedure manuals, as well as regulations set forth by the corporation, state, and federal agencies * Delegates tasks to all direct patient care staff including but not limited to LVN/LPNs, Patient Care Technicians, and Dialysis Assistants * Assesses daily patient care needs and develops appropriate patient care assignments * Monitors patient care staff for appropriate techniques and adherence to facility policy and procedures * Participates in staff training and orientation of new staff as assigned * Participates in all required staff meetings as scheduled PATIENT RELATED: Education: * Ensures educational needs of patients and family are met regarding End Stage Renal Disease (ESRD) * Provides ongoing education to patients regarding their renal disease, vascular access and dialysis therapy, and other related health conditions * Discusses with patient, and records education related to diet/fluid and medication compliance * Provides patient specific detailed education regarding adequacy measures where applicable - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM) * Ensures transplant awareness, modality awareness, and drive catheter reduction * Educates patients regarding laboratory values and the relationship to adequate dialysis therapy, compliance with treatment schedule, medications, and fluid * Dialysis Treatment: * Provides safe and effective delivery of care to patients with ESRD * Implements accurate treatment prescriptions including Sodium (Na) modeling prescription, and Ultrafiltration modeling (where appropriate) to ensure stable treatment therapy as indicated * Assesses patients' response to hemodialysis treatment therapy, making appropriate adjustments and modifications to the treatment plan as indicated by the prescribing physician. Communicates problems or concerns to the Team Leader or physician. * Identifies and communicates patient related issues to Team Leader or physician * Initiates Initial and Annual Nursing Assessment, and ongoing evaluation and documentation of patient care needs according to FMC Policies and Procedures * Participates in the pre evaluation, initiation, monitoring, termination, access homeostasis, and post evaluation of patients receiving hemodialysis treatment therapy according to established FMC procedures * Identifies and implements appropriate intervention for changes in patient adequacy status and troubleshooting access flow issues as identified by OLC/AMP yellow lights * Provides, supervises (if applicable), and monitors hemodialysis access care according to established procedures. * Implements, administers, monitors, and documents patient's response to prescribed intradialytic transfusions, including appropriate notification of adverse reactions to physician and appropriate blood supplier * Ensures accurate and complete documentation by Patient Care Technician on the Hemodialysis Treatment Sheet * Laboratory-related: * Reviews, transcribes, and enters physician lab orders accurately into the Medical Information System * Ensures appropriate preparation of lab requisitions for Spectra or alternate lab * Ensures correct labs tubes are utilized for prescribed lab specimens and that lab draw and processing procedures are performed appropriately for all lab samples * Identifies and ensures appropriate follow-through regarding missed labs and specimens reported to be insufficient according to company policies and procedures * Ensures all specimens are appropriately packaged according to Department of Transportation (DOT) policies and procedures relating to shipment of blood or body fluid specimens and potentially hazardous material * Ensures that all labs are directed and delivered to appropriate labs * Reports alert/panic and abnormal labs results to appropriate physician * Ensures lab results are forwarded to physicians as requested General duties: * Enforces all company approved polices and procedures, as well as regulations set forth by state and federal agencies and departments * Maintains overall shift operation in a safe, efficient, and effective manner * Act as a resource for other staff members * Routinely meets with the Clinical Manager to discuss personnel and patient care status, issues, and information * Collaborate and communicate with physicians and other members of the healthcare team to interpret, adjust, and coordinate care provided to the patient * Provides assistance as needed to patients regarding prescription refills according to FMCNA Policies * Ensures all physician orders are transcribed and entered into the Medical Information system in a timely manner. * Oversees all documentation of patient information * Maintains facility drug list for all required stock medications * Maintains competency with all emergency operational procedures, and initiates CPR and emergency measures in the event of a cardiac and/or respiratory arrest * Ensures verification and availability of adequate emergency equipment * Ensures provision of appropriate vaccinations, immunizations, and annual Tuberculosis (TB) testing * Administers medications as prescribed or in accordance with approved algorithm(s), and documents appropriate medical justification if indicated * Administers PRN medications as prescribed and completes appropriate documentation of assessment of effectiveness. * Maintains appropriate recording of controlled substances as required by law * Assists with the coordination of patient transportation if necessary MAINTENANCE/TECHNICAL: * Ensures a clean, safe, and sanitary environment in the dialysis facility treatment area * Ensures competency in the operation of all dialysis-related equipment safely and effectively * Ensures all patient stations, including machines and chairs, are clean and free of blood and placed appropriately * Ensures that all blood spills are immediately addressed according to FMCNA Blood-borne Pathogen Control Policies MEDICAL RECORDS & DOCUMENTATION: General * Ensures all relevant data including physician orders, lab results, vital signs and treatment parameters, and patient status are documented appropriately and entered into Medical Information System * Ensures all appropriate patient related treatment data is entered into the Medical Information System * Ensures all FMCNA policies regarding patient admission, transfer, and discharge are appropriately implemented * Ensures and verify accuracy of Patient Care Technician documentation Daily * Reviews and ensures appropriate daily completion of Hemodialysis Treatment Sheets by all patient care staff * Ensures that all appropriate procedures are followed regarding opening and closing procedures, inclusive of monitoring that all staff and patients have safely left the premises Monthly * Initiates, documents, and completes ongoing Continuous Quality Improvement (CQI) activities including monthly reports * Completes monthly nurses' progress note * Ensures patient medical records are complete with appropriate information, documentation, and identification on each page (Addressograph label is on all chart forms) * Reviews transplant status and follows established procedure regarding appropriate action to be taken * Completes patient care plans for new patients within the initial 30 days or any patients deemed unstable requiring monthly patient care plans * Completes any long-term programs that are due Annually * Completes initial and annual Nursing History and Assessment physical * Ensures completion of Annual Standing Order Review with each physician as required OTHER: * Performs additional duties as assigned. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made. The position provides direct patient care that regularly involves heavy lifting and moving of patients, and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. up as high as 5 feet. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. EDUCATION * Graduate of an accredited School of Nursing. * Current appropriate state licensure * Must meet the practice requirements in the state in which he or she is employed * Education and Training qualifications per UltraCare CAP program requirements. EXPERIENCE AND REQUIRED SKILLS * Minimum of one-year medical-surgical nursing experience preferred * Hemodialysis experience preferred * ICU experience preferred * Experience and skill requirements as delineated for the appropriate level in the UltraCare CAP program. * Successfully complete a training course in the theory and practice of hemodialysis * Successfully complete CPR Certification * Provide coverage at any or all area facilities as required by management * ICD - 9 coding Training * Nurses Technical Training * Must meet appropriate state requirements (if any) EO/AA Employer: Minorities/Females/Veterans/Disability/Sexual Orientation/Gender Identity Share * Fresenius Medical Care Bay Shore NY

RN (Registered Nurse)-Southside- Medical-Surgical Unit/ Full-Time/ Various Shifts

Expired Job

Northern Westchester Hospital