Part-time, acute care in Northwell Health System.
Please be available to work minumum of 6 shifts per month.
1.Assesses thepatient's physiologic health status
Conductspatient interview, explains policies and procedures to patient/significantothers, reviews patient's chart and answers questions correctly andcourteously;
Assessesgastrointestinal, cardiovascular, respiratory, renal and neurological healthstatus;
Determinesmobility, sensory deficits, prostheses use, and skin condition and adjusts planof care, as appropriate;
Assesseslevel of pain and pain management;
Communicates/documentspatient's physiologic health status and plan of care.
2.Assessespatient's psychosocial health status
Elicitsperception of medical/nursing care and the expectation of care;
Determinescoping mechanism, knowledge level, and ability to comprehend;
Identifiescultural/ethnic requirements to reduce anxiety and ensure patient satisfacti Communicatesand documents psychological status and care plan; support group, counselingservices, social services.
Developscriteria for measurement of patient outcomes;
Identifiesactual/potential patient problems;
Identifiespatient's need for teaching based on psychosocial and developmental assessment;
Developspatient outcome statement (s) and establishes individualized patient goals.
4.Formulatesthe plan of care and establishes the priorities necessary to achieve expectedoutcome
Identifiescare activities and establishes the priorities necessary to achieve expectedoutcome;
Coordinatesthe cost-effective use of supplies, equipment and medication to achieveexpected outcome;
Documentsthe plan of care and collaborates with physicians and other health teammembers.
5.Implements the plan of care
Maintainsconstant vigilance over patients care to ensure that safety precautions/needsare followed. (Side rails up, call lights and bedside stand within reach,etc.);
Exercisesprofessional skills related to the plan of care;
Reassessespatients as needed and appropriately revises plan of care;
Correctlyadministers prescribed treatments;
Correctlyuses equipment necessary for patient care;
Providesemotional support to patient and significant other;
Appliesscientific principles in performing procedures; carries them out safely, timelyand efficiently;
Makesaccurate observations of patient's conditions duringtreatments/procedures. Reports and records same as appropriate;
Keepsaccurate documentation of patient's treatment, activity and condition, as wellas patient's responses to medical and nursing interventions;
Usesappropriate methods of documentation according to departmental policy;
Actsrapidly and effectively during any emergency situation, managing self, patientsand other employees;
Provides acalm, quiet, restful atmosphere. Communicates effectively with thepatient's family or caretakers;
Participatesin planning for discharge and coordinates referrals, as appropriate;
Providesdischarge instructions to patient and significant other.
6.Evaluatescare provided for patient outcome
Demonstratesability to measure effectiveness of care provided and documents same;
Performsvariance analysis related to outcome data for performance improvement;
Designs,implements, and evaluates systems to improve care in Unit;
Keepsaccurate documentation of patient's treatment, activity and condition;
Usesappropriate methods of documentation according to departmental policy.
7.Collaborateswith other care team members in planning and carrying out treatment regimen;provides direction to other members of the care team
Collaborateswith the appropriate physician on patient's plan of care;
Accuratelyinterprets and implements treatment regimen as prescribed by the Physician;
Assiststhe Physician during treatments and/or diagnostic procedures;
Patient Care Manager/designee and/or physician, abreast of changes in patient'scondition and/or treatments, as appropriate;
Usesclinical judgment in delegating assignments to the Patient Care Associate,Support Care Associate and Clerical Service Associate in providing patientcare, and ensures that assignments are completed in a timely fashion.
8.Performsgrade I-IV Decubitus Care
Performspreventive skin care measures
Appliessimple dressings, maintaining principles of aseptic technique;
Applieswarm & cold compresses, consistent with facility procedure;
Performsirrigations, consistent with Facility procedure;
Performsother procedures related to skin care, as necessary.
9.Administersmedications correctly and safely
Correctlyidentifies medication: action; dosage; side effects and implications for thepatient;
Meetsstandard on medication administration examination;
Demonstratespreparation of local solutions;
Demonstratespreparation of I.V. drips;
Administersand documents medication correctly;
AdministersIVP medication as per department policy and procedure;
Educatespatients and significant others related to drug and food interactions.
Providesthe patient with an explanation of his/her condition as indicated;
Communicatesassessment data in an orderly fashion by recording, updating and verbalizingpertinent information to care team members and to appropriate agencies;
Recognizesand utilizes health teaching opportunities and resources /materials availablefor this teaching;
Provides for earlydischarge planning and appropriate referrals for post-hospital care;
Evaluatesthe effectiveness of teaching by feedback from patient/family and documentssame.
One year of recent acute care experience preferred.
Northern Westchester Hospital